PS 203 Lesson 2: Building a Culture of Safety
Patient safety experts and researchers have increasingly pointed to the role of organizational culture in the success of patient and workforce safety initiatives. This lesson will describe six domains of a culture of safety and provide useful tools for assessing and advancing your organization’s culture of safety.

Acknowledgement
The American College of Healthcare Executives (ACHE) and the IHI/NPSF Lucian Leape Institute collaborated with leaders of progressive health care organizations and globally renowned experts in leadership, safety, and culture to develop the report upon which this course content is based, Leading a Culture of Safety: A Blueprint for Success. We are grateful to the members of the two roundtable meetings whose insights and perspectives informed this work.
Estimated Time of Completion: 35 minutes
Learning Objectives
After completing this lesson, you will be able to:
1. List six domains of a culture of safety.
2. Describe effective leadership behavior in a culture of safety.
3. Explain two prerequisites to holding individual health care workers accountable for their actions.
Contributors
Author(s):
Barbara Balik, EdD, RN, President, Aefina Partners View Profile
Gerald Hickson, MD, Professor, Vanderbilt University View Profile
Gary Kaplan, Chairman and CEO, Virginia Mason Medical Center View Profile
Editor(s):
Laura Fink, Director, Editorial and Online Learning, Institute for Healthcare Improvement View Profile
Reviewer(s):
Patricia McGaffigan, RN, MS, CPPS, Vice President, Safety Programs, Institute for Healthcare Improvement View Profile
Requirements
You must be a registered IHI.org user to take this lesson.
You must achieve a minimum score of 75% to successfully complete this lesson.