Building a Culture of Safety Tip Sheet
The culture of safety tip sheet emphasizes that sustainable patient safety depends on psychological safety, strong system learning, high‑reliability behaviors, and visible leadership commitment to continuous improvement.
Who it’s for:
- Risk professionals and patient safety leaders
- Executive and senior leadership teams
- Quality, compliance, and clinical operations teams
- Nursing leaders, frontline clinical teams, and unit managers
- Interdisciplinary safety, learning system, and high‑reliability committees
What it can be used for:
- Strengthening and sustaining a culture of safety across departments
- Embedding high‑reliability behaviors into daily operations
- Improving event reporting, learning systems, and feedback loops
- Supporting psychological safety and shared accountability
- Guiding organizational assessments of safety culture maturity
What’s inside:
- Situation: Safety culture varies widely across organizations due to communication gaps, hierarchy, and inconsistent leadership engagement
- Background: High reliability principles, psychological safety, and system‑based thinking are essential to building and sustaining a strong safety culture
- Assessment: Organizations often face gaps in teamwork, learning systems, and just culture; tools like SOPS® and IHI assessments help evaluate maturity
- Recommendations: Demonstrate visible leadership commitment, foster just culture, strengthen learning systems, promote psychological safety and ownership, embed HRO behaviors, and measure progress
Access the Tip Sheet
Safety culture varies widely across organizations due to communication gaps, hierarchy, and inconsistent leadership engagement.
Related Resources
Toolkits/Methodology
ASHRM has identified the following resources on patient safety to assist you in identifying useful information and helpful contacts.