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Rural Organization Safety Culture (ROSC)

An initiative in which hospital teams will work with senior leadership to assess their base-line organizational safety culture, determine opportunities for improvement, and implement process improvements.

Project Objectives:

  1. Complete and submit the organizational safety culture climate assessment survey and a patient checklist to report baseline and remeasurement data.
    o Baseline Survey Due Date: 1-12-06
    o Remeasurement Survey Due Date: 10-16-07
  2. Attend Kickoff and quarterly web-ex conference calls and share best practices.
  3. Work with CFMC to identify areas of focus to improve the patient safety climate and implement interventions and systems changes based on your assessment data results.

Tips on successful completion of survey:

  • The survey was designed to be administered to all types of hospital staff, including clinical and non-clinical. Having varied departments and staff involved will result in a more complete view of the safety culture in the hospital.
  • Your sample size should be at least TWICE the number of responses you want to receive. Expect a 50% response rate. (Ex. 400 surveys-200 completed responses)
  • Anonymous reporting is important for adequate feedback and participation. Have a designated hospital point-of-contact for the survey.
  • The survey will take 10-15 minutes-to be completed DURING WORK TIME. You may consider to administer in team/dept/shift meetings and/or trainings.
  • CFMC will collect the surveys and complete the analysis and report preparation and data results.
  • Additional materials available at AHRQ website at http://ahrq.gov/qual/hospculture/.

Unit-level Safety areas covered in survey:

  1. Overall perceptions of safety.
  2. Frequency of events reported.
  3. Supervisor/Manager expectations& actions promoting patient safety.
  4. Organizational learning-continuous improvement.
  5. Teamwork within units.
  6. Communication openness.
  7. Feedback & communication about error.
  8. Non-punitive response to error.
  9. Staffing.

Hospital-wide Safety areas covered in survey:

  1. Hospital management support for patient safety.
  2. Teamwork across hospital units.
  3. Hospital handoffs & transitions.

Additional Benefits:

  1. Create community awareness regarding hospital safety initiatives and patient care.
  2. Gain recognition as a leader in healthcare improvement both locally and nationally.
  3. Opportunities to share best practices.
  4. Educational WebExs and conference calls.
  5. Free resources and tools.
  6. Data analysis and reports.
  7. Receive assistance with clinical abstraction tools.
  8. Receive assistance and training on quality improvement techniques.
  9. Provide quality care to your patients and community.


Questions?

For questions or to request on-site assistance contact Hilarie Olson, Quality Improvement Specialist, at 303.875.6975 or holson@coqio@sdps.org.

The Colorado Foundation for Medical Care (CFMC), the Medicare quality improvement organization for Colorado, prepared this material under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents do not necessarily reflect CMS Policy.