Health organizations have to improve patient safety and quality performance. To achieve better results, they need to develop their safety culture. How can leaders and employees be involved and motivated to change? What makes a change process sustainable and responsive? To work on these challenges, health care organizations can gain a lot from experiences in other industries.
One step ahead was to adapt ICL’s Cultural-Dialogues for the health care sector.
Cultural-Dialogues have been successfully implemented in different industries such as process, manufacturing and the social sector (see other case studies).
The goal of Cultural-Dialogues is to institutionalize an ongoing learning and change process based on scientific findings of highly reliable organizations in order to shape the overall safety and quality performance (Gebauer, 2017).
Cooperation with Institute for Patient Safety
First of all, we adopted existing behavior descriptions for the specific work settings and target groups in hospitals. Therefore, we collaborated with the Institute for Patient Safety (Prof. Tanja Manser) as well as with Dr. Heike Kahla-Witzsch (Beratung im Gesundheitswesen).
First testings and evaluations
Secondly, we tested the approach and discussed application scenarios with risk managers of the health sector. For example, we tested the tool with 40 risk managers at the Annual Risk Manager-Community Meeting (in collaboration with Dr. Heike Kahla-Witzsch). We also tested it with patient safety and quality experts at one of the largest patient safety conferences in Germany (Congress Aktionsbündnis Patientensicherheit 2017).
Pilot at UniversitätsSpital Zürich
Now we were ready for the first pilot and the ambitious UniversitätsSpital Zürich pioneered to do so. We supervised the responsible risk manager to initiate and design a sustainable and compatible change process.
In a first kick off session Cultural-Dialogues for Patient Safety were conducted in cross-level and multi-professional teams, who investigated their safety culture and deduced necessary actions to improve.
Dr. Amanda van Vegten
The Cultural-Dialogues for Patient Safety quickly became an important element in many of our training sessions. Thank you ICL for the very accurate behavior descriptions and the overall approach!
Due to the positive feedback, we continued training internal facilitators for conducting Cultural-Dialogues at UniversitätsSpital Zürich.
The facilitator training was an important prerequisite to roll-out this method to a large number of employees and to further institutionalize the approach within the organization.
Further pilots planned for 2018
In 2018 further hospitals will start with the method cultural dialogues. The Institute for Patient Safety will conduct a scientific evaluation.
In addition ICL offers several Workshops to train facilitators for Cultural-Dialogues and to introduce methods to develop the safety culture. Please contact us for further information.
Benefits of Cultural-Dialogues for Patient Safety
Precise and target group specific behaviour descriptions serve as starting point to discuss personal experiences
State of the art and scientifically proven safety concepts made actionable
Interactive exchange across levels and disciplines
5 levels of the safety culture serve as a "yardstick"