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Safety Culture Assessment - Joint Commission

June 2018 l Volume 38 | Number 6. The Joint Commission Perspectives . THE OFFICIAL NEWSLETTER OF THE Joint Commission . Contents Safety Culture 1 Safety Culture Assessment : Improving Assessment : Improving the Survey Process the Survey Process 5 Improving the Reliability and Consistency of Surveys As part of its commitment to promote high reliability in health care, 7 Accreditation The Joint Commission urges organizations to establish a Safety Participation Requirement Culture that fosters trust in reporting unsafe conditions to ensure Added for Deemed Status high-quality patient care. A project recently completed by The Joint Organizations Commission addressed how to improve the Assessment of Safety 9 Correlation Change for Citing Culture during survey. Health care organizations and surveyors Ligature Deficiencies: Same EP, responded so positively to the project that The Joint Commission will Different CoP. implement survey process improvements in June 2018 for hospitals 10 OSHA Requires Electronic and critical access hospitals and in October 2018 for all other pro- Submission of Injury and Illness grams.

Assessment Strengthening Systems Trust/Intimidating Behavior Identifying Unsafe Conditions Accountability/ Just Culture LD.03.01.01, EP 1: Leaders regularly evaluate the culture of safety and quality using valid and reli-able tools. • LD.03.01.01, EP 2: Lead-ers prioritize and imple-ment changes identified by the evaluation [of safety culture].

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