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Creating a Positive Culture of Safety around Sharps Injury Prevention. Culture of Safety:. The product of individual and group: Values Attitudes Perceptions Competencies and Patterns of behavior that determine commitment to and the style and proficiency of an organization’s health and

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Presentation Transcript
culture of safety
Culture of Safety:

The product of individual and group:

  • Values
  • Attitudes
  • Perceptions
  • Competencies and
  • Patterns of behavior

that determine commitment to and the style

and proficiency of an organization’s health and

safety management.

(Reference: Sorra et al, AHRQ Pub No. 04-0041)

safety culture
Safety Culture:
  • The shared values within an organization with regard to safety.
  • Expressed in the willingness to evaluate and learn from adverse events

(References: Griffin & Neal, Journal of Occupational Health Psychology, 2000

Zhang, et al. Proceedings of the 46th Annual Meeting of the Human Factors and Ergonomics Society, 2002)

safety climate
Safety Climate:
  • The shared perception, at a point in time, of the safety culture within an organization.
  • The degree to which employees feel that safety is an organizational value.

(References: Griffin & Neal, Journal of Occupational Health Psychology, 2000

Zhang, et al. Proceedings of the 46th Annual Meeting of the Human Factors and Ergonomics Society, 2002)

slide5

Components of a Positive Culture of Safety:

  • Organizational commitment
    • Demonstrated at the highest levels in the organization
  • Management involvement
    • Commitment of resources
  • Employee empowerment
    • Freedom to voice concerns about hazards
components of a positive culture of safety
Components of a Positive Culture of Safety:
  • Systems to acknowledge safe practices
  • Reporting systems
    • Injuries
    • Safe behaviors
    • Near misses
    • Hazards
who s involved what s their role
Who’s involved? What’s their role?

Management

  • Acknowledge positive behaviors
  • Allocate resources for new safety products and processes
  • Ensure that all staff are aware of and receive training when changes are made
  • Address suggestions made by staff to improve safety
slide8

Who’s involved? What’s their role?

Staff

  • Acknowledge co-workers’ positive behaviors
  • Provide feedback to management on safety activities and new devices
  • Participate in training
  • Voice concerns about hazards to management
  • Offer solutions to identified hazards
safety culture and sharps injuries
Safety Culture and Sharps Injuries

Nurses with a positive measure of safety culture more likely to accept newly introduced IV catheter safety device

safety culture and sharps injuries10
Safety Culture and Sharps Injuries

Measures of safety culture are associated with compliance with safe work practices

Employees with higher measures of safety culture were half as likely to experience blood/body fluid exposure incidents

activities specific to sharps injury prevention
Activities specific to Sharps Injury Prevention
  • Engineering Controls
    • List of conventional devices identifying where they are used
    • Inventory of devices with safety features
    • Rigid sharps disposal containers
  • Training on the use of devices with safety features
activities specific to sharps injury prevention continued
Activities specific to sharps injury prevention (continued)
  • Sharps Injury Prevention Committee
    • Analysis and use of data in decision making
  • Process for identifying and reporting hazards
  • Process for reporting exposure incidents
    • Well developed post-exposure management protocols
slide13

Activities specific to sharps injury prevention (continued)

  • Bloodborne pathogen training
    • Upon hire and annually
    • Review of hazards, prevention measures and reporting protocols
  • Educational campaigns
    • In-services
    • Posters
safety culture factors
Safety Culture Factors

Long shifts

Use of sharp suture needle

Use of long length of suture material

Unable to leave operating room

Waiting until the end of the shift to report the exposure

changes
Changes

Shorter shifts to avoid fatigue

Use of blunt suture needles

Shorter suture material

Identify someone in OR to call Occupational Health for exposures

Triage exposure over the phone

If necessary, Employee Health brings PEP to OR

impact of positive changes
Impact of positive changes:
  • Reduction of hazards with suture needles
    • reduction / elimination of injuries involving suture needles
  • Improved reporting
  • More timely post-exposure management
  • Improved employee safety and patient care
slide18

Culture of safety….

Together we can make it work!

…the shared commitment of management and employees to ensure the safety of all care providers and patients in the facility.