Culture of safety for Downstate ct surgery

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Robert Poston

Safety survey from AHRQ obtained at the outset of Dr. Poston's cardiothoracic program.

Healthcare

Culture of Safety at
Downstate CT Surgery
Survey Results from 7/5/18

46% positive
46% positive
46% positive 33% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES

46% positive
53% positive
67% positive
40% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES

53% positive
33% positive
40% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES

26% positive
46% positive
26% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES

33% positive
33% positive
67% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES

26% positive
46% positive
40% positive
33% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES

53% positive
47% positive
60% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES

20% positive
26% positive
47% positive
13% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES

33% positive
27% positive
60% positive
47% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES

27% positive
47% positive
20% positive
6% positive
NATIONAL AVERAGESDOWNSTATE RESPONSES

13% positive
20% positive
20% positive
NATIONAL AVERAGES
DOWNSTATE RESPONSES

DOWNSTATE: 0% 20% 47% 27% 0%
TEAMWORK FEATURES
Coaching
• Overlook safety errors
• Mistakes don’t prompt change
• Need better system of safety
Communication
• Overall excellent
• Learn from mistakes
Mutual Support
• Shift change is a problem
• Punitive response to error
• Poor cooperation with other units
Sense of urgency
• Staff forced to work in crisis mode
NATIONAL AVERAGES

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