How to create a safety culture in the healthcare system: the experience of the Tuscany Region

Authors: Bellandi, T.¹; Albolino, S.¹; Tomassini, C. R.²

Source: Theoretical Issues in Ergonomics Science, Volume 8, Number 5, September 2007 , pp. 495-507(13)

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Abstract:

This paper focuses on how to build up a clinical risk management system in healthcare organizations. It is maintained that, to achieve this result, a change in cultural attitudes is needed. It can be obtained by developing adequate tools for risk analysis, which should focus on the peculiarities of the healthcare systems. A no-blame culture should be shared. This culture is based on some basic assumptions. People make mistakes alongside their best skills and good will, sharing adverse events is a learning opportunity, near misses are free lessons and adverse events are often the outcomes of the system.

Keywords: Reporting system; Safety culture; No-blame attitude; Clinical risk management

Document Type: Research article

DOI: http://dx.doi.org/10.1080/14639220701193223

Affiliations: 1: Centre for Clinical Risk Management and Patient Safety, Regione Toscana - Direzione generale Diritto alla Salute, Florence, Italy 2: Siena University Hospital, 53100 Siena, Italy

Publication date: 2007-09-01

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