title: Framework for patient safety, part 1: culture as an imperative.
abstract: Nurse leaders play a critical role in patient safety. They are essential in building a culture of safety and engineering resilience into workflows and patient care processes enabling healthcare organizations to progress toward high reliability. In part 1 of this 2-part series, the authors discuss the critical nature of a safety culture: why trust and respect lead to teamwork and collaboration in preventing serious safety events. Part 2 will introduce the emerging healthcare concept of high reliability, described through examples of health systems that have successfully adapted models from other industries. Use of technology and other advancements provides a context for advancing patient safety. Aligning culture and engineering technology for safety, when coupled with effective leadership, can provide a long-term approach for safe and effective care.
authors.affiliation: The Joint Commission, Oakbrook Terrace, Illinois, USA. ablouin@jointcommission.org
authors.forename: Ann Scott
authors.initials: AS
authors.lastname: Blouin
authors.forename: Kathryn J
authors.initials: KJ
authors.lastname: McDonagh
mesh_terms: D006801:Humans; D007400:Interprofessional Relations; D007857:Leadership; D009718:Nurse Administrators / Q000458:organization & administration*; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009740:Nursing Staff / Q000458:organization & administration; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration*; D014481:United States