title: Culture of safety.
abstract: In this article, the principles behind high-reliability organizations and a culture of safety are explored. Three areas in which health care has the greatest potential for improvement in safety culture are also discussed: a nonpunitive response to error; handoffs and transitions; and safe staffing. Tools for frontline nurses to help improve their organization's culture of safety in these areas are reviewed. Information is also given for nurses responding to error, including participating in root-cause analysis and supporting health care workers involved in adverse events.
authors: Austin Peay State University, 601 College Street, Clarksville, TN 37044, USA. Electronic address: hersheyk@apsu.edu.
authors: Kristen
authors: K
authors: Hershey
mesh_terms: D002983:Clinical Competence; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D015279:Organizational Culture; D062209:Patient Handoff / Q000458:organization & administration*; D061214:Patient Safety / Q000592:standards*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration*; D014481:United States
keywords: Culture of safety; Just culture; Patient safety