Culture of Safety & Learning Health Safety-FREE No CME Option-Building a Culture of Safety Series (720p HD)

Video Transcription

Video Summary

The webinar reviews CMS’s Patient Safety Structural Measure (PSSM) series, focusing on Domain 3: Culture of Safety and Learning Systems. The presenter explains that hospitals must use evidence-based practices to build a proactive, non-punitive safety culture supported by reliable systems, teamwork, and psychological safety. Key requirements include conducting a validated hospital-wide safety culture survey annually or every two years (with pulse surveys in off years), sharing results with staff and the governing board, and using findings to drive unit-based harm-reduction interventions.<br /><br />Participants discuss how they run surveys and act on results. The session also covers having a dedicated team to analyze serious safety events using evidence-based methods (e.g., RCA²), emphasizing “just culture” approaches that protect and support involved staff. Another element is maintaining a patient safety metrics dashboard with external benchmarking and transparent reporting to leadership and boards.<br /><br />Hospitals must implement at least four of seven high-reliability practices (e.g., safety huddles, leadership rounding, safety data infrastructure, CPOE/BCMA, improvement methods, teamwork training, human factors engineering). Finally, hospitals should participate in a large-scale safety learning network, share data, and implement at least one best practice. Resources and upcoming sessions are provided.

Keywords

CMS Patient Safety Structural Measure (PSSM)

Domain 3 Culture of Safety and Learning Systems

hospital safety culture survey

psychological safety and non-punitive reporting

just culture and staff support

serious safety event analysis (RCA²)

patient safety metrics dashboard and benchmarking

high reliability practices (safety huddles, leadership rounding, CPOE/BCMA)

safety learning network participation and best practices