Culture in health care settings is key to patient safety. Everyone has a role in creating and nurturing an environment where colleagues feel able to speak up about unsafe practice.

How is a patient safety culture environment developed?

• Leaders create a blame free environment where staff speak up about patient safety issues with a focus on preventing future issues
• Leaders promote trust by implementing teachable moments when they hear of unsafe practice. For example asking staff “how do we learn from this experience” or providing staff educational resources.
• Leaders support staff who speak up and share information, when appropriate, that led to changes in practice
• preventing a similar situation in the future.

If a regulated health care professional or a facility suspects a health care professional may have sexually abused a patient, it is a legal reporting requirement.

Here are some guiding questions you can use to reflect on whether your organizational culture is psychologically safe:

• Does your organization make it clear that a patient safety culture matters and is expected??
• Does your organization emphasise increasing patient safety?
• Do employees, including management, consistently demonstrate and role model a patient safety culture?
• Are staff encouraged to bring patient safety issues forward (for example, with colleagues, through an incident reporting system, to management)
• Is there a safe, convenient way for staff to voice their concerns?
• Do widely accepted practices in the organization support health and safety?