Cutler Institute for Health and Social Policy

Maine Rural Health Research Center

Promoting a Culture of Safety: Use of the Hospital Survey On Patient Safety Culture in Critical Access Hospitals [Policy Brief]


The authors discuss the use of patient safety culture surveys as a means to promote organizational learning and build a culture of safety. Detailed information on the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture and adaptation for use in rural hospitals is available in the Briefing Paper.( A listing of additional tools and resources to enhance patient safety culture is provided in both the Policy Brief and the Briefing Paper.<br></br>
Key Facts:<li>
Establishing a culture of patient safety includes promoting a non-punitive environment of shared accountability (a just culture), encouragement to report errors (a reporting culture), and development of a learning culture.
<li>Research demonstrates a positive relationship between organizational culture and safety outcomes for both patients and employees.
<li>Use of the AHRQ Hospital Survey on Patient Safety Culture has been effective for planning, implementing, and evaluating targeted patient safety interventions in Critical Access Hospitals.</li>

Publication Type: 
Research and Policy Brief
Publish Date: 
May 4, 2012

Profile of Rural Residential Care Facilities Chartbook

Profile of Rural Residential Care Chartbook Cover

Using data from the 2010 National Survey of Residential Care Facilities, this chartbook from the Maine Rural Health Research Center presents information on a slice of the rural LTSS continuum—the rural residential care facility (RCF).  Survey results identify important national and regional differences between rural and urban RCFs, focusing on the facility, resident and service characteristics of RCFs and their ability to meet the LTSS needs of residents.

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