Safety Culture Interventions

The HPI approach and methods to improving performance culture are based on the knowledge, learnings, and best practices of high-reliability organizations such as nuclear power, aviation, and manufacturing. While healthcare historically has focused on traditional process improvement as a means to better outcomes, high-reliability organizations have long recognized that optimizing outcomes requires a concurrent focus on process design and human behavior accountability. Building behavior accountability (often overlooked as something that “will take care of itself”) is as complex and perhaps more challenging than process design improvement. It requires knowledge and a skill set that is distinctly different from that of process redesign. While process design focuses on detecting and correcting weaknesses in systems, behavior accountability focuses on preventing initiating human errors that can lead to events of harm or untoward outcomes.

The Process for Building and Sustaining a Culture of Safety includes: