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BACKGROUND What is a “culture of safety”? 6
BACKGROUND F i rs t a n d f o re m o s t a c ul ture o f s a f e ty i s a j us t c ul ture , o n e i n w h i c h p e o p l e a re n o t p un i s h e d f o r m a k i n g e rro rs b ut o n e i n w h i c h d e l i b e ra te v i o l a ti o n s a n d m i s c o n d uc t a re n o t to l e ra te d . S e c o n d , i t m us t b e a n e n v i ro n m e n t i n w h i c h th e d i s c us s i o n a n d re p o rti n g o f e rro rs i s s e e n a s a s te p to w a rd s f uture i m p ro v e m e n ts . I f th o s e i n v o l v e d i n a w o rk p ro c e s s f e e l a s th o ug h th e y c a n n o t s h a re o r d i s c us s a c ti o n s th a t h a v e l e d to o r m a y l e a d to e rro rs i n th e f uture a c ul ture o f s a f e ty w i l l n e v e r b e a tta i n e d . T h i rd l y, a c ul ture o f s a f e ty m us t i n v o l v e a n e n v i ro n m e n t th a t p ro v i d e s f o r th e c o n ti n ua l l e a rn i n g o f th o s e w i thi n i t. E v e ryo n e s h o ul d b e e n c o ura g e d to th i n k a b o ut th e w h o , w h a t, w h e n , w h e re a n d w h y ‟ s o f a n e r r o r a n d t h e n i n v e s t i g a t e h o w t o f i x o r a m e n d th e p a rts o f th e s ys te m th a t c a n e l i mi n a te th e e rro r i n th e f uture . O th e r i m p o rta n t i s s ue s i n a c ul ture o f s a f e ty re v o l v e a ro un d trus t a n d tra n s p a re n c y w h e re p e o p l e w o rk i n te a m s i n w h i c h re s p o n s i b i l i ty , c o l l a b o ra ti o n , a n d c o m m un i c a ti o n a re a l l k e y c o m p o n e n ts (L e a p e , 2 0 0 9 ). 7
Page 1 and 2: CAYUGA MEDICAL CENTER LABORATORY P
Page 4 and 5: EXECUTIVE SUMMARY H e a l t h c a r
Page 8 and 9: BACKGROUND F ro m th e p re v i o u
Page 10 and 11: BACKGROUND T h i s s ys te m s a p
Page 12 and 13: BACKGROUND T h i s p o i n ts to th
Page 14 and 15: METHODOLOGY 1.4
Page 16 and 17: METHODOLOGY Communication observati
Page 18 and 19: RESEARCH PROTOCOL T h e c o m m un
Page 20: OBSERVATION TOOL ANALYSES 20
Page 23 and 24: S O U R C E S O F C O M M U N I C A
Page 25 and 26: S O U R C E S O F C O M M U N I C A
Page 27 and 28: T I M E B Y T Y P E O F C O M M U N
Page 29 and 30: T I M E B Y T Y P E O F C O M M U N
Page 31 and 32: REASON FOR TYPE OF COMMUNICATION: R
Page 33 and 34: REASON FOR TYPE OF COMMUNICATION: 3
Page 35: REASON FOR TYPE OF COMMUNICATION: R
Page 38 and 39: R E A S O N F O R T Y P E O F C O M
Page 40 and 41: P R O X I M I T Y O F C O M M U N I
Page 42: R E A S O N F O R C O M M U N I C A
Page 45 and 46: 12 11 10 2 8 1 8 Accession Social N
Page 47 and 48: 2 1 0 T Dawn Cornwall Bridget Munso
Page 49 and 50: 1 SOCIAL NETWORK ANALYSIS: HEMATOLO
Page 51 and 52: C O M M U N I C A T I O N : P R E F
Page 53 and 54: CONCLUSION 49
Page 55 and 56: G O I N G F O R WA R D : T H E R O
Page 57 and 58:
0 w 1 Communication Recording Instr
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