Table 2.

The 10-Step Process to Promoting a Culture of Safety376

1. Organizational culture
 a. Leadership commitment, assessment, structure
2. Clinical champions
3. Recognition and awareness
 a. Education
4. Structured education/training
 a. Diversity, sensitivity, stress management
 b. Conflict management, assertiveness
5. Collaboration/communication tools
6. Relationship building
7. Policies and procedures
8. Reporting mechanisms
9. Intervention
 a. Pre: assess safety culture before implementation of intervention
 b. Current: assess safety culture during implementation of intervention
 c. Post: assess safety culture after implementation of intervention
10. Reinforcement of patient safety initiatives