At Dignity Health, we want to be the safest place possible for our patients and for our caregivers.To increase our safety we need to do more than just create new policies and procedures, we need to strengthen our culture of safety, so that doing the safe thing is always top of mind.
The 18 Dignity Health Hospitals across the Southern California Division are on the journey to becoming Highly Reliability Organizations (HRO) committed to improve safety by first understanding why people make errors and then training our teams with tools that help people reduce the everyday mistakes that we all make. When these tools are used all the time, hospitals become reliably safe.
We have named our journey Safety by Choice, Not by Chance, which means every decision we make prioritizes the safety of our patients and our teams. This journey challenges every one of us to change how we look at the big things and the little things that we do every day.
Each and every employee participates in the HRO journey and has been trained to identify safety issues and address them before they can cause harm. At Dignity Health, we practice humankindness every day with our patients and with each other. Ensuring our patients receive the safest care that we can deliver is humankindness at its best.
Universal Toolkit
The Universal Toolkit has been shown to significantly reduce harm, but they only work if they are used every time.
Show humankindness
Use "Hello"
- H – Humankindness
- E – Eye contact
- L – Listen
- L – Learn
- O – Offer assistance
Show humankindness
Use "Hello"
- H – Humankindness
- E – Eye contact
- L – Listen
- L – Learn
- O – Offer assistance
Pay attention to detail
Self-check using STAR
- Stop
- Think
- Act
- Review
Pay attention to detail
Self-check using STAR
- Stop
- Think
- Act
- Review
Practice & accept a questioning attitude
Pause, question, and confirm
Practice & accept a questioning attitude
Pause, question, and confirm
Be an accountable team member
Use C.U.S.S. with kindness
(Concerned Uncomfortable Stop Supervisor)
- Cross-check and coach each other.
- Report problems and errors.
Be an accountable team member
Use C.U.S.S. with kindness
(Concerned Uncomfortable Stop Supervisor)
- Cross-check and coach each other.
- Report problems and errors.
Communicate clearly
Use SBAR and standardized handoffs
(Situation Background Assessment Recommendation)
- Three-way repeat-back and read-back
- Clarifying questions
- Phonetic and numeric clarification
Communicate clearly
Use SBAR and standardized handoffs
(Situation Background Assessment Recommendation)
- Three-way repeat-back and read-back
- Clarifying questions
- Phonetic and numeric clarification
Hospital Quality Transparency
Dignity Health hospitals participate in public reporting projects that promote transparency, facilitate improvements, and help consumers to make informed choices about their health care. One such project is the Hospital Quality Transparency Dashboard project, sponsored by the Hospital Quality Institute, in cooperation with the Patient Safety Movement Foundation and California Hospital Association, which is working to increase quality transparency for hospitals.