Culture
Organizations that share experiences and foster positive working environments, build an organizational culture in which individuals thrive and service production is focused on excellence. We have developed this page of the QHN website to help quality improvers develop great organizational culture.
Over the years, QHN has had numerous local, national and international speakers present on developing and maintaining great organizational culture. We hope you find the tools, examples from the field, and literature here within, as useful and exciting as we have.
If you have other tools on developing great culture or a story to share, we would love to hear from you.
Tools
The following tools - templates, manuals and policies, have been recommended by our members, faculty or partners.
- Hunter, Linda. The World Café: A primer on facilitating your own back home. The Ottawa Hospital. Presented at the QHN Fall Forum 2007.
- Sustainability Survey. Baptist Health Care Leadership Institute.
http://www.qhn.ca/pdfs/SympBaptistSustainSurvey.pdf - Gap Analysis Tool: Organizational Culture Current State to Desired State. Baptist Health Care Leadership Institute.
http://www.qhn.ca/pdfs/SympBaptistGapTool.pdf - Nieva V,F., J Sorra. Safety culture assessment: A tool for improving patient safety in healthcare organizations. Qual Saf Health Care 2003; 12(Suppl II): ii17-ii23.
- Bilbrey, Pam and Dawn Sidenberg. Rounding and Scripting Fundamentals. Baptist Health Care and Bluewater Health. Presented at QHN Spring Forum 2004.
http://www.qhn.ca/pdfs/pambilbrey.ppt - Stone, Richard. How the Power of Story Can Create a Culture of Safety: A Program Designed for the Quality Healthcare Network. Storywork Institute. Presented at the QHN Winter Forum 2004.
http://www.qhn.ca/pdfs/Richard%20Stone.pdf
Examples from the Field
The following presentations and stories demonstrate what can happen when these tools and evidence are put into practice.
- Sidenberg, Dawn. Building a Community of Service Excellence. Baptist
Health Care Leadership Institute. Presented at the QHN Spring Symposium
2006.
http://www.qhn.ca/pdfs/SympBaptistPres.pdf - Bromley, Peter. (2004). The role of leadership and culture in creating
Canada's most successful organizations. Presented at the QHN Fall Forum
2004.
http://www.qhn.ca/pdfs/PeterBromley.pdf - Pennington, Adrian (MD), Learning from Across the Pond. NHS Health Improvement
Programme. Presented at the QHN Spring Forum 2005.
http://www.qhn.ca/pdfs/SF2005Pennington.pdf - Bilbrey, P. How to Build a Community of Listening Leaders for Health
Care Excellence. Presented at the QHN Spring Forum 2004.
http://www.qhn.ca/pdfs/pambilbrey.ppt - Stone, Richard. How the Power of Story Can Create a Culture of Safety.
Storywork Institute. Presented at the QHN Winter Forum 2004.
http://www.qhn.ca/pdfs/RichardStonePresentation.pdf - Norton, Peter (MD). Culture Change and Safety: Lessons from the Sharp
End. University of Calgary. Presented at the QHN Winter Forum 2004.
http://www.qhn.ca/pdfs/peternortonculturechange.pdf
Literature
The following evidence has been gathered for your information.
- Carolyn Clancy, MD. Quality Improvement: Getting to How. Health Serv Res. 2003 April; 38(2): 509-513.
- Singer, SJ, D M Gaba, J J Geppart, A D Sinaiko, S K Howard, K C Park.The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care 2003: 12: 112 - 118.
- Dennison, D.R., What is the difference between organizational culture and organizational climate? A native's point of view on a decade of paradigm wars. Academy of Management Review 1996: 21(3) 619 - 654.
- Baker, R., P Norton. Making Patients Safer! Reducing Error in Canadian Healthcare. Healthcare Papers 2001: Vol. 2 No. 1.
- Firth-Cozens, J. Evaluating the culture of safety. Qual Saf Health Care 2003 Vol 12 Issue 6: 401.
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