Skip Navigation LinksHome > July/September 2012 - Volume 27 - Issue 3 > Team Improvement and Patient Safety Conferences: Culture Cha...
Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0b013e31824623a4

Team Improvement and Patient Safety Conferences: Culture Change and Slowing the Revolving Door Between Skilled Nursing Facility and the Hospital

Berkowitz, Randi E. MD; Schreiber, Robert MD; Paasche-Orlow, Michael K. MD, MA, MPH

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To improve the safety culture of a skilled nursing facility, we conducted multidisciplinary “Team Improvement for Patient and Safety” (TIPS) case conferences biweekly to identify causes of transfers to acute care hospitals and improvement opportunities. Staff perceptions of organizational patient safety culture were assessed with the Nursing Home Survey on Patient Safety Culture. Over the course of the year, we held 22 TIPS conferences. Mean item scores increased during the study, indicating improved staff perceptions of patient safety culture (P < .005).

© 2012 Lippincott Williams & Wilkins, Inc.


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