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Safety cultures

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Overview

Safety culture is the part of your organisational culture that focuses on the provision of safe, inclusive and quality care. It includes the way that you:

  • look at risks and incident management
  • respond when incidents occur
  • work together to prevent future incidents
  • improve safety for your consumers.

A good safety culture is key to successfully implementing the Serious Incident Response Scheme (SIRS) and maintaining continuous improvement in your organisation.

In a safety culture, incidents are managed with a view towards continuous improvement rather than blame. This will help make sure workers feel comfortable to raise concerns with you and report incidents using your IMS. When workers feel comfortable about discussing and reporting safety issues, they are more likely to perform better, learn from mistakes and be accountable.

Your IMS will not be effective if workers are too afraid to use it. As managers, you need to encourage behaviours or actions that promote a ‘blame-free culture’ and have a commitment to learning from incidents and near misses.

 

Overview

Safety culture is the part of your service’s culture that focuses on providing safe, inclusive and quality care. In a good safety culture, everybody works together to help prevent incidents. Incidents are looked at as opportunities to improve, and nobody feels the need to hide incidents when they happen.

A good safety culture is key to successfully implementing the SIRS and maintaining continuous improvement in your organisation.

Everybody working in aged care has a role in building a good safety culture. Building a safety culture means creating an environment where you are encouraged to share your ideas, experience and knowledge actively.

Your IMS will not be effective if you are too afraid to use it. In a safety culture, incidents are managed with a view toward continuous improvement rather than blame. This means you should feel comfortable raising concerns and reporting incidents using your IMS. When you feel comfortable discussing and reporting safety issues, you are more likely to perform better, learn from mistakes and be accountable.

 

Overview

A good safety culture is key to successfully implementing the Serious Incident Response Scheme (SIRS) and maintaining continuous improvement in your organisation. Within home care services, you may be unlikely to witness incidents first hand as a manager. However, it is important to make sure your workers understand what they need to do when an incident occurs

In a good safety culture, incidents are managed and seen as opportunities to continually improve rather than blame. A good safety culture will help your workers feel comfortable in raising concerns with you and reporting incidents using your IMS. When staff feel comfortable about discussing and reporting safety issues, they are more likely to perform better, learn from mistakes and be accountable.

Your IMS will not be effective if staff are too afraid to use it. As managers, you need to encourage behaviours or actions that promote a ‘blame-free culture’ and have a commitment to learning from incidents and near misses.  

 

Key actions

  1. Make sure your workers are comfortable discussing safety concerns and reporting incidents through your IMS.
  2. Look for continuous improvement opportunities when investigating incidents instead of who to blame.

Key actions

  1. Make sure you are comfortable discussing safety concerns and reporting incidents through your IMS

  2. Look for ways to improve when investigating incidents instead of who to blame.

Example

A poor safety culture

Mrs Smith’s call button was not working one night. She reported this to the Registered Nurse Michelle when she was being given her evening medication. Michelle did not report it to anyone else as she was finishing her shift and was sure someone else would report it – after all, it’s not really her job. Overnight Mrs Smith was feeling unwell and, as she wasn’t getting any response with her broken call button, decided to seek help herself. As she got out of bed, she became unsteady on her feet and fell.

A good safety culture

Mrs Smith’s call button was not working one night. She reported this to the Registered Nurse Michelle when she was being given her evening medication. Michelle reported the issue to her supervisor and then recorded in line with the IMS procedures. Michelle also provided Mrs Smith with an alternate device to use as a buzzer until Mrs Smith’s call button could be fixed the next morning.

Safety culture and your IMS

A good safety culture and IMS support each other.

 

Your IMS:

  • gives clear expectations around how incidents are managed
  • provides a framework for reporting, managing and investigating incidents
  • enables a focus on continuous improvement in incident management.

 

Your safety culture:

  • helps workers to be accountable and take ownership to observe, report and reduce risks
  • helps workers to feel supported to identify incidents and near misses
  • encourages workers to help design procedures and standards
  • encourages workers to learn to identify, mitigate and report risks and/or potential harm at work to prevent future incidents
  • gives workers confidence to correctly record and report risks or incidents
  • encourages workers to implement solutions for continuous improvement or escalate for further action.

 

 

Roles and responsibilities for safety cultures

Everybody working in an aged care service is responsible for shaping the organisation’s safety culture.

The governing body shapes the safety culture.

Managers and the leadership team drive the safety culture by discouraging behaviours not in line with a good safety culture and ensuring workers are comfortable discussing safety concerns and reporting incidents through the IMS. Managers are responsible for providing authentic leadership and role modelling positive behaviours at work. Your policies and procedures must clearly outline to workers their roles and responsibilities for recording and notifying others of incidents.

Everyone working at your organisation owns the culture and can act in ways that improve safety and quality.

 

Roles and responsibilities for safety cultures

Everybody working in an aged care service is responsible for shaping the organisation's safety culture.

The governing body shapes the safety culture.

Managers and the leadership team drive the safety culture by discouraging out behaviours not in line with a safety culture and ensuring workers are comfortable discussing safety concerns and reporting incidents through the IMS. Managers are responsible for providing leadership and role modelling positive behaviours at work.

Everybody working at your organisation owns the culture and can act in ways that improve safety and quality.

 

Roles and responsibilities for safety cultures

Everybody working in an aged care service is responsible for the organisation's safety culture.

The governing body shapes the safety culture.

Managers and the leadership team drive the safety culture by discouraging behaviours not in line with a good safety culture and ensuring workers are comfortable discussing safety concerns and reporting incidents through the IMS. Managers are responsible for providing authentic leadership and role modelling positive behaviours at work. Managers should clearly outline to workers their roles and responsibilities for recording and notifying others of incidents.

With the commencement of SIRS in home care services, your organisation’s safety culture should be applied within consumers’ homes and the community to help deliver safe, quality care and services.

Everyone working at your organisation owns the culture and can act in ways that improve safety and quality.

Workers within home services are a diverse group that includes employees and 'agency' workers, as well as individual contractors. It is your responsibility as a manager to ensure that all workers understand their role in promoting and following your safety culture.

 

Roles and responsibilities for safety cultures

Everybody working in an aged care service is responsible for the organisation’s safety culture.

The governing body shapes the safety culture.

Managers and the leadership team drive the safety culture by discouraging behaviours not in line with a good safety culture and by ensuring workers are comfortable discussing safety concerns and reporting incidents in the IMS. Managers are responsible for providing authentic leadership and role modelling positive behaviours at work.

Everyone working at your organisation owns the culture and can act in ways that improve safety and quality.

There are many types of workers in home services including employees, ‘agency’ workers and individual contractors. 

 

Understand your role in promoting and following your safety culture inside consumer homes and the community.

 

Working together

Your safety culture needs to be grown over time, as a leader you have an important role to lead a positive safety culture with all employees at all levels of the service.

To foster a positive safety culture, you need to:

  • create strong relationships
  • provide clear communication and expectations around incident management
  • enable collaboration and inclusion
  • encourage a learn and grow mindset
  • encourage open disclosure as an opportunity to learn
  • actively listen, without judgement
  • provide meaningful feedback
  • give team-based recognition
  • mentor positive examples
  • demonstrate a commitment to incident management and reporting.

 

What does safety culture mean for me?

A good safety culture:
  • helps you be accountable to observe, report and mitigate risks
  • helps you to feel supported to identify incidents and near misses
  • encourages you to help design procedures and standards
  • encourages you to learn to identify, mitigate and report risks and/or potential harm at work to prevent future incidents
  • gives you confidence to correctly record and report risks or incidents

Tips

Strengthening your safety culture

There are some actions you can take as a leader to help strengthen your safety culture. 

You can strengthen your safety culture by:

  • consulting with other organisations to share experiences, learn what they do and how they embrace their safety culture
  • considering any cultural barriers workers have around reporting and adapt communications and training to address these barriers
  • reviewing internal documents to ensure the organisation’s values and your focus align
  • checking in with workers post-incident or after a near miss to debrief and review any issues or concerns. Adverse effects, if unresolved, may lead to unhealthy practices and reduced worker wellness and engagement.

Tips

Strengthening your safety culture

There are some actions you can take as a leader to help strengthen your safety culture. 

You can strengthen your safety culture by:

  • consulting with other organisations to share experiences, learn what they do and how they embrace their safety culture
  • considering any cultural barriers workers have around reporting and adapt communications and training to address these barriers
  • reviewing internal documents to ensure the organisation’s values and your focus align
  • checking in with workers post-incident or after a near miss to debrief and review any issues or concerns. Adverse effects, if unresolved, may lead to unhealthy practices and reduced worker wellness and engagement.

Training can help reinforce a positive safety culture and refresh workers’ memory as some workers may spend a lot of time working onsite in consumer homes and the community.

Tips

Strengthening your safety culture

You can contribute to strengthening your service’s safety culture by:

  • sharing experiences, learning what others do well and how they embrace their safety culture

  • speaking up and reporting incidents when they happen

  • discouraging behaviours or actions that are not consistent with:

    • your safety culture

    • your service’s commitment to learning from incidents and near misses.

Legislative requirements

The Aged Care Quality Standards

Incident Management - Standard 8: Requirement (3)(d)(iv)

You must have effective risk management systems and practices in place, including the use of an Incident Management System (IMS)

Standard 8. Organisational governance

Work tool

You can assess your service’s level of SIRS compliance using the SIRS worker readiness work tool.

Contact us

If you have a question about the SIRS, you can call us on 1800 081 549.

This phone line is open 9 am to 5 pm (AEST) Monday to Friday and 8 am to 6 pm (AEST) Saturday to Sunday.

You can also email us at sirs@agedcarequality.gov.au.

Facilitated workshops

The Commission provides facilitated workshops to sector participants. All current workshops are available on the Commission’s Workshop page.

Online learning

The Commission’s Aged Care Learning Information Solution, Alis provides free online education for employees of Commonwealth-funded aged care providers, including modules about incident management systems.

You can access Alis at learning.agedcarequality.gov.au.

Disclaimer

The information contained on this page is intended to provide you with general guidance, however it is your responsibility to be aware of your legislative requirements.