NORA Healthcare and Social Assistance Council

December 6-7, 2018 in Washington, DC

Objective: The objective of this workshop is to summarize the current work being done to improve health and safety culture in the healthcare sector and identify opportunities for our NORA Sector Council to become more engaged.

Thursday, December 6                             8:00 am – 5:00 pm ET

• Welcome and Introductions
  Bonnie Rogers, NORA HCSA Sector Council Co-Chair, University of North Carolina
  Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH

Defining Safety Culture and OSH (occupational safety and health) in Healthcare

• Safety Culture – Safety Climate: Background and General Perspectives
  Dave DeJoy, NORA Healthy Work Design and Well-Being Program Co-Chair, University of Georgia
• Healthy Work Design and Well-Being (HWD) Cross-Sector Program
  Naomi Swanson, NORA Healthy Work Design and Well-Being Program Co-Chair, NIOSH
  Regina Pana-Cryan, NORA Healthy Work Design and Well-Being Program Co-Chair, NIOSH
• Healthy Work Design for the Environment of Care
  Robert McLellan (via Adobe Connect), Past ACOEM President, Geisel School of Medicine at Dartmouth

Updates from National Efforts

• Andrew Levinson, OSHA
• Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being
  Pascale Carayon (via Adobe Connect)
  University of Wisconsin-Madison
  Study Co-Chair, Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being, A Consensus Study from the National Academies of Sciences, Engineering and Medicine
• Healthy Work Design in the HCSA Sector
  Ron Smith, LS3P
  Doug Erickson, Facilities Guidelines Institute
• Safety Culture and Leadership: A View from The Joint Commission
  Barbara Braun The Joint Commission Presentation slidesCdc-pdfpdf icon
• Critical Care Societies Collaborative: Prevention & Management of Burnout
  Curtis Sessler, Virginia Commonwealth University
  Critical Care Societies Collaborative on Prevention & Management of Burnout

Case Studies and Special Topics

• NIOSH’s Center for Productive Aging and Work
• Jim Grosch (via Adobe Connect), NIOSH
• Risk Assessment: The Backbone of Laboratory Safety
  Natasha Griffith (via Adobe Connect), CDC Center for Surveillance, Epidemiology, and Laboratory Services, Division of Laboratory Systems
• Workforce Safety Initiative Virginia Mason Health System
  Alison Bradywood (via Adobe Connect), Virginia Mason Health System
• Denise Abbott (via Adobe Connect)
  New York State Zero Lift Taskforce, Communications Workers of America Local 1168
• Free From Harm
  Tejal Gandhi (via Adobe Connect), Institute for Healthcare Improvement
• Safe Patient Handling and Mobility National Program Veterans Health Administration
  Tony Hilton, Veterans Health Administration
• Safety in home care: linking worker and patient safety for healthy aging & healthy work
  Margaret Quinn, University of Massachusetts, Lowell
• Lagging or Leading? Re-Conceptualizing our Notion of Occupational Injuries as Performance Indicators of Occupational Safety
  Patrick Yorio (via Adobe Connect), NIOSH National Personal Protective Technology Laboratory

Friday, December 7th                      8:00 am – 12:00 pm ET

• Welcome Back
  Bonnie Rogers, NORA HCSA Sector Council Co-Chair, University of North Carolina
  Randall Nett, NORA HCSA Sector Council Co-Chair, NIOSH
• Research and r2p Efforts to improve Safety climate in Construction
  Linda Goldenhar (via Adobe Connect), The Center for Construction Research and Training
• Introduction to the Implementation Worksheet
• Topic Identification
• Prioritizing Topics
• Implementation Plan for Selected Topics and Next Steps
• Adjourn

Email NORACoordinator@cdc.gov for a copy of the transcripts of the recordings.

Participants assembled the following resources after the workshop:

Safety Culture

IHI/NPSF: Leading a Culture of Safety: A Blueprint for Success. (Self-assessment tool also available):  http://www.ihi.org/resources/Pages/Publications/Leading-a-Culture-of-Safety-A-Blueprint-for-Success.aspxexternal icon

Joint Commission: Center for Transforming Healthcare, Oro™ 2.0 (an online organizational assessment with resources designed to guide hospital leadership through the high reliability journey, specifically within the areas of: Leadership Commitment, Safety Culture, Performance Improvement). Also, various other resources.

CPWR (construction) – Safety Climate Assessment Tool – S-CAT website: www.safetyclimateassessment.orgexternal icon ; materials for small contractors: https://cpwr.com/research/s-cat-sc-small-contractorsexternal icon

American College of Healthcare Executives (ACHE) Leading a Culture of Safety: A Blueprint for Success: http://safety.ache.org/external icon

Clinical Well-Being/Burnout

Systems Approaches to Improve Patient Care by Supporting Clinician Well-Being, A consensus study by the National Academies of Sciences, Engineering, and Medicine:  www.nas.edu/supportingclinicianwellbeingexternal icon

National Academy of Medicine Action Collaborative on Clinician Well-Being and Resilience. Breaking Silence, Breaking Stigma (commentary): https://nam.edu/breaking-silence-breaking-stigma/external icon

Critical Care Societies Collaborative (CCSC) webpage on ICU Burnout: http://ccsconline.org/optimizing-the-workforce/burnoutexternal icon

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. From the Lucian Leape Institute Roundtable on Joy, Meaning, and Workforce Safety. Download at www.npsf.org/lliexternal icon

IHI Framework for Improving joy in work: http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspxexternal icon

Facilities Design

Facility Guidelines Institute – Safety Risk Assessment (SRA) Toolkit (for healthcare planning, design, and construction): https://www.healthdesign.org/sra/about/guideexternal icon

Also: Guidelines documents for hospitals, residential health care and support facilities, and outpatient facilities.

Connection Between Patient Safety and Worker Safety

Loeppke R, Boldrighini J, Bowe J, et al. Interaction of Health Care Worker Health and Safety and Patient Health and Safety in the US Health Care System: Recommendations From the 2016 Summit. J Occup Environ Med.
2017 Aug;59(8):803-813. doi: 10.1097/JOM.0000000000001100. PubMed PMID: 28796664. Available at: https://acoem.org/Advocacy/Joint-Statements-Summit-Recommendations/Interaction-of-Health-Care-Worker-Health-and-Patient-Health-and-Safety-in-the-US-Health-Care-Systemexternal icon

IHI/NPSF: IHI: Free from Harm. Accelerating Patient Safety Improvement Fifteen Years after To Err is Human: www.npsf.org/free-from-harm/external icon

Joint Commission: Improving Patient and Worker Safety. Opportunities for Synergy, Collaboration, and Innovation: https://www.jointcommission.org/improving_patient_worker_safety/external icon

Miscellaneous

Joint Commission: Targeted Solutions Tool^®, currently four TST modules: Hand Hygiene, Safe Surgery, Hand-Off Communications, and Preventing Falls with injury.

Veterans Administration: Safe Patient Handling resources: https://www.publichealth.va.gov/employeehealth/patient-handling/index.aspexternal icon; VA Safe Patient Handling App: https://mobile.va.gov/app/safe-patient-handlingexternal icon

Aging Worker: National Center for Productive Aging at Work https://www.cdc.gov/niosh/topics/productiveaging/; Designing the Age Friendly Workplace
https://agefriendlyworkplace.squarespace.com/external icon; Finnish Institute of Occupational Health (FIOH) Work Ability Index: https://healthy-workplaces.eu/previous/all-ages-2016/en/tools-and-publications/practical-tools/work-ability-indexexternal icon; EU-OSHA Healthy Workplaces for All Ages E-guide
https://osha.europa.eu/en/tools-and-publications/e-guide-all-agesexternal icon

Laboratory risk management: Laboratory Biorisk Management, eds, Salerno RM, Gaudioso J.  CRC Press: https://www.crcpress.com/Laboratory-Biorisk-Management-Biosafety-and-Biosecurity/Salerno-Gaudioso/p/book/9781466593640external icon; ISO 9001 Quality management system; ISO 14001 Environmental management system; ISO 27001 Information security management system; ISO 31000 Risk management; ISO 35001 Laboratory biorisk management system; ISO 45001 Occupational health & safety management systems; Institute of Risk Management (theirm.org); Risk Management Association (rmahq.org)

Total Worker Health^® (Policies, programs, and practices that integrate protection from work-related safety and health hazards with promotion of injury and illness prevention efforts to advance worker well-being): https://www.cdc.gov/niosh/twh/default.html

Citations to websites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these websites. All Web addresses referenced in this document were accessible as of the publication date.