From Tracey Ross, Ed. D., CST, Manager, Patient Safety, Quality and Education; Deborah Riley, M.D., Patient Safety Officer; and Lisa Brosey, DNP, RN, Director of Patient Safety
DID YOU KNOW: A Stop the Line safety culture empowers all clinical team members – regardless of their position -- to speak up immediately and communicate any patient care or patient safety concerns to other members of the team.
A Stop the Line safety culture includes:
A commitment to safety at all levels of the organization
A proactive approach to speaking up to advocate for patient safety without fear of blame or retaliation
The Stop the Line request must be clear and timely for patient safety.
Stop the Line tools
Say what you see, what you are concerned about and what you want to happen to keep things safe (See it, Say it, Fix it).
Use assertive statements: Get attention (Call name.). State “I’m concerned.” State the problem. Propose a solution (“We/Let’s”…).
Other safety statements: “I’m concerned.” “I’m uncomfortable.” “This is a safety issue.”
When there is noncompliance in responding to a Stop the Line request, the Chain of Command process is invoked.
A Stop the Line safety culture empowers all clinical team members to speak up for patient safety, regardless of their position and without fear of retribution. The ability for all clinical team members to speak up and Stop the Line supports a Culture of Safety with patient-centered care that is focused on quality. So the next time that you have a safety concern, speak up and Stop the Line to keep our patients safe.
If you have questions regarding this announcement or any other issues related to Patient Safety, please contact the Patient Safety Officer, 544-8199, or leave a suggestion or other concern 24/7 on the Patient Safety First Line, 544-4040.
Crew Resource Management training update: Since October 2016, over 800 individuals and 240 physicians have attended CRM training. Your continued commitment will further develop our culture of safety and improve our patient outcomes.
CRM has enabled improved decision-making and empowered staff to “stop the line” whenever there is a safety concern. These success stories demonstrate our culture of continuous improvement. In the near future, you will hear about a Master Trainer Team that will provide ongoing training during the next phase of CRM.