“In the end, culture will trump rules, standards and control strategies every single time, and achieving a vastly safer NHS will depend far more on major cultural change than on a new regulatory regime.”
Don Berwick, 2013
Whenever the Improvement Academy is involved in supporting teams to improve quality and safety, we encourage that team to start with a team culture survey. The 33 question validated questionnaire, developed by the University of Texas, is both a diagnostic and an intervention to improve culture. This has now been adapted for use in many different healthcare settings. Since 2013, we have worked with over 400 teams, analysing over 10,000 individual surveys across over 40 organisations.
When there are very different perceptions and individuals who are not happy, there is a always a ‘price to be paid’ in terms of safety.