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Culture of Safety

ISP Award for the Quality Department

Caritas in Action: Inner_about

The Nursing Quality Team,  consisting of Moses Albaniel, Darvin Antonio, Patrice Duhon, and Tracy Ou, is dedicated to ensuring that evidence-based practice and high-quality patient-centered care is consistently provided at SHC.  The Quality Team expertly works to collect data by partnering   with interdisciplinary teams, such as Patient Safety, Pharmacy, Nursing Professional Practice, Accreditation & Regulatory Departments, Clinical Business Analytics, Technology and Digital Solutions, and Transfusion Services, to improve clinical outcomes and provide outstanding delivery of nursing care.  It is through these impactful collaborations that the Nursing Quality Team, as well as partnering with all nurses at Stanford, achieves positive patient outcomes.   

The Quality Team supports nursing by initiating innovations in clinical care, such as implementing new technology roll-outs.  During 2019, these dynamic projects included, a state-of-the-art Alaris pump integration, Epic upgrades, and the Epic work list tasks that help support nursing care and increases ease of documentation.

On May 14, 2019, the Nursing Quality Team was honored to receive the esteemed ISP Award for embodying the strategic priorities of Stanford. This was achieved by exemplifying excellent clinical practice through motivational leadership and inter-professional team collaboration, resulting in countless improved patient lives.  The value-focused, digitally-driven and uniquely Stanford work by the Quality team includes:

SHC would like to offer a heartfelt 

“thank you!” to the inspirational

Nursing Quality Team for all of your contributions to SHC nursing and for your exemplary patient improvement efforts!

Creation of a fall prevention tool with tailored fall prevention interventions to enhance nurses’ clinical decision making.

Development of intelligent and interactive dashboards to display nursing sensitive indicators and compliance data to drive quality of care such as pain assessment and blood administration data visuals.

Collaboration with Infection Prevention and IT to reach 100% influenza screening and vaccination during the 2017-2018 flu season.

Coordination with SLC to empower front-line nurses to drive practice improvements and interprofessional process upgrades.

Caritas in Action: Product

Culture of Safety Survey

      Tell Us What Matters

Stanford’s Culture of Safety Survey, completed during June of 2019, was a 10-minute survey that measured the staff’s level of engagement.  The survey’s purpose was to complete a “temperature check” of SHC’s culture and to understand the staff’s beliefs, values, and norms in relation to the safety and reliability of patient care.  Staff’s input was vital in completing this survey to enhance Stanford’s overall climate of safety.


         Staff Involvement

All staff at Stanford Healthcare across the organization of inpatient, Emergency Department, and perioperative locations, including RNs, NAs, Physicians, Unit Secretaries, management, and Directors, had the opportunity to anonymously complete this engaging activity.  A total of 74% of nursing staff demonstrated a commitment to engagement and completed the survey.

        The Questions

The questionnaire included the topics of individual and group values, attitudes, perceptions, competencies, and patterns of behavior that reflect staff’s commitment to the organization’s improvement projects, work-life balance, effects of work and culture on emotional thriving, burnout, degree of teamwork, perceptions of leadership, and the overall environment of patient and staff safety.


                 Promoting Safety

This survey allowed staff to explain what priorities they have in life and to share what is significant to themselves personally.  The goal of the survey was to identify strengths, weaknesses, and to find opportunities to improve Stanford’s culture of safety.  Key priorities that came from this survey were creating a healthy work environment, particularly in regard to workplace violence and resiliency, and an increased focus on teamwork.  After the results of the survey were released, Patient Care Managers disseminated unit-specific results and then collaborated with Unit Based Medical Directors to develop action plans.  


74% nursing professionals completed the survey

Thank you to all who participated!


  • Made great strides in reducing patient mortality and saving lives. We ranked No. 9 among our peer AMCs in 2019, up from No. 18 a year ago and No. 74 in 2017.

  • Continued to improve our patient safety scores while maintaining our No. 4 ranking in effectiveness - a metric that emphasizes low readmission rates.


With these recent honors, Stanford Medicine joins an elite group of only five AMCs that currently claim the following:

  • Ranked among the top 10 hospitals by Vizient

  • Earned an "A" grade from The Leapfrog Group for patient safety

  • Placed in the top 12 hospitals by U.S. News and World Report

  • Received four stars from the CMS Five-Star Quality Rating System

In 2019, Stanford Healthcare received the prestigious Vizient Award for being among the top 10 national leading health care performers in overall safety and quality of care for both inpatient and ambulatory care.  SHC’s inpatient platform was impressively ranked #8 out of 93 peer academic medical centers and ambulatory care was ranked #3 out of 50 peers.  These two awards- the Bernard A. Birnbaum, MD, Quality Leadership Award, and the 2019 Ambulatory Care Quality and Accountability Award demonstrate the dedication of SHC’s frontline workers. 

The Bernard A. Birnbaum, MD, Quality Leadership Award measures performance based on safety, mortality, clinical effectiveness, efficiency, and patient-centeredness from the Vizient Clinical Data Base, core measures data, the HCAHPs survey, and the Centers for Disease Control and Prevention’s National Healthcare Safety Network.  The Ambulatory Care Quality and Accountability Award is determined from performance in five domains: access to care, quality, efficiency, continuum of care, and equity.  2019 was an incredible year for Stanford Medicine and was a period of hard work, collaboration to overcome the challenges of opening the innovative 500P building, and celebration of SHC’s tireless commitment to raising the bar in quality and excellence in patient care.

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