The Great Discovery: The Patient Safety Tipping Point

Enrollment Information:
This enrollment will expire September 30, 2019.
You must complete all course requirements (including claiming CEs) and save/print the completion certificate by September 30, 2019.


Not unlike other healthcare systems across the country, over the past several years, Texas Health Resources (THR) has worked on various patient safety initiatives to support a positive change in its patient safety culture. However, over the past 2 to 3 years, THR may have reached its tipping point; a point where the patient safety culture began to make significant positive changes that continue to show encouraging, strong improvement. This presentation is designed to share those discoveries and the lessons learned from this patient safety journey. The positive results, however, supported the launch of a system wide program to promote the patient safety culture using not only Team STEPPS, but also continuing with other aspects of building an overall improved patient safety culture. Accordingly, a two-year-long, system wide effort at teaching and implementing Team STEPPS began. Over 100 individuals received the master training program through a grant from the Health Research and Education Trust (HRET) of the American Hospital Association and AHRQ. This presentation will share the course of this journey, its pitfalls and successes, the lessons learned and the impressive results from the latest survey.


Learning Objectives:
By the end of this self-study you should be able to:

  • Describe two ways in which a comprehensive patient safety culture advancement program can be measured
  • List the three key elements needed to advance a patient safety culture, and how they can drive success
  • Discuss ways to demonstrate a return on investment (ROI) from an improved patient safety culture


Level of Learning:


Domain of Practice:
Clinical/Patient Safety




Criteria for Successful Completion:
To receive continuing nursing education contact hours, participants must achieve 80% on the post-test and complete an evaluation at its conclusion.


Continuing Education:
This program is approved contact hours toward the fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and toward CPHRM (Certified Professional in Healthcare Risk Management) renewal. CE credit may be used toward CPHRM renewal only by those holding the credential at the time of the program.

American Society for Healthcare Risk Management is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Contact Hours: 1.0 hour
Passing Score: 80%


Conflict of Interest Statement:
This educational activity’s planners and presenters have indicated that they have no bias or conflict of interest.


Commercial Support:
There is no sponsorship for this event.


Date Published:  May 2014
Date of Next Review:  June 2019
Date of Contact Hour Expiration:  June 2020

Credit Information

Activity Number Credit Amount Accreditation Period
ASHRM & ANCC 1 hour July 01, 2017 - June 30, 2019