This is a secondary driver from leadership at all levels to support a culture of safety within the Falls driver diagram
Change ideas
The examples below show how this secondary driver can be implemented in practice. Additional change ideas can be found in the Falls driver diagram
Practitioner:
- Local processes to celebrate success
Team:
- Invite, listen to and act on the experience, questions and ideas of staff to improve care
Organisation:
- Process and safe space to access senior support to reflect and debrief after falls incidents
- Use of standardised feedback tools, for example, iMatter
Evidence and resources
- Agency for Healthcare Research and Quality. TeamSTEPPS (Team Strategies & Tools to Enhance Performance & Patient Safety) [online]. 2023
- Edmondson A. How to turn a group of strangers into a team [online]. 2017
- Institute for Healthcare Improvement. Three Ways to Create Psychological Safety in Health Care [online]. 2017
- Nayak V, Pinheiro MB, Richards B, Pivotto LR, Sherrington C. Links between falls in hospitals and professional fulfilment, burnout, work environment and organisational culture: a scoping review. BMC Health Services Research. 2026;26(1243)
- NHS Education for Scotland. Safety Culture Discussion Cards [online]. 2026