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No Justice, No Peace: Fairness as the Foundation of a Safe Work Environment
How Procedural Justice Helps Build Culture A boss who plays favorites so you must ‘kiss up’ simply to be recognized. A boss who has no idea what you do or how well you do it. You see a poorly performing colleague get promoted because he’s the boss’s fishing buddy. We’ve all been here. What did…
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Culture Change Can Be Crucial to Patient Safety – An Interview with Tom Krause
EXECUTIVE SUMMARY Ensuring patient safety depends on having the right organizational culture. Achieving a culture of patient safety requires an organizational-wide effort. INTERVIEW WITH TOM KRAUSE by Greg Freeman Risk managers often hear that patient safety initiatives and other improvement efforts must have support from the top if they are to succeed, but the real…
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Why Safety Procedures Don’t Always Lead to Safe Behaviors
For most of the last 70 years or so safety leaders have emphasized the importance of safety-related behavior. On the surface, it seems obvious that their approach is the right way to think about it. Following a safety breach, the line of questioning centers around why the incident happened. And the answer usually comes down…
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Culture Sustains Performance
An Excerpt from 7 Insights Into Safety Leadership This is an excerpt from Chapter 4 of Tom Krause and Kristen Bell’s book “7 Insights into Safety Leadership.“ We’ve never met a leader that didn’t want a better culture for their organization. Statements like, “we need to change the culture,” are heard every day in the…
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4 Questions Board Members Should Ask About Safety Culture
It was 1993 and Paul O’Neill was attending his first board meeting as a Director at one of the largest companies in the world. Just as the meeting was coming to a close, O’Neill asked, “Where is the safety report?” As the story goes, no safety report was planned but the question had profound effects. It set the company on the path to creating safety excellence and embedding safety as a cultural value. Board member influence can do that — uniquely — and it saves lives while creating business value.


