Culture change is not easy but not that difficultBMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f1365 (Published 05 March 2013) Cite this as: BMJ 2013;346:f1365
- Nick Toff, patient safety adviser and airline pilot1
- 1Cambridge University Hospitals NHS Trust, Cambridge CB2 2QQ, UK
Organisational culture is expressed in shared expectations of which attitudes and behaviours are desirable, acceptable, or tolerable. If standards and expectations are high, we strive to do better; if not, we may bend or change. Unclear, unrealistic, or conflicting demands may result in fear, uncertainty, and erratic outcomes.
Hudson describes how a safety management system was a necessary first …