BC Patient Safety & Quality Council

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Culture Improvement Resources

Culture Change Toolbox

The Culture Change Toolbox is a collection of tools and interventions for changing culture. It’s full of ideas, examples, and exercises. For each tool there are tips on how to apply it and a description of which components of culture it helps to improve.

You can also download the Toolbox.

How Does Your Team Communicate?

The Elephant in the Room

More than ever we have recognized the need to address “the elephant in the room” which often is closely connected to culture. Share this newly released video and start talking about How Your Team Communicates!

The Council offers resources for improving teamwork and communication:

  1. General education by understanding what your culture is like and how to take advantage of healthcare as a complex adaptive system,
  2. Team building games and activities that help engage clinical teams and provide an opportunity for interactive coaching,
  3. Shadowing observations and how to provide feedback and mentorship through these observations,
  4. Peer coaching teams to support non-technical skills in the operating room.

Check out the companion resources that we’ve created to go with the video to help your team address some of your “elephants”.

Measurement Resources

  • The Safety Attitudes Questionnaire is a survey that can be used to measure current culture. The University of Texas SAQ is available online.

Observation is another way to assess the current state of teamwork, communication, and other elements of culture:

At a Glance

Key Contacts:


Danielle Simpson
Leader, Innovation & Engagement

Geoff Schierbeck
Quality Leader