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38 Leading a New era of safety: stories and strategies from Minnesota’s caring safely tour

bmjqir · 2025-12-01 · canonical JSON source

2 visible annotations · policy: published · automated confidence ≥ 75.00%

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Background Traditional safety efforts focus on preventing errors and analyzing harm, but this can overlook the many ways care goes right. To build a more resilient and nurturing safety culture, growing attention is being given to Safety-II principles—an approach that values learning from success, everyday excellence, and the complexity of care.Objectives The Caring Safely Tour, led by the Minnesota Alliance for Patient Safety (MAPS), aims to shift the safety narrative from failure analysis to understanding what enables success. Objectives include fostering cross-setting collaboration, amplifying patient and staff voices, strengthening safety culture through shared learning, and deepening understanding of human factors that shape safety outcomes.Methods This statewide initiative spans the continuum of care, engaging large systems, rural and community hospitals, long-term care, and patient partners in shared learning. Each tour stop features real-world site visits, structured debriefs, and facilitated discussions to explore system strengths and innovations. Participants co-identify ‘wise practices,’ which are synthesized and shared statewide through follow-up learning sessions.Results and Conclusions Across five tour stops and more than 100 participants, the tour strengthened relationships, trust, and insight into the human and system factors that influence safety. Participants reported renewed motivation and resilience, applying new ideas within their own organizations. Host sites offered peer support and practical tools to extend learning beyond the tour. By learning from success and embracing complexity, the Caring Safely Tour demonstrates a transformative, story-based model that advances compassionate, connected safety culture across Minnesota.