Creating a Culture of Safety is an indispensible step towards becoming a safer organization.  MAPS Culture Road Map is divided into 8 clear and digestible focus areas or "domains" proven to facilitate the implementation of culture change.

Click here for a snapshot of the Roadmap

The MAPS roadmap was built to be a comprehensive, enduring set of known best practices related to safety culture. We expect the roadmap to evolve over time in response to new knowledge; we expect organizations to revisit the roadmap over many years as their cultures transform and adapt. While each organization is different and must determine the most effective use of the roadmap for their care setting and circumstances, MAPS members have developed the following recommendations for roadmap use:

  • Integrate roadmap work with existing safety projects. Roadmap users are encouraged to evaluate all current safety projects for how they can integrate into the evidence-based practices recommended in the roadmap. Aligning and coordinating all safety-related work within the roadmap has three key benefits:
    1.) safety/quality projects can benefit from the roadmap’s process improvement tools; and
    2.) team members receive a consistent message about the importance of safety culture; and
    3.) progress is accelerated because staff members have already received consistent, continuous communication about how safety/quality is an organizational priority. 
  • Complete the Getting Started and Leadership roadmap sections first. Research has repeatedly shown that leadership is the critical success factor to a patient safety culture. Completing these two sections provides a solid foundation for success.
  • Target one or two domains for significant new work. The data gathering and assessment that occurs during the Getting Started and Leadership roadmap sections will help you choose one or more domains. Launching significant new work in multiple domains at the same time is not recommended. As projects reach a sustainment phase, the roadmap can be revisited and new projects can be added. 
  • Consider benchmarking progress through MAPS’ data registry. While formal registration is not required, organizations that complete the sign-up process have access to many educational, networking, and benchmarking resources. Benchmarking organizations will use the Agency for Healthcare Research and Quality (AHRQ) patient safety culture survey instrument, which is available free. Specific versions of the AHRQ survey are available for hospitals, medical offices, and nursing homes.