Document Type

Capstone Experience

Graduation Date


Degree Name

Master of Public Health

First Committee Member

Dr. Sharon Meaker- Medcalf

Second Committee Member

Dr. Brandon Grimm

Third Committee Member

Dr. James Sullivan


The hierarchical power structure within healthcare and response teams may impede communication about safety risks and violations. In developing or enhancing the safety culture within the emergency response to infectious disease events in healthcare organizations, the hierarchy of controls can be utilized to evaluate successful transmission prevention or further harm to responding teams. Within the tool, administrative controls focus on policies, procedures, and practices that minimize the risk of exposure/transmission. The idea of a safe culture emerged following the Chernobyl Disaster, in which a combination of human and system failures led to this emergency. Safety culture has been integrated into highly reliable organizations as a tool that can be adopted by organizations that prioritize safety. Organizations that have adopted safety culture practices into daily work remain impacted by high costs of harm or error. The recommendation paper, from a practitioner’s perspective, will explore essential components, barriers, and strategies to enhance safety cultures by reducing the hesitancy to address authoritative figures of policy, procedure, and practice breaches.

Included in

Public Health Commons