Provider Approachability: An All-Staff Survey Approach to Creating a Culture of Safety.

Objectives: A culture-of-safety survey of our hospital staff revealed fear-based reluctance to question those in authority. We aimed to examine provider approachability (words and actions that promote trust and reduce or eliminate fear of interaction).

Methods: Providers and staff completed an anonymous facility-wide survey (survey 1) regarding perceptions of provider approachability.

A Systematic Approach to Clinical Peer Review in a Critical Access Hospital.

Purpose: Clinical provider peer review (CPPR) is a process for evaluating a patient's experience in encounters of care. It is part of ongoing professional practice evaluation and focused professional practice evaluation-important contributors to provider credentialing and privileging. Critical access hospitals are hindered in CPPR by having a limited number of providers, shortages of staff resources, and relationships among staff members that make unbiased review difficult.