Article Text

Download PDFPDF
Redirecting traditional professional values to support safety: changing organisational culture in health care
  1. J S Carroll,
  2. M A Quijada
  1. MIT Sloan School of Management, Massachusetts, USA
  1. Correspondence to:
 Professor J S Carroll
 MIT Sloan School of Management, 50 Memorial Drive, Cambridge, MA 02142, USA;


Professionals in healthcare organisations who seek to enhance safety and quality in an increasingly demanding industry environment often identify culture as a barrier to change. The cultural focus on individual autonomy, for example, seems to conflict with desired norms of teamwork, problem reporting, and learning. We offer a definition and explication of why culture is important to change efforts. A cultural analysis of health care suggests professional values that can be redirected to support change. We offer examples of organisations that drew upon cultural strengths to create new ways of working and gradually shifted the culture.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.