Behavior-based safety in health care environments.

Behavior-based safety approaches to improvements in health care settings will be identified. Major areas for improvement and general strategies will be introduced. A specific hospital safety intervention and results will be presented. The intervention targeted overextension injuries during patient transfers in a hospital setting. The participants were eight nursing staff in a small rural hospital in the US. The phases of the intervention were baseline, information, video scoring, graphic feedback, and withdrawal. Five participants demonstrated overall improvement during the intervention. Some maintenance of improved performance occurred during the withdrawal phase.