“…The need for innovation and embracing change is further evident in the cultural values indicator, which espouses values of encouraging innovative behaviors [ 11 , 29 ] within a trusting [ 26 - 28 ] and inclusive environment [ 30 , 31 ]. The standards indicator assesses the extent to which processes [ 30 - 32 ], policies, and procedures are based on the standards that have been formally agreed and mandated [ 24 ] and the extent to which these contribute to optimizing the health care organization [ 11 , 12 , 33 ]; nevertheless, this indicator is not contrary to innovation. The risk management indicator acknowledges the need for the workforce to identify, mitigate, and report risks to ensure the safety, security, and privacy of patients [ 1 , 11 , 26 - 28 ] and the workforce [ 21 ].…”