The Culture Behind Better Care

In this episode of Micro Moments, Dr. Peter Pronovost is joined by Dr. Ron Charles to explore how culture drives healthcare transformation. Dr. Charles shares lessons from ERAS surgical work at University Hospitals, where strong protocols led to better outcomes, but trust, relationships, and teamwork made those results possible. The conversation also explores how he is working to improve operating room culture through the 6R model: relationships, role modeling, rhetoric, rituals, recognition, and reward. Together, they discuss why culture is not separate from performance. It is how teams connect, learn, and create better care every day.