Just Culture Case Study
the Ohio mandate on Just culture)
According to the Patient Safety Initiative (2011), this policy is “just” because it finds a middle ground between a punitive culture and a blame free culture. Furthermore, “it holds individuals accountable for their own performance… but does not expect individuals to assume accountability for system flaws over which they have no control” (p. 5).
In other words, the policy is just because (promotes shared accountability) makes shared accountability its priority. To be more specific, just culture holds accountable both the health care organization and the staff for their errors and the quality of their choices.
2. How does this policy increase nurses' accountability? To Whom?
This policy will definitely …show more content…
What do you see as the benefits of this initiative? (Describe at least 2)
By exposing errors in delivery of patient care, the Just Culture policy not only seeks to increases awareness but also gives health organizations the opportunity to learn from mistakes, to design effective (practices) methods to prevent future errors and to create more positive patient outcomes.
By exposing errors in delivery of patient care, some of the benefits of Just Culture will include increases awareness, opportunity to learn from mistakes, design effective methods to prevent future errors and ultimately create more positive patient outcomes.
4. What do you see as the 'down side' of this initiative? (Describe at least 2)
On the other hand, I am inclined to believe that this initiative could also lead to negative outcomes. For instance, if nurses perceive that their decisions, omissions, and mistakes increases their likelihood of being culpable and possibly sanctioned, their willingness to report a near-miss or an error will decline. In addition, I imagine that the stress generated by such accountability could actually prevent nurses from giving full attention to acute situations and risky tasks. Therefore, subsequent incidents could arise and the “so desirable” patient safety could be
According to the Patient Safety Initiative (2011), this policy is “just” because it finds a middle ground between a punitive culture and a blame free culture. Furthermore, “it holds individuals accountable for their own performance… but does not expect individuals to assume accountability for system flaws over which they have no control” (p. 5).
In other words, the policy is just because (promotes shared accountability) makes shared accountability its priority. To be more specific, just culture holds accountable both the health care organization and the staff for their errors and the quality of their choices.
2. How does this policy increase nurses' accountability? To Whom?
This policy will definitely …show more content…
What do you see as the benefits of this initiative? (Describe at least 2)
By exposing errors in delivery of patient care, the Just Culture policy not only seeks to increases awareness but also gives health organizations the opportunity to learn from mistakes, to design effective (practices) methods to prevent future errors and to create more positive patient outcomes.
By exposing errors in delivery of patient care, some of the benefits of Just Culture will include increases awareness, opportunity to learn from mistakes, design effective methods to prevent future errors and ultimately create more positive patient outcomes.
4. What do you see as the 'down side' of this initiative? (Describe at least 2)
On the other hand, I am inclined to believe that this initiative could also lead to negative outcomes. For instance, if nurses perceive that their decisions, omissions, and mistakes increases their likelihood of being culpable and possibly sanctioned, their willingness to report a near-miss or an error will decline. In addition, I imagine that the stress generated by such accountability could actually prevent nurses from giving full attention to acute situations and risky tasks. Therefore, subsequent incidents could arise and the “so desirable” patient safety could be