Patient Safety and the "Just Culture"
Patient Safety and the "Just Culture"
Patient Safety and the "Just Culture"
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It’s About a Proactive Learning Culture• It’s not seeing events asthings to be fixed• It’s seeing events asopportunities to improveour underst<strong>and</strong>ing of risk– System risk, <strong>and</strong>– Behavioral riskWhere management decisionsare based upon where our limitedresources can be applied tominimize <strong>the</strong> risk of harm,knowing our system is comprisedof sometimes faulty equipment,imperfect processes, <strong>and</strong> falliblehuman beingsCopyright 2007, Outcome Engineering, LLC. All rights reserved.
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