12.07.2015 Views

Patient Safety and the "Just Culture"

Patient Safety and the "Just Culture"

Patient Safety and the "Just Culture"

SHOW MORE
SHOW LESS
  • No tags were found...

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

An Introduction to <strong>Just</strong> Culture“As far as I am concerned, when I say “careless” I am not talkingabout any kind of “reckless” operation of an aircraft, but simply<strong>the</strong> most basic form of simple human error or omission that <strong>the</strong>Board has used in <strong>the</strong>se cases in its definition of“carelessness.” In o<strong>the</strong>r words, a simple absence of <strong>the</strong> duecare required under <strong>the</strong> circumstances, that is, a simple act ofomission, or simply“ordinary negligence,” a human mistake.”National Transportation <strong>Safety</strong> BoardAdministrative Law JudgeEngen v. Chambers <strong>and</strong> LangfordCopyright 2007, Outcome Engineering, LLC. All rights reserved.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!