Tags » Just Culture

Telluride Faculty Member Dr. Kim Oates: On Kindness in Healthcare

Kim Oates MD has been a regular faculty member at the Telluride Patient Safety Educational Roundtable and Summer Camps, which is no easy accomplishment given he travels to this remote Rocky Mountain town all the way from Australia. 499 more words


An Addendum to Annie's Story

Following is additional information from our team who helped share Annie’s Story, led by RJ (Terry) Fairbanks (@TerryFairbanks), MD MS, Director, National Center for Human Factors in Healthcare…

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Taking the Easy Way Out When Errors Occur

Historically in healthcare, when an error occurred we focused on individual fault. It was the simplest and easiest way out for us to make sense of any breakdown in care - find the person or persons responsible for the error and punish them mostly through things like shame, suspension or remediation. 221 more words


Building blocks of a 'just' culture

As community manager for the User Experience Professional Association (UxPA) – Minnesota’s chapter, I always live-tweet events from @uxpamn’s Twitter account. It’s something that makes me immensely thankful for Swype and also, since I tend to retain information better when I take notes or record it some way that forces me to process it in more ways than just auditory, I get more from the process as well ( 396 more words


Alyssa's Story

Hero – a remarkably brave person; somebody who commits an act of remarkable bravery or who has shown an admirable quality such as great courage or strength of character especially under difficult circumstances; somebody admired. 101 more words


Continuing a Journey That Seeks High Reliability

For the last twelve months, our health system has undertaken a system-wide initiative to join the ranks of healthcare organizations like Cincinnati Children’s Hospital, Poudre Valley Hospital, and Mainline Health on a journey that seeks high reliability. 277 more words


Patient Safety vs Just Culture

In a survey by the Agency for Healthcare Research and Quality’s (AHRQ) survey of hospital culture, some revelations came to light. It was disturbing that 26% of health care workers say whenever pressure builds up, managers want them to work faster, even if it means taking shortcuts. 283 more words