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Just Culture and Systems Errors |
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Just Culture
On Belief Systems : The great enemy of the truth is very often not the lie; deliberate, contrived and
dishonest, but the myth, persistent, persuasive, and unrealistic. Belief in
myths allows the comfort of opinion without the discomfort of thought.
John F. Kennedy
35th president of the United States |
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Research has repeatedly proven that unwanted situations within organizations are
about 95 percent related to process problems and only 5 percent related to
personnel problems. Yet, most organizations spend far more time looking for
culprits than causes and because of this misdirected effort, seldom really gain
the benefit they could gain from understanding the foundation of the unwanted
situation. Bellinger, G. |
- Culture is comprised of the overarching themes within an organization
- Culture is often made up of stories and unwritten rules governing behavior which can be stated or implied, intentional or unintentional
- Culture may be in at least partial conflict with the organizations stated goals and values
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Our consultants pride themselves in being able to effectively teach your team
the benefits of transforming their environment to reflect a Culture of Safety.
The Institute of Medicine states in its publication Crossing the Quality
Chasm that a Culture of Safety is one which is: Effective, Efficient, Patient
Centered, Timely and Equitable. Our curriculum includes success stories from
several U.S. hospitals and other medical facilities abroad where people were
inspired to embrace change and how barriers rooted in human factors were
overcome. Let our professionals tell you why negative human factors have been
cited by The Joint Commission as the number one root cause of medical errors and
how to escape their grip. |