Quality & Safety: ‘Just Culture’ Provides Process to Review, Correct Mistakes for Optimal Patient Care
The patient safety movement has embraced as its central thesis that most medical errors are the result of bad systems, not bad people. This thesis has resulted in an evolution to a “no blame” culture. Doing so has encouraged health care providers to report their errors and near misses so that organizations can employ “systems thinking” to understand the underlying “latent conditions” that contribute to errors and to develop programs to focus on identifying and fixing dysfunctional systems. While this “blameless” approach is largely correct and is responsible for the field’s evolution to a blameless culture, it needs to be balanced with accountability.
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