Culture drives quality – if an organization does not have a culture where they hold themselves and others accountable, probably, it will not achieve and sustain high-level quality outcomes. Patient safety is defined as freedom from accidental injury; you have seen how medical errors are harmful and that there are second victims who suffer. Remember, quality can be defined as “the cumulative impact of all that happens to a patient while in an organization’s care (Porter, 2012, pg.193).
Culture is essential to creating a high-reliability organization. Recent research indicates that educational programs support the health system’s high-reliability efforts. Assess how education and communication have been key to engaging medical care providers in high-reliability efforts.
A Just Culture gives organizations a template to uniformly address the shortcomings or errors of those who fail. It addresses failures in four different areas, which include 1) human errors and mistakes, meaning unintentional harm, 2) carelessness or at-risk behavior – or not paying attention that results in an error, 3) recklessness or a flagrant disregard for norms where an error occurs unintentionally, but because of recklessness, and 4) those who do not pay attention and have no regard for authority.
In this discussion, you will identify a model that a healthcare organization might use to improve its quality culture and describe whether the ethical theory of Just Culture would enhance the quality and patient safety and why.
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