Culture drives quality—if an
organization does not have a culture in which they hold themselves and others
accountable, it is probable that 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
that suffer as well. Remember quality can be defined as “the cumulative impact
of all that happens to a patient while in an organization’s care” (Porter,
2012, p. 193).
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 just do not pay attention and have no regard for authority.
You will identify a model that a
health care organization might use to improve their culture of quality and
describe whether the ethical theory of Just Culture would improve the quality
and why.
To prepare:
Begin with the review of our course
textbook Chapter10 & 12 (attached)
Nash, D. B., Joshi, M. S., & Ransom, E. R., & Ransom, S. B., (Eds.).
(2019). The healthcare quality book: Vision, strategy, and tools (4th
ed.). Chicago, IL: Health Administration Press.
Chapter 10, ” Safety Science and High Reliability Organization”
(pp. 253-278)
Chapter 12, “Creating Alignment Quality Measures and Leadership”
(pp. 301-327)
Review Learning Resources on culture and patient safety
(attached)
Write a cohesive response to the following:
Post a model you have selected that
health care organizations might use to improve the culture of quality. Describe
whether the ethical theory of Just Culture would improve the quality of a
health care organization and how.
Support your response by identifying
and explaining key points and/or examples presented in the Learning Resources.
https://hcahpsonline.org/
https://www.cdc.gov/chronicdisease/data/surveillance.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fchronicdisease%2Fstats%2Findex.htm
https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services
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