Patient Safety and the 'Just Culture'
Patient Safety
and the
"Just Culture"
David Marx, JD
President, Outcome Engineering, LLC
2007
Copyright 2007, Outcome Engineering, LLC. All rights reserved.
Agenda
? What is Just Culture? ? The Safety Task ? The Just Culture Model ? Statewide Initiatives
Copyright 2007, Outcome Engineering, LLC. All rights reserved.
What is a "Just Culture?"
Copyright 2007, Outcome Engineering, LLC. All rights reserved.
An Introduction to Just Culture
The single greatest impediment to error prevention in the medical industry is
"that we punish people for making mistakes."
Dr. Lucian Leape Professor, Harvard School of Public Health
Testimony before Congress on Health Care Quality Improvement
Copyright 2007, Outcome Engineering, LLC. All rights reserved.
An Introduction to Just Culture
"There are activities in which the degree of professional skill which must be required is so high, and the potential consequences of the smallest departure from that high standard are
so serious, that one failure to perform in accordance with those standards is enough to
justify dismissal."
Lord Denning English Judge
Copyright 2007, Outcome Engineering, LLC. All rights reserved.
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