Just Culture: The Key to Quality and Safety
The Just Culture
Community
Just Culture: The Key to Quality and Safety
Gregg S. Meyer, MD, MSc Edward P. Lawrence Center for Quality
and Safety,
MGH/MGPO COE
September 2010
Copyright 2009 Outcome Engineering. Strictly for the purpose of presentation. Do not reproduce, distribute or transmit electronically without written permission.
The Just Culture
Community
Agenda
? The Need for a New Approach ? The Just Culture Model ? Applications to MGH/MGPO and SRH
Community ? Questions?
Copyright 2009 Outcome Engineering. Strictly for the purpose of presentation. Do not reproduce, distribute or transmit electronically without written permission.
The Just Culture
Community
Why talk about "Just Culture"
? A Just Culture supports a "learning organization"
? We all encounter issues, large and small, where a uniform and systematic approach to interpreting the situation would be valuable
Copyright 2009 Outcome Engineering. Strictly for the purpose of presentation. Do not reproduce, distribute or transmit electronically without written permission.
The Just Culture
Community
Why is this important?
Medical error has always been with us:
Copyright 2009 Outcome Engineering. Strictly for the purpose of presentation. Do not reproduce, distribute or transmit electronically without written permission.
The Just Culture
Community
How do we interpret events?
Copyright 2009 Outcome Engineering. Strictly for the purpose of presentation. Do not reproduce, distribute or transmit electronically without written permission.
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