K: Knowledge: While lacking in knowledge regarding the Just Culture Model, I am very familiar with the aspect of patient safety. As a registered nurse in a hospital setting for the past 18 years, patient safety has always been a concern and responsibility of mine. Although hospital protocols and policies are put in place to ensure patient safety, accidents can and do happen. Human error, mechanical failure, and patient falls are examples of medical errors which can lead to patient harm. When a medical error or accident does occur, it is important to report it in a written incident report according to the protocol of the healthcare facility. Admitting to any medical error and filling out an incident report can be very intimidating to
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The Just Culture Model encompasses the belief that human error is going to occur and when it does occur that it must be acknowledged. By acknowledging error and analyzing what may have led to the error, across all departments, positions, and behaviors, the same error may be prevented in the future (Boysen, 2013). This model decreases the fear of blame when reporting patient safety events because the identification and correction of system failures becomes the main goal instead of punishment of the individual who made the error. Even though it is impossible to eliminate all errors, under a Just Culture Model, reporting and identifying what may have led to the error, can reduce the risk of it happening again which will increase patient …show more content…
These actions intentionally place patients at risk and the individual should face consequences for their own actions, which may include termination (Goudreau & Smolenski, 2014). The Just Culture Model doesn 't replace individual accountability, rather it encourages management to focus on system and organizational contributions to patient safety incidents. The goal of developing a Just Culture Model is to find the balance between blamelessness and punishment, with the outcomes of increased reporting, stronger teamwork and a safer practice environment (Boysen, 2013). In a just culture, the people and the whole organization are accountable for the mistakes while focusing on risk reduction, system designs that need to be changed are made to reduce error, human behavior risks are considered, and patient safety is
The Just Culture Model encompasses the belief that human error is going to occur and when it does occur that it must be acknowledged. By acknowledging error and analyzing what may have led to the error, across all departments, positions, and behaviors, the same error may be prevented in the future (Boysen, 2013). This model decreases the fear of blame when reporting patient safety events because the identification and correction of system failures becomes the main goal instead of punishment of the individual who made the error. Even though it is impossible to eliminate all errors, under a Just Culture Model, reporting and identifying what may have led to the error, can reduce the risk of it happening again which will increase patient …show more content…
These actions intentionally place patients at risk and the individual should face consequences for their own actions, which may include termination (Goudreau & Smolenski, 2014). The Just Culture Model doesn 't replace individual accountability, rather it encourages management to focus on system and organizational contributions to patient safety incidents. The goal of developing a Just Culture Model is to find the balance between blamelessness and punishment, with the outcomes of increased reporting, stronger teamwork and a safer practice environment (Boysen, 2013). In a just culture, the people and the whole organization are accountable for the mistakes while focusing on risk reduction, system designs that need to be changed are made to reduce error, human behavior risks are considered, and patient safety is