Organizations working toward improving safety need identify and work with Local Culture to improved safety, and it should not be forced (Curtain 2011). A Safety Culture is assuring safe care, and is required to achieve improvement results that can be maintained (Curtain 2011). A safety culture is one that aims for sound process, is dedicated to learning and sharing information. Where words and actions match commitment to patient safety and that safety for providers and staff. The central behaviors of a safety culture are based on a “fair and just” concept of culture (Curtain 2011). This is a culture that protects the promise of justice and fair …show more content…
There is a feeling of trust and fairness which promotes learning from mistakes and system flaws through reporting (Curtain 2011). This information obtained through event and near miss reporting is used to determine areas of improvement, and is used to protect patients from harm (Curtain 2011). In a Fair and Just Culture environment, adverse events or inappropriate actions are viewed in connection to the system elements contributing to the human factors and errors. Human error as this is used as part of the corrective action determination. In a Just Culture (shared accountability model) understanding the system based and human based facets is critical to prevention of future errors (Curtain 2011). In reviewing the different areas, Fair and Just Culture (shared accountability model) is most important, as it takes a comprehensive approach to safety. Employees know there is a process to follow when reporting an incident, and know there will not be retaliation for reporting the such incident. Fair and Just Culture allow for appropriate protocols to be followed with a mechanism for reporting such events. Staff are oriented on this when they are new to the organization, and on regular intervals. Management needs to also follow these guidelines, as a full investigation needs to occur to determine if the error occurred due to process variation, rule or skill based errors. Moreover,