This method is intended to shift the focus from errors and outcomes to flawed system design and human choices. Just Culture uses a detailed systematic algorithm that serves as a tool to guide the organization to identify needed process improvements by removing bias, assess behavioral actions different from the organizational values and hold employees accountable for their choices while at the same time encouraging an open learning environment (Frank-Cooper, 2014). In a Just Culture patient safety is improved because both humans and organizations are held accountable not only for mistakes they made, but they are accountable to each other in hopes to that while focusing on risk and system design, patient safety is improved (Boysen, …show more content…
(CAMC) currently has 171 resident physicians/fellows working at their facility. The Graduate Medical Education (GME) office oversees the resident’s throughout their training. The accrediting body that oversees GME is the Accreditation Council for Graduate Medical Education (ACGME). In 2011 the ACGME developed the Clinical Learning Environment Review (CLER) Pathways to Excellence; these 6 pathways are expectations that are centered on improving patient safety (ACGME, 2015). In February, 2015 at the Annual ACGME Conference in San Diego, our program was recognized and asked to present on our best practice in patient safety. The development of our Quality Improvement Patient Safety (QIPS) Council was recognized for the changes that they were able to following the provided CLER pathways. A few changes that were implemented by the QIPS council