Just Culture, It’s the Secret Sauce When It Comes to Patient Safety

 

“We don’t make mistakes here.”

That’s what the Chief of an Emergency Medical Services (EMS) agency told us recently when discussing patient safety. On the surface, the comment might seem confident and sincere, but it is actually a symptom of deeper cultural issues within the organization.

All too often patient safety events are never reported because of punitive cultures. That means people are fearful to report mistakes because they are worried about what might happen to them or what others might think of them.

So what about the Chief who doesn’t know about any mistakes? In some respects he’s right, if people aren’t coming forward to report anything, how can you know about it? So perhaps his statement should be “I don’t know about the mistakes here.”

One of the foundations of patient safety is having a reporting culture integrated with a learning culture to improve the quality of care. But this requires adopting a model of shared accountability or just culture, it’s the secret sauce when it comes to patient safety.

So in the future, instead of asking about mistakes, maybe we should be asking leaders about their safety culture and what it’s like?

Because when it comes to culture and patient safety, it’s up to the leadership to:

  • Set the vision
  • Build the infrastructure
  • Provide the resources

If you are leader who doesn’t know about the mistakes, take a minute and think about the silence you’re hearing because it can be deadly.

There are no quick fixes or shortcuts to improving culture, however, there are simple steps that you can start today that will offer greater safety for your patients and providers.

The Center for Patient Safety is here to help, contact us today and learn about ways to move your culture forward.

 

Contact us today!

[recaptcha]

BLOG:

Are Paramedics Ignoring Hand Hygiene?:

“Many paramedics ignore hand hygiene rules, study finds” A new study looked at hand hygiene practices of paramedics from Finland, Sweden, Denmark and Australia.  The study was featured in Health Daily

2018 EMS World Expo Sessions:

The Center for Patient Safety will be actively participating at EMS World Expo next week.  The conference is described as “the largest EMS-dedicated event in the World”. EMS World Expo, h­osted in pa

Just Culture, It’s the Secret Sauce When It Comes to Patient Safety:

  “We don’t make mistakes here.” That’s what the Chief of an Emergency Medical Services (EMS) agency told us recently when discussing patient safety. On the surface, the comment might seem con

Read More

RESOURCES:

The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.