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Culture of Safety: The Value of Managing Adverse Incidents Using a Blame Free and Just Culture Philosophy

Year Developed: 2023

Resource Type: Archived Webinar.

Primary Audience: Administrative Staff C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) Clinicians Enabling Staff
Secondary Audience: Outreach Staff

Language(s): English

Developed by: Renaye James Healthcare Advisors (RJHA) (See other resources developed by this organization).

Resource Summary: This training activity will provide the health care community with guidance on implementing a blame-free, just culture that encourages reporting of adverse events and near misses that are free from reprisals. Learn how patient and staff safety are dependent on fair and equitable consequences while eliminating disciplinary actions. See more here: https://youtu.be/3y8_G-ZB2kI

Resource Details: Participants will be able to identify the steps to take to implement a blame-free, just culture; identify and monitor key measures that demonstrate improvements in patient safety; and recognize the impact of implementing a just culture on staff retention. Participant will learn the value of adopting a blame-free, just culture, where just culture encourages employee reporting of errors and mistakes, and promotes learning by mistakes, and a blame-free environment removes the employee's fear of punitive actions, increases staff willingness to report errors, and focuses on what happened versus who did it.

Resource Topic: Operations, Quality

Resource Subtopic: Administrative Policies, Quality Improvement, Patient Safety.

Keywords: Education of - Staff (e.g., Competency-Based), Health Care Facilities, Performance Improvement, Policies and Procedures, Quality Measures, Safety Net Providers, Team-Based Care.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.