1/11 Welcome to this #CME #CNE #Tweetorial: Medicine During a Public Health Crisis: Just Culture in an Unjust World.
See CME/CNE info.: tinyurl.com/yv528p6j
#JustCulture #Healthcare #RaDondaVaught #MedTwitter
See CME/CNE info.: tinyurl.com/yv528p6j
#JustCulture #Healthcare #RaDondaVaught #MedTwitter
2/Per the Institute of Medicine (IOM), most medical errors arise from “faulty systems, processes, and conditions that lead people to make mistakes or fail to prevent them, rather than from reckless actions by individuals working within those systems.”
3/The just culture model serves as a guide for healthcare systems by incorporating features such as human factor design, error prevention, and steps to contain errors’ ramifications before they become critical.
4/A model of just culture:
- Accept/console the human error
- Coach at-risk behavior
- Sanction/punish reckless behavior, knowledge of wrongdoing, and intent to harm
- Accept/console the human error
- Coach at-risk behavior
- Sanction/punish reckless behavior, knowledge of wrongdoing, and intent to harm
5/Time for a POLL! Humans have a natural propensity to drift into at-risk behaviors.
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If you answered TRUE, you are correct!
At-risk behavior sometimes makes sense at the time. For example, you’re driving on the highway and everyone is speeding, you may rationalize, “I’m more of a danger if I go slow. I need to go with the pack,” so you speed.
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If you answered TRUE, you are correct!
At-risk behavior sometimes makes sense at the time. For example, you’re driving on the highway and everyone is speeding, you may rationalize, “I’m more of a danger if I go slow. I need to go with the pack,” so you speed.
7/Some issues that have been noted in the aftermath of the RaDonda Vaught case include:
-A decrease in the reporting of errors or near misses
-A perceived decrease in public trust for healthcare in general
-An erosion of trust between clinicians and healthcare organizations
-A decrease in the reporting of errors or near misses
-A perceived decrease in public trust for healthcare in general
-An erosion of trust between clinicians and healthcare organizations
8/An opportunity to counter fallout from the RaDonda Vaught case regarding error or near miss reporting is to seek out hidden risk areas, such as patient complaints from the billing department,that may have valuable information from the patient perspective.
9/Rebuilding trust between clinicians and leadership requires shared governance, and all parties should have a seat at the table to make changes. Leadership can also shadow bedside staff to observe challenges and validate clinicians’ viewpoints.
10/Want to learn more about just culture and how it has been affected by the RaDonda Vaught case? Click on this link to access the previously recorded town hall discussion: clinical.med-iq.com/a1690
11/To obtain credit for completing this tweetorial, and view references, click this link to access the evaluation and obtain credit: tinyurl.com/yv528p6j
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