California Healthcare Organizations Adopt Just Culture
The California Patient Safety Action Coalition (CAPSAC) introduces regional Just Culture training at 15 locations throughout California in October and November. Following a successful July conference with 200+ California healthcare leaders in attendance, CAPSAC and its member organizations are moving full steam ahead with implementation of Just Culture across all healthcare sectors – from acute care to long-term care, ambulatory surgical centers to group practices. To receive more information and register for California Just Culture training, visit the CAPSAC site at www.capsac.org. Outcome Engineering and the Just Culture Community are proud to support CAPSAC in the very important journey.
Safe Choices: Training for Staff Featuring the film No Small Consequence
“Justice demands both organizational accountability and personal accountability. Non-punitive safety reporting is only one aspect of safety, and only one goal of the Just Culture. While we live with human fallibility, we must demand that executives, managers, and staff be accountable for the quality of their choices. Those we serve should expect nothing less.”
- K. Scott Griffith, Chief Operating Officer, Outcome Engineering, LLC
Outcome Engineering is proud to announce the release of Just Culture training for staff. We call it Safe Choices™ – a year-long training program to bring the message of Just Culture to your entire staff, including executives, champions, managers, and front-line employees. Safe Choices™ is two hours of initial training, six bi-monthly, computer-based video vignettes, and six on-line surveys to measure your culture change as staff responds to the Just Culture message.
We introduce the training with a dramatic 35 minute film entitled No Small Consequence, a By Your Side Studios production designed specifically to demonstrate the message and principles of Just Culture and Safe Choices™.
We’re currently offering a 50-seat package for your evaluation – our “Premiere Release.” Purchase at least one 50-seat package by August 15 to reserve your discounted Premiere pricing in the fall.
Click here to watch a brief video introduction to Safe Choices™ training, and here to view the No Small Consequence theatrical trailer. Then click here to download the training offer.
After more than a year in development, we’re excited to be able to offer the Safe Choices™ training program for staff. We’re confident it will be a great addition to your Just Culture journey.
The Just Culture Community Behavioral Benchmark Survey
Outcome Engineering has just introduced the Just Culture Behavioral Benchmarking tool. Measuring progress in the Just Culture journey is one important key to success. Traditional culture surveys simply do not measure the real markers important to a Just and Learning culture. Surveys that only look for a non-punitive culture will miss critical elements of personal accountability that are needed to maintain peak organizational performance. Surveys and measurement tools that only look at outcomes will miss the important measures involving systems design and behavioral choices. We needed better measures that those available today. We need to measure around:
- Organizational Values
- System Design
- Management/Subordinate Coaching
- Peer/Peer Coaching
- Outcomes
- Open Reporting
- Search for Causes
- Internal Transparency
- Response to Human Error
- Response to Reckless Behavior
- Severity Bias
- Equity
It’s called the Just Culture Community Behavioral Benchmark Survey. Click here to learn more.
Interview with Julie George - North Carolina Board of Nursing
Ms. George has been a registered nurse for more than 30 years and has been involved in
nursing regulation since 1996 when she was employed with the North Carolina Board of Nursing as an Investigator.
In 2001, Ms. George became involved in efforts to re-frame how the NC Board of Nursing addressed practice errors and
discipline. She was instrumental in developing policies and programs that focused on patient safety and quality
improvement. North Carolina was the first Board of Nursing to partner with Citizen Advocacy Center and implement the
Practitioner Remediation and Enhancement Partnership (PREP), a non-punitive, early intervention program for nurses.
She has been actively involved in the work of the National Council of State Boards of Nursing and has championed
integrating Just Culture into regulator’s day-to-day practices. The following interview describes Julie George’s and
the Board’s pioneering work implementing Just Culture in a regulatory environment, in concert with the North Carolina
provider community.
 An Examination of Red Rules in a Just Culture
In recent months, several members of the Just Culture Community have questioned whether implementing “red rules” is
a desirable strategy in a Just Culture. Many high-consequence organizations have considered the option of implementing
red rules to improve organizational safety performance.
To assess the effectiveness of red rules, we must first understand the outcome we desire once we implement them.
According to the Agency for Healthcare Research and Quality (AHRQ), “red rules should foster a culture of safety” within the organization. In the context of Just
Culture, this infers added value to an organization’s ability to improve system design and influence the behavioral
choices of staff.
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