Why have we made so little progress in patient safety over the last two decades despite the enormous focus and resources to do so? Could we have been focusing our efforts on the wrong thing?
“To achieve a Just Culture and achieve the safety, quality and patient satisfaction goals of healthcare, we have recognized that Just Culture cannot be just the behaviors we prescribe and want to see; it has to be the shift in mindset that allows those behaviors to flourish naturally.” Cynthia Foslien-Nash, PharmD.
Since the publication of “To Err is Human” by the Institute of Medicine over 20 years ago, we have been trying to improve patient safety and outcomes with new strategies, objectives and prescribe behaviors. Yet our healthcare systems continue to struggle with poor patient safety outcomes. Alfred Einstein stated “the definition of insanity is to do the same things over and over and expect a different outcome.” Only by addressing the underlying mindset in healthcare will we be able to see better results. Learn how leaders in the Veterans Health Administration are showing how this can be done.