The discussion identified three key components of a learning culture: a nonpunitive work environment; the delivery of a clear, consistent message; and identifying effective leaders. ... “In a punitive environment, mistakes are not tolerated and everyone is afraid to report them.”...
www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpat... www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/PubsNewsArticle/data/2006October/061017HHN_Online_Runy&domain=HHNMAG
Identify the “punitive” and “non-punitive” aspects of CMH culture that may ... 50% of nurse/phar recognize errors result from complex work environment, ...
www.vipcs.org/fellowship/2003/Buttspresentation.ppt
Training programs should be assessed for whether they actively promote a culture of safety (eg, adherence to house officer work hour limits and providing a nonpunitive environment for error reporting) and constructive approaches to patient safety improvement (eg, having easy-to-use processes for reporting errors...
www.medscape.com/viewarticle/408114_5
A survey of staff and managers revealed significant confusion about what a non-punitive environment entailed. Managers had to be taught how to respond ... "They see they are not only creating a safer environment for patients, but also a safer work environment for themselves." ... "If you don't fundamentally change culture,
www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/... www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/ImprovementStories/TrustThrivesInAnOpenEnvironmentMissouriBaptist.htm
In his primer, Patient Safety and the "Just Culture," Marx10 acknowledges that, while a non-punitive work environment is essential, certain types of behavior are not acceptable and warrant specific sanctions.
www.jaapl.org/cgi/content/full/34/1/96
Despite a growing awareness of the system-based causes of errors, many in healthcare are still struggling to come to terms with the role of individual accountability in a non-punitive culture. ... Seen from this viewpoint, a nonpunitive culture offers just the opposite - a nurturing environment that is open to innovation,
www.ismp.org/Newsletters/acutecare/articles/20010822.as... www.ismp.org/Newsletters/acutecare/articles/20010822.asp
Keeping Patients Safe: Transforming the Work Environment of Nurses Evidenced-Based Management and a Culture of Safety William C. ... We did a culture survey, which was very interesting, Fair and Just; we called it non-punitive initially. I like this term Fair and Just better, but we had a non-punitive policy. I can tell you...
books.nap.edu/openbook.php?record_id=11151&page=14
Key Aspects of Nurses' Work Environment Affecting Patient Safety ... In order to create the non-punitive culture needed for effective root cause analysis and systems change, the Stanford project will help health professionals acquire the skills in effective communication and conflict management needed to prevent...
www.aacn.org/WD/Practice/Content/PublicPolicy/written.s... www.aacn.org/WD/Practice/Content/PublicPolicy/written.statement.to.institute.of.medicine.content?menu=Practice
Culture – Agency for Healthcare Research and Quality (AHRQ). ■ Rush Memorial partnered with Health Care ... non-punitive work environment elements in their ...
www.hce.org/Education/HQI-CultureChange-Pt-Priority.pdf www.hce.org/Education/HQI-CultureChange-Pt-Priority.pdf
The staff was reassured that the new Culture of Safety program was assessing systems failures. A responsive method of catching and reporting errors would allow immediate changes to occur in these systems or the environment of care for our patients and staff.
www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=aps.section.6422