Embedding Just culture in healthcare quality assurance reviews
Stelmaschuk, Roxanne Lei McGray
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Patient safety and being a high-reliability organization are priorities for Alberta Health Services (AHS), the largest publicly funded healthcare organization in Canada. The just culture promotes learning and supportive dialogue in a nonpunitive setting. Fully adopting just culture principles will enable AHS to learn from clinical mistakes and diminish second victim harm; as such, both topics were discussed in the literature review. This research targeted the CancerControl Alberta (CCA) program. I conducted a survey, interviews, and focus group sessions with past quality assurance review (QAR) participants to determine how the CCA Quality Assurance Committee could foster just culture during QARs. Research participants identified behaviours needed to safely participate in QARs, managers often lacked resources, and support for CCA staff varied. The recommendations are to intentionally involve staff in QAR work, develop an implementation plan for the new Immediate and Ongoing Management procedures, and establish a peer-support network for frontline staff.
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