Dr. Amin Creating a Culture of Safety

Which safety culture punishes the individual involved in medication errors and focuses on the individual specifically?

• Punitive culture

• blame free culture

• just culture

Which of the following is a blame free culture?

• considers individuals free of blame following an error and focuses on fixing the institution or process

• determines whether the individual needs punishment, education or coaching and focuses on the systems in the institution and the individual

• punishes the individual involved in medication errors and focuses on the individual

What type of culture determines whether the individual needs punishment, education or coaching and focuses on the systems in the institution and the individual?

• just culture

• blame free culture

• punitive culture

What is the major flaw of punitive culture?

• every error is contributed to an individual regardless of context or circumstance

• fails to hold practitioners accountable for reckless and/or unsafe clinical decisions or behaviors

• there are no flaws

Which flaw is associated with blame free culture?

• fails to hold practitioners accountable for reckless and/or unsafe clinical decisions or behaviors

• every error is contributed to an individual regardless of context or circumstance

In which type of behavior does the individual take a risk that they believe is insignificant or justified. (employees may develop more of these behaviors over time due to the system)

• At risk behavior

• Reckless behavior

• human error

In which type of behavior does the individual make a conscious decision that has a substantial or unjustifiable risk?

• Reckless behavior

• at risk behavior

• human error

What would be the result of human error?

• console the individual and discuss ways to improve the system to prevent recurrences

• coach the individual and discuss how to reduce at risk behaviors to prevent future errors

• punish the individual for committing the error

What would be the result of at risk behavior?

• coach the individual and discuss how to reduce at risk behaviors to prevent future errors

• punish the individual for committing the error

• console the individual and discuss how to reduce at risk behaviors to prevent future errors

What would be the result of reckless behavior?

• punish the individual for committing the error

• coach the individual and discuss how to reduce at risk behaviors to prevent future errors

• console the individual and discuss ways to improve the system to prevent recurrences