Michella.Lockett@constellationmutual.com

In his testimony before Congress, Dr. Lucian Leape Professor at Harvard School of Public Health stated, “The single greatest impediment to error prevention in the medical industry is that we punish people for making mistakes.” A just culture takes the focus off errors and outcomes and places it on the quality of system design and

Many patient safety improvement efforts commonly take one of two approaches – change the system and processes or improve teamwork and communication. Research into which approach produces the best results tells us that both are necessary. Motivation is fostered when we provide knowledge of why system change is needed, and teamwork training empowers both teams