Strategies Potential Tools and Resources for Justice

General

Just Culture Webinar

AHRQ CUSP application, covers Just Culture Principles

AHRQ CUSP Just Culture video

1) Support a culture that is Just.

MAPS Just Culture Toolkit (Planning Phase, Early Implementation Phase, Making Good Progress Phase): [PDF]
California Hospital Patient Safety Organization: "An Introduction to Just Culture": [Link]
 

2) Engage key stakeholder groups in a Just process

MAPS Just Culture Toolkit: "Planning Phase" tools: [PDF]
 

  1. Convene a Steering Committee to test the concept.
  2. Garner leadership support.
  3. Identify champions.
  4. Identify an interdisciplinary team.
  5. Perform organizational gap analysis and/or organizational safety culture baseline survey.
  6. Review results of gap analysis and/or culture survey and identify next steps to move forward.
  7. Engage organizational-wide leadership.

3) Incorporate Just principles in policies and processes for human resources.

MAPS Just Culture Toolkit: "Engaging Medical/Credentialed Staff, Management, Clinical Staff, and all other employees": [PDF

  1. Engage medical and other credentialed staff.
  2. Develop orientation training for managers.
  3. Develop orientation training for clinical staff.
  4. Develop orientation training for all other employees.
  5. Evaluate existing policies and procedures.
  6. Establish system to learn about potential risk.
  7. Establish process to educate and communicate to patients and families.

Algorithm for evaluating unsafe acts: [PDF]

Nebraska Center for Rural Health Research: "Engineering a Reporting Culture"

4) Just principles are incorporated into the Root Cause Analysis and Peer Review process.

MAPS Just Culture Toolkit : "Making Good Progress Phase" tools: [PDF]

MAPS Learning, Just, and Accountable Culture concepts are infused and embedded in regular routines/practices throughout organization.

  1. RCA checklist for managers –questions you should ask
  2. Management checklist for incorporating a MAPS Learning, Just, and Accountable Culture principles into performance improvement
  3. A Primer on Critical Incident Stress Management
  4. A Medically Induced Trauma Support System (MITSS)
  5. Red Rules: An Error-Reduction Strategy

5) Just principles are incorporated into clinical practices.

MAPS Just Culture Toolkit : "Making Good Progress Phase" tools: [PDF]

  1. Establish and communicate expectations organization-wide.
  2. Concepts are infused and embedded in regular routines/practices throughout organization.
  3. Evaluating Progress.

6) Just principles are hardwired throughout the organization.

MAPS Just Culture Toolkit : "Making Good Progress Phase" tools: [PDF]

  1. Establish and communicate expectations organization-wide.
  2. Concepts are infused and embedded in regular routines/practices throughout organization.
  3. Evaluating Progress.