Every healthcare leader sleeps with one eye open some of the time. If they worry about the risk of error leading to harm, that “some” can become “a lot”. If they have confidence in the culture of their organization – that it is a just culture – the organization’s leadership will sleep more soundly. A just culture is not a blame free environment, but rather a place that works to recognize and prevent human error from creating dangerous or unsafe situations.
Wellesley Partners helps organizations create and sustain a just culture so the organization can focus its energies on delivering care services. Focusing on care delivery positively contributes to organizations thriving in this ever-changing and uncertain healthcare environment. We work with leaders and their teams to drive systemic change, recognizing that people are what bring culture and organizations to life.
Three Organizational Behaviors
A just culture identifies 3 types of behavioral choices that every person makes and needs to manage:
- Human Error – an inadvertent action; a slip, lapse or mistake
- At Risk Behavior – choosing to do something in a way that unintentionally can allow a chance for harm to occur
- Reckless Behavior – choosing an action that knowingly puts others or themselves in harm’s way
Three Organizational Duties
A just culture holds people accountable to carry out three types of duties or expectations. These three duties are defined as:
- The duty to avoid causing unjustifiable risk or harm – don’t do anything that is intentionally reckless.
- The duty to follow a procedural rule – the expectation to follow a procedure or policy in a specific way.
- The duty to produce an outcome – you are free to create your own system of doing something but an expectation of a defined result is in place.
Wellesley Partners is experienced in conducting a customized diagnostic of an institution’s culture that can include all stakeholders – including leaders and all the people at the center of care (patients, families, professionals, and staff). WP shares the diagnostic results with the stakeholders in an interactive setting, then works with the client, maximizing their internal skills and coaching their leaders, to create solutions tailored to their particular organization.