Review misses without jumping to blame
Use Just Culture categories to run a fair, learning-oriented clinic incident review.
The move: match the response to the behavior, not just the severity of the outcome. Just Culture is a safety framework that helps leaders avoid two bad extremes: blaming individuals for system traps, or excusing behavior that knowingly puts clients at risk. It separates three behavior types. Human error A person intended to do the right thing but slipped, forgot, misread, or missed something. The management response is to console, support, and improve the system around the work. Ask what signal, checklist, routing rule, staffing pattern, or interface would make the safe action more reliable. At-risk behavior A person drifted…
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