Development and Strategic Planning in Healthcare Discussion.docx
1. Development and Strategic Planning in Healthcare Discussion
ASU Development and Strategic Planning in Healthcare Discussion: Culture Connections &
Patient Safety
Culture drives quality—if an organization does not have a culture in which they hold
themselves and others accountable, it is probable that it will not achieve and sustain high-
level quality outcomes. Patient safety is defined as freedom from accidental injury; you have
seen how medical errors are harmful, and that there are second victims that suffer as well.
Remember quality can be defined as “the cumulative impact of all that happens to a patient
while in an organization’s care” (Porter, 2012, p. 193).
A Just Culture gives organizations a template to uniformly address the shortcomings or
errors of those who fail. It addresses failures in four different areas, which include 1) human
errors and mistakes, meaning unintentional harm; 2) carelessness or at-risk behavior—or
not paying attention that results in an error; 3) recklessness or a flagrant disregard for
norms where an error occurs unintentionally, but because of recklessness; and 4) those
who just do not pay attention and have no regard for authority.
In this Discussion, you will identify a model that a health care organization might use to
improve their culture of quality and describe whether the ethical theory of Just Culture
would improve the quality and why.
To prepare:
Review Learning Resources on culture and patient safety.
