Nurse Leader
Volume 5, Issue 3 , Pages 50-54, June 2007

Practice/regulation partnerships: The pathway to increased safety in nursing practice, health care systems, and patient care

  • Mary Beth Thomas, RN, PhD(c)

      Affiliations

    • Mary Beth Thomas, RN, PhD(c), is the director of nursing practice and education for the Board of Nurse Examiners for the State of Texas.
  • ,
  • Debora Simmons, RN, MSN, CCRN, CCNS

      Affiliations

    • Debora Simmons, RN, MSN, CCRN, CCNS, is the associate director of the Institute for Healthcare Excellence at The University of Texas M.D.
  • ,
  • Krisanne Graves, RN, BSN, CPHQ

      Affiliations

    • Anderson Cancer Center, where Krisanne Graves, RN, BSN, CPHQ, is a clinical quality improvement analyst.
  • ,
  • Sharon K. Martin, MED, MT (ASCP), SC

      Affiliations

    • Sharon K. Martin, MED, MT (ASCP) SC, is the vice president of quality management at The University of Texas M.D. Anderson Cancer Center.

In its quest to create and sustain cultures of safety, the Institute of Medicine (IOM) called on the National Council of State Boards of Nursing to develop and design standardized processes to better distinguish human error from willful negligence and intentional misconduct.1 Though this charge is worthy and is being implemented, boards of nursing also are benefiting from the evidence that is coming forth about human errors and Just Culture. Just Culture is a method to promote cultures of safety by regulators, employers, and employees working together to create an open environment where health care risks can be openly discussed. Just Culture seeks to evaluate normal error, at-risk behavior, and reckless behavior to provide appropriate resolution of adverse events.

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 The authors wish to thank the following contributors for their dedication and support to this project: the Texas Hospital Association, the Texas Nurses Association, the Institute for Safety Medication Practices, Consumers Advancing Patient Safety, Captain Bruce Tesmer, Mark Galley, David Marx, and the Agency for Healthcare Research and Quality. The authors would like to specifically acknowledge the contributions of Susie Distefano, Texas Children's Hospital; Rosemary Luquire, Baylor Health Care System; and Barbara Summers, M.D., University of Texas Anderson Cancer Center.

PII: S1541-4612(07)00088-2

doi:10.1016/j.mnl.2007.03.011

Nurse Leader
Volume 5, Issue 3 , Pages 50-54, June 2007