Practice/regulation partnerships: The pathway to increased safety in nursing practice, health care systems, and patient care
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
© 2007 Mosby, Inc. All rights reserved.
