Just Culture

Question 1

A move from punitive work environment that emphasizes blame to a proactive environment that supports employee involvement in decision making, supports learning & examines what systems failed when an error occurs.

Answer 1

Just Culture

Question 2

In a just culture nurses:

Answer 2

• remain accountable for own actions
• are expected to provide constructive feedback
• learn from each others’ mistakes

Question 3

What kind of occupations use just culture

Answer 3

High risk occupations

• Air traffic control
• Military
• Hospitals (standard for Manet recognition)

Question 4

Just culture is based on understanding that errors are…

Answer 4

-Often the result of system failures, not human failure.

Question 5

Just culture recognizes that punishment…

Answer 5

• impedes error prevention,

- encourages intimidation & secrecy

Question 6

Punitive culture hampers…

Answer 6

ongoing quality improvement efforts

-risks client safety.

Question 7

When establishing a just culture employees should consider themselves as:

Answer 7

stakeholders & act to establish & maintain the just culture.

Question 8

A disclosure by a staff member of an organization of practices and/or policies engaged in by that organization or its employees that wrong or harm a third party.

Answer 8

Whistleblowing.

Question 9

Established certain protections for people who report gross misconduct on the part of their employers to federal authorities.

Answer 9

Whistleblower Protection Act of 1989

Question 10

A nurse who goes outside of an organization to protect public interest when an organization fails to follow procedures regarding safety.

Answer 10

Whistleblower

Question 11

When does a person qualify for protection under the whistleblower act?

Answer 11

When they have been threatened or retaliated against as a result of the employee making a complaint.

Question 12

What is the very first step in whistleblowing?

Answer 12

Follow internal company reporting procedures (make a complaint internally).

Question 13

What qualifies for whistleblowing…

Answer 13

Activity or policies that violate state or federal law or rule.
-The company must be aware that it does.
(billing fraud, failure to maintain safety equipment, insufficient staffing)

Question 14

Act that encourages people to report medical and billing agency fraud.

Answer 14

False Claims Act

Question 15

When reporting co-workers what must a nurse be aware of?

Answer 15

-The difference between a coworker’s illegal behavior & an error that may be a systems problem.