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Review ArticleReviews and Commentaries

Just Culture: A Foundation for Balanced Accountability and Patient Safety

Philip G. Boysen
Ochsner Journal September 2013, 13 (3) 400-406;
Philip G. Boysen II
Department of Anesthesiology, Ochsner Clinic Foundation, New Orleans, LA, Emeritus Professor, University of North Carolina at Chapel Hill, Chapel Hill, NC
MD, MBA, FACP, FCCP, FCCM
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    Figure 1.

    Reason's model of accident causation. Accident opportunity and possible adverse outcomes stem from a combination of latent failures, psychological precursors, event triggers, and failure of the system's defenses. (From Reason12 with permission.)

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    Figure 2.

    Caregivers' actions and recommended responses for analyzing risks constructed from outcome engineering principles and analysis of human factors. (From Leonard and Frankel19 with permission.)

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Ochsner Journal
Vol. 13, Issue 3
Sep 2013
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Just Culture: A Foundation for Balanced Accountability and Patient Safety
Philip G. Boysen
Ochsner Journal Sep 2013, 13 (3) 400-406;

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Just Culture: A Foundation for Balanced Accountability and Patient Safety
Philip G. Boysen
Ochsner Journal Sep 2013, 13 (3) 400-406;
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  • Article
    • Abstract
    • INTRODUCTION
    • JUST CULTURE: CONCEPT AND PHILOSOPHY
    • INDUSTRIES OUTSIDE OF HEALTHCARE
    • ANALYSIS OF ERROR
    • THE MILITARY AND THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
    • CREATING A JUST CULTURE
    • CONCLUSION
    • Footnotes
    • REFERENCES
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  • References
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  • PDF

Cited By...

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  • Significant event reporting in veterinary practice
  • Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship
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Keywords

  • Behavior
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