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Appendix A - Just Culture Algorithm

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Jery Js
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41 views1 page

Appendix A - Just Culture Algorithm

Uploaded by

Jery Js
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Kingdom of Saudi Arabia ‫المملكت العربيت السعوديت‬

Directorate of Health Affairs – Taif ‫مديريت الشؤون الصحيت بمحافظت الطائف‬


King Faisal Medical Complex ‫مجمع الملك فيصل الطبى‬
Patient Safety Department ‫إدارة سالمت المرضي‬

Appendix A: Just Culture Algorithm

HUMAN ERROR AT-RISK BEHAVIOR RECKLESS BEHAVIOR


Unintended Actions Intended Action Intended Action
TYPE OF Unintended Consequence Unintended Consequence Intended Consequence
Unpredictable behavior that caused Failure to exercise expected care
BEHAVIOR or could have caused an undesirable
outcome
Inadvertent action: slip, lapse,
mistake, a product of system design
Error Intentional Violation Reckless Behavior/Sabotage
RESULT
Unintentional Violation (Mistake) Intentional Violation for personal gain
STATUS Tolerated Not Tolerated

CORRECTION Product of our current System Design A Choice: Risk believed insignificant or Conscious Disregard of visible & significant
(System will need Re-Design) justified Unjustifiable Risk

CONSOLE COACH DISCIPLINE


Manage through changes in: Manage through: Manage through:
• Processes • Removing incentives for at risk behavior Remedial
• Procedures • Creating incentives for healthy behaviors and
MANAGMENT • Training • Increasing situational awareness (risk Disciplinary action
• Design perception) (discipline is as per KFMC rules & regulations)
• Environment/ Conditions
• And so on.…

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