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Analysing events without blame or shame



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When patient harm occurs, caregivers involved are often devastated along with the patient and family, yet many have had to navigate this storm alone. A 'systems approach' in our healthcare workplace, along with the just culture, cultivates the sharing of knowledge and helps prevent patient harm from occurring altogether.

This short video of 'Annie's Story', shows how healthcare organisations seeking high reliability embrace a just culture in all they do.

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How did the video make you feel? Have you experienced a systems approach? How can we work towards a more just culture?

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