The goals of this Just Culture Manifesto are to:
articulate a vision of just culture that connects with people from all industrial sectors, around the world;
speak to people in all roles – front line, support, specialists, management, both in private industry, government organisations and departments, and the justice system;
provide a framework for other people to advance this vision of just culture.
As referred to in the Just Culture definition, only a very small proportion of human actions is criminally relevant (criminal behaviour, such as substance abuse or misuse, grossly negligent behaviour, intention to do harm, sabotage, etc.). Mostly, people go to work to do a good job; nobody goes to work to be involved in an incident or accident.
This paper from ABHI details the role of surgical instruments and how they bring value to the NHS. It highlights the vast range and number of instruments that are needed in the NHS at any one time and, to ensure that these instruments continue to be safe and fit for purpose, makes the following recommendations:
Investment in the replacement of aged surgical instrument inventory should be considered as a priority for NHS spending.
The procurement of surgical instruments should be based on overall quality and value, with the demonstration of strong ethical and resilient supply chains recognised and rewarded in purchasing decisions.
There should be a focused, sustained and appropriately accredited programme of education into the management and maintenance of surgical instruments. Such a programme could be delivered in conjunction with industry.