more effective, patient-centered, efficient,
equitable, and timely. 10 The greatest responsibility in a “just culture” is accountability
with organizational leaders. Continuing to
mature and evolve is a significant part of
the patient safety movement. An organization should continuously improve and
seek to protect patients from harm and
have the obligation of accountability. 11
Professionals need to have a blame-free
environment to make lasting improvements in patient safety. 12 Employee satisfaction, organizational citizenship, patient
satisfaction scores, quality care, malpractice
costs, and the overall reputation and financial security of the institution improves as
patient safety improves. 13
A focus on patient safety helps employees work towards a higher quality healthcare system and is what patients deserve. 16
Lack of safety can extend the patient’s hospital stay and increase injuries and fatali-ties. Healthcare workers engaging in and
concentrating on patient care and organizations that put the patient first help
ensure higher patient satisfaction and a
safer environment. 17
1Hosford S. Hospital progress in reducing error:
The impact of external interventions.
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2Masica A, Richter K, Convery P, Haydar Z.
Linking Joint Commission inpatient core
measures and National Patient Safety Goals
with evidence. Proceedings (Baylor University. Medical Center) . 2009;22:103-111.
3Singer S, Lin S, Falwell A, Gaba D, Baker L.
Relationship of safety climate and safety
performance in hospitals. Health Services
4Shoemaker M. Safety and the healthcare setting. Chart. 2008;105: 5–9.
5Jones S. Reducing medication administration
errors in nursing practice. Nursing Standard. 2009; 23( 50): 40–46.
6The Joint Commission. 2010 National Patient
Safety Goals (NPSGs). Available at: http://
September 29, 2010.
7Nelson A, Nguyen G, Pham D. Preventing
medication errors in health systems.
Pharmacy Times. 2008;74( 7): 2–5.
8Lindquist L, Gleason K, McDaniel M, Doek-sen A, Liss D. Teaching medication reconciliation through simulation: A patient
safety initiative for second year medical
students. Journal of General Internal Medicine. 2008;23:998–1001.
9Krauss M, Evanoff B, Hitcho E, et al. A case-control study of patient, medication, and
care-related risk factors for inpatient falls.
Journal of General Internal Medicine.
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managers can do. Lippincott’s Case Management: Managing the Process of Patient
Care. 2006; 11( 6):334.
11Mayer C, Cronin D. Organizational accountability in a just culture. Urologic Nursing.
2008; 28( 6):427–430.
12Poniatowski L, Stanley S, Youngberg B. Using
information to empower nurse managers
to become champions for patient safety.
Nursing Administration Quarterly. 2005;
13Krause T, Hidley J. Five ways to think about
patient safety. Health Forum. 2008: 24–36.
14Foreman MS, Hubbard L, Marquez LO (eds).
Operations Management in Radiology. Sudbury, MA: AHRA; 2010.
15Ellis J. Managing performance. Nursing Management. 2008; 15( 1): 28–33.
16Clancy C. Medicares’ new policy targets hospital-acquired conditions. The Association
of Perioperative Registered Nurses Journal.
17Hilborne L. Setting the stage for the second
decade of the era of patient safety: Contributions by the Agency for Healthcare
Research and Quality and Grantees. Health
Services Research. 2009:623,627.
Liberty Adair is the coordinator of outpatient
imaging at Hillcrest Baptist Medical Center in Waco,
TX. She recently received her master’s in radiologic
sciences in healthcare administration from
Midwestern State University in Wichita Falls, TX.
She can be contacted at email@example.com.