Cynthia Foslien-Nash1, Brady Reed2. 1. Associate Chief of Staff for Education, VA North Texas Health Care System, 4500 South Lancaster Road (141), Dallas, TX, 75216Cynthia Foslien-Nash is a full time employee of VA North Texas Health Care System. The views expressed are solely those of the authors and do not reflect the official policy or position of the VA North Texas Health Care System, Department of Veterans Affairs or U.S. Government. 2. Strategic Accounts Manager, Arbinger Institute, 1379 North 1075 West, Suite 100, Farmington, UT, 84025.
Abstract
Health care and the Veterans Health Administration have adopted many initiatives to improve patient care, including efforts to create a "Just Culture" environment for patient safety and quality outcomes. Despite significant resources and efforts on these initiatives and some temporary improvements, we continue to struggle to make significant and sustainable improvements. At the Veterans Administration North Texas Health Care System, we see that our efforts have addressed the wrong thing. By focusing our efforts to shift the underlying mindset that drives behavior, we expect to create the foundation that will help us truly achieve a High Reliability and Just Culture organization that provides the care and outcomes our patients and staff deserve.
Health care and the Veterans Health Administration have adopted many initiatives to improve patient care, including efforts to create a "Just Culture" environment for patient safety and quality outcomes. Despite significant resources and efforts on these initiatives and some temporary improvements, we continue to struggle to make significant and sustainable improvements. At the Veterans Administration North Texas Health Care System, we see that our efforts have addressed the wrong thing. By focusing our efforts to shift the underlying mindset that drives behavior, we expect to create the foundation that will help us truly achieve a High Reliability and Just Culture organization that provides the care and outcomes our patients and staff deserve.