Podcasts about Just culture

Send us a MessageIn this solo episode of Culture Change RX, Sue Tetzlaff discusses the importance of effective leadership in healthcare organizations. She emphasizes the need for leaders to focus on proactive leadership activities. By categorizing their time into three buckets—whirlwind, management, and leadership—leaders can better allocate their efforts to achieve meaningful results. The episode concludes with a call to narrow focus and leverage time for greater impact in leadership roles. Healthcare leaders often feel overwhelmed by the day-to-day chaos.Categorizing activities into “the three buckets” helps prioritize focus.Proactive leadership leads to better outcomes.Less is more when it comes to goals and improvement priorities.Narrowing focus can lead to greater organizational success.The chaos of work and any perceptions of underachieving affects personal life and well-being.Need help improving the culture, performance, and results of your healthcare organization? If so, let's talk:  https://www.capstoneleadership.net/contact-usAre we connected yet on LinkedIn? https://www.linkedin.com/in/suetetzlaff/13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this solo episode of Culture Change RX, Sue Tetzlaff discusses the importance of cycles in healthcare organizations, emphasizing the need for a structured framework and execution systems to achieve long-term improvement and transformation. She highlights how continuous systems and cycles can lead to sustained growth and better results, ultimately strengthening healthcare organizations and their communities.The execution of plans is crucial for organizational improvement and growth.Continuous systems and cycles prevent the need for constant restarting.Regular cycles of goal setting and action planning enhances team performance.Leadership development efforts can be aligned to a continuous learning process.Embedding cycles in systems fosters a culture of continuous progress.Strengthening healthcare organizations strengthens communities.Need help improving the culture, performance, and results of your healthcare organization? If so, let's talk:  https://www.capstoneleadership.net/contact-usAre we connected yet on LinkedIn? https://www.linkedin.com/in/suetetzlaff/13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageCulture Change RX host Sue Tetzlaff converses with guest Christen Tenbusch of Covenant Healthcare about employee engagement examples and impact. They discuss the evolution of employee experience and patient experience, the empowerment of staff through focus groups, and the significance of creating a safe space for dialogue. Christin shares insights on flipping the hierarchy to empower staff, the impact of language in leadership, and the challenges of recruitment and retention in the healthcare sector. The conversation also touches on effective onboarding strategies and the necessity of engaging the C-suite in these initiatives to foster a positive organizational culture.Engaging employees is crucial for improving patient experience.Focus groups empower staff and enhance their engagement.Creating a safe space for dialogue fosters trust and communication.Flipping the hierarchy allows frontline staff to guide decisions.Language matters; changing terms can improve buy-in from staff.Behavior standards that are employee created are met with better acceptance.Growth and development opportunities are essential for retention.Recruitment challenges persist, especially in nursing and entry-level positions.Onboarding processes that include a phased approach can meet each new employees' unique needs.13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this solo episode of Culture Change RX, Sue Tetzlaff discusses the complexities of leading change within healthcare organizations. She emphasizes the importance of understanding resistance, effective communication, and the need for a structured approach to change management. Sue shares practical tactics for leaders to implement, including anticipating resistance, communicating the reasons behind changes, and the necessity of studying and adjusting post-implementation. The conversation highlights the significance of creating an agile culture to combat change fatigue and achieve high reliability in healthcare settings.Leading change is a core leadership practiceResistance is a natural part of the change process.Anticipate and prepare for resistance to change.Effective communication includes addressing the why behind changes.Celebrate successes and learn from those who adapt well to change.The “study and adjust” phase is crucial for successful change implementation.Creating an agile culture helps reduce change resistance and fatigue.Need help improving the culture, performance, and results of your healthcare organization? If so, let's talk:  https://www.capstoneleadership.net/contact-usAre we connected yet on LinkedIn? https://www.linkedin.com/in/suetetzlaff/13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this episode of Culture Change RX, Sue and Jess Nuutinen discuss the impact of crises on healthcare innovation, particularly during the COVID-19 pandemic. Jess shares her experiences as a nurse and leader, highlighting the importance of adaptability, teamwork, and community support in navigating challenges. They explore how partnerships and innovative solutions emerged from necessity, and the ongoing need for healthcare to embrace change, engage staff, and improve patient care.Innovation often arises from necessity during crises.Partnerships with local organizations can enhance healthcare delivery.Rapid changes in healthcare require effective communication and teamwork.Staff engagement is crucial for successful implementation of new practices.Sustaining innovations post-crisis and post-change is essential for future success.Leadership plays a vital role in fostering a culture of innovation and engagement.Rural healthcare faces unique challenges that require tailored solutions.Connect with Jess Nuutinen:By emailOn LinkedInAt Frontier Strategy PartnersBlog (shared governance)13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this solo episode of Culture Change RX, Sue Tetzlaff discusses the critical role of behaviors in workplace culture, particularly within healthcare organizations. She shares insights from her experiences facilitating discussions on creating a 'utopia' in healthcare, emphasizing that behavior change is essential yet challenging. The episode outlines the importance of establishing clear behavior standards and offers practical strategies for maintaining these standards within organizations, including commitment events, campaigns, giving and receiving feedback, and hiring practices.Behaviors are crucial for transforming organizations.Creating a utopia in healthcare requires clear behavior standards.Behavior change is the hardest aspect of organizational change.Establishing behavior standards is best done by an empowered team of employees.Behavior standards should be written positively, focusing on what to do.Align behavior standards with the organization's mission, mission, values and top strategic priorities (such as the Patient Experience).Commitment events can mark a new beginning for behavior standards.A feedback culture is essential for maintaining behavior standards.Visual, verbal or virtual “campaigns” help to keep behavior standards top-of-mind.Hiring for behavior can enhance the future of the organization's culture.Need help improving the culture, performance, and results of your healthcare organization? If so, let's talk:  https://www.capstoneleadership.net/contact-usAre we connected yet on LinkedIn? https://www.linkedin.com/in/suetetzlaff/13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this episode of Culture Change RX, Sue and Julie Coneset discuss effective strategies for ongoing leadership development in healthcare organizations. Julie shares her extensive experience in creating impactful training programs, emphasizing the importance of mandatory attendance, setting clear expectations, and fostering engagement through relevant and interactive learning experiences. They explore the significance of feedback, creativity in logistics, and the role of internal peer champions in enhancing leadership training. The conversation highlights the importance of establishing a distraction-free learning environment via established ground rules to ensure effective engagement during training sessions.Clear communication to all employees and leaders sets expectations for the accountability to put into place what is learned.Engaging learning experiences enhance retention and application of skills.Training content must align with organizational plans and goals for relevance.Feedback from leaders is crucial for continuous improvement of training events.Creativity in logistics can reduce costs and enhance training effectiveness.Internal leadership development fosters a culture of continuous growth.Internal leaders serving as “subject matter experts” (aka Peer Champions) bring additional perspectives and voices to training sessions.Minimizing distractions during training improves focus and engagement.Establishing ground rules promotes accountability and respect during sessions.13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this episode of Culture Change RX, I discuss the concept of high reliability in healthcare, emphasizing the importance of setting ambitious goals. The conversation delves into the challenges of goal setting, the significance of a growth mindset, and the systems necessary for fostering high reliability organizations. I highlight the upcoming Healthcare Executive Forum, where healthcare leaders will explore strategies for achieving high reliability and continuous improvement.Setting ambitious goals can drive organizational improvement.Leaders and employees can often feel that big goals are impossible goals and a set up for failure.Setting ambitious goals can lead to significant performance gains.Celebrating the positive gains is important, even when goals are missed.Goal systems are crucial for continuous improvement.High reliability benefits patients, employees, and communities.Need help improving the culture, performance, and results of your healthcare organization? If so, let's talk:  https://www.capstoneleadership.net/contact-usAre we connected yet on LinkedIn? https://www.linkedin.com/in/suetetzlaff/13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this episode, Sue and Tami Chambers discuss the transformative journey of leadership development at Grant Regional Health Center. Tami shares her experiences as a first time senior leader and the impact of the two-day leadership immersion program facilitated by Capstone Leadership Solutions. They explore the importance of structured leadership practices and continuous learning. Tami emphasizes the significance of the nine core leadership practices that make up the “leadership bundle” and how they have shaped her approach to leading. Her experience with the leadership bundle practices, and her belief in their value, motivate her to teach these practices to others. The conversation concludes with encouragement for other healthcare organizations to invest in creating their own internal leadership development process.The two-day leadership immersion provided the official start to Grant Regional's leaders adopting a common and synergistic way of leading.Structured leadership development was lacking at Grant Regional before partnering with Capstone.Teaching others reinforces Tami's own learning and growth.Empathy is crucial in connecting with leadership immersion participants.Continuous learning is necessary for leadership effectiveness.Accountability meetings help reinforce what was learned during leadership development.Investing in leadership development is worth the initial effort.Healthcare organizations should take the leap to enhance their leadership. 13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this solo episode of Culture Change RX, I discuss the critical concept of psychological safety within healthcare organizations so that employees feel safe to voice their concerns and ideas and freely provide feedback and input. This episode prompts leaders to consider:  Are your employees hiding behind anonymity? If so, this episode outlines practical tactics for leaders to foster psychological safety, including embracing both anonymous and identified feedback, responding to feedback effectively, modeling vulnerability, and celebrating employees who speak up. The conversation highlights the journey towards a culture of trust and continuous improvement in healthcare settings - in essence, a culture where employees are safe to “own their voice.”Low response rates in employee surveys can indicate a lack of psychological safety.Anonymity in feedback can reflect a lack of psychological safety.Leaders can model vulnerability to encourage open communication.Celebrating brave voices fosters a culture of safety.Feedback should be acknowledged and acted upon.Creating a safe environment improves patient care and employee satisfaction.High reliability organizations prioritize psychological safety.Trust in leadership grows when employees see tangible outcomes.Need help improving the culture, performance, and results of your healthcare organization? If so, let's talk:  https://www.capstoneleadership.net/contact-usAre we connected yet on LinkedIn? https://www.linkedin.com/in/suetetzlaff/13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this episode, Sue and Courtney discuss the importance of team learning and networking at events like Capstone's annual Healthcare Executive Forum. They explore how attending such events can lead to actionable takeaways, enhance camaraderie among executives, and provide valuable networking opportunities. The conversation emphasizes the need for simplifying complex topics for practical application, especially in small and rural healthcare organizations. Courtney shares her experiences and insights on maximizing the return on investment from learning events, highlighting the significance of having a plan for applying new knowledge back in the workplace.Whether attending training alone or with all or part of your executive team, attendees will want to optimize the benefits of a learning event.Capstone focuses on making learning immediately applicable.Executives can't learn and apply everything all at once; prioritize key takeaways.Capstone provides tools and resources for application after learning.Simplifying the “how” part is crucial for effective implementation.Small incremental changes in follow up to new learning is  impactful in healthcare settings.You can find accountability buddies at events to support your learning and implementation.13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageIn this episode, Sue and Amy Yaeger, Director of Strategic Marketing and Business Development at Astera Health, discuss the importance of connecting brand promises to employee experiences across the employee lifecycle. They explore various strategies for onboarding, employee engagement, and communication, emphasizing the need for transparency and celebration of achievements. Amy shares insights on rebranding efforts and the significance of maintaining excitement and engagement within the organization. The conversation also highlights the value of building an alumni network to foster ongoing relationships with former employees.Every employee plays a role in delivering the brand promise.Connect the organization's brand promise across the employee lifecycle.Celebrating milestones boosts morale and engagement.The company's brand can enhance recruitment efforts for new employees and patients.Rebranding requires emphasis beyond “the honeymoon period.”An alumni network can help maintain relationships with former employees and keep them in touch with the brand promise.13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

Send us a MessageWant to improve your organization? Effective communication, training, campaigning, and meetings can help.Great organizations define and implement effective communication strategies.Clarity around key terms enhances communication efforts.Training is distinct from communication and focuses on skill development.Campaigns support ongoing learning and engagement.Meetings should prioritize goals and projects over communication.Regular communication reduces stress and misinformation.Employee-driven teams can enhance communication efforts.In this episode of Culture Change RX, I discuss the importance of improving communication within healthcare organizations. Key terms such as communication, training, campaigning, and meetings are defined to clarify their distinct purposes and their role in leading change initiatives. The episode concludes with a call to action for leaders to prioritize communication as a crucial element in fostering a positive organizational culture.Resources Mentioned in This Episode:The Capstone Chronicle (February 2025 Issue) – Features a sample communication plan and insights into four key tactics for improving communication.Episode 12 – Shift from Chaotic to Consistent CommunicationNeed help improving your healthcare organization? Let's talk https://www.capstoneleadership.net/contact-us/ Let's connect on LinkedIn!13th Annual Healthcare Executive Forum - June 18 (afternoon) and June 19 (morning)High Reliability, Just Culture & Psychological Safety Made Simple focuses on breaking down these critical concepts into practical, actionable strategies tailored for senior leaders in small and rural healthcare settings.

In dieser Folge tauchen wir in das Konzept der "Just Culture" ein – eine Kultur, die Offenheit und Verantwortung im Umgang mit Fehlern in der Luftfahrt fördert. Wie können Fehler als Chance für mehr Sicherheit genutzt werden? Welche Rolle spielen Vertrauen, Kommunikation und Transparenz? Gemeinsam beleuchten das Thema, wie es Fuss fassen sollte, sowohl in der Praxis, als auch in der GA. Wir sprechen über die rechtlichen Aspekte und die Bedeutung von "Just Culture" für Piloten, Flugschüler und Luftfahrtorganisationen. Eine spannende Reise in die Welt der Sicherheitskultur, die weit über die Luftfahrt hinaus inspirieren kann!

In der Podcast-Episode wird das Konzept der *Just Culture* beleuchtet, das eine Unternehmenskultur beschreibt, in der menschliche Fehler, risikoreiches Verhalten und grobe Fahrlässigkeit differenziert betrachtet werden, um eine offene Fehlerkultur zu fördern. Gemeinsam mit Sicherheitsexperte Martin Dutschek wird der Zusammenhang zwischen *Just Culture* und *Psychological Safety* erörtert, Beispiele aus der Praxis vorgestellt und konkrete Tipps für mittelständische Unternehmen gegeben. Zudem werden die Grenzen des Konzepts diskutiert, um ein realistisches Bild der Umsetzung zu vermitteln.

My guest for Episode #277 of the My Favorite Mistake podcast is Derek Leiner, MD, FACP. Episode page with video, transcript, and more Dr. Leiner trained in internal medicine at VCUHealth and the Richmond VA Medical Center. In 2018, he completed a year as Chief Resident for Quality and Safety, a national VA QI and safety training program then began as a staff physician at the Richmond VA Medical Center.   His career has included teaching, education leadership as an Associate Program Director for a medicine training program, and safety culture leadership.  Derek currently works as an academic hospitalist and is the physician champion for high reliability at the Richmond VA Medical Center.  He has a passion for humanism, collaborative care, and just culture. In this episode, we discuss a medical error involving a lumbar puncture procedure and the subsequent emotional impact on the healthcare professional involved. We explore the distinction between near misses and patient harm, highlighting the importance of learning from both. The concept of Just Culture is introduced, emphasizing a fair and supportive approach to addressing errors. We delve into High Reliability Organizations and their focus on creating a culture of safety. The significance of open communication with patients and the potential for positive outcomes is also addressed. Additionally, we examine the "second victim" phenomenon, where healthcare professionals experience emotional distress following errors. The episode concludes with practical strategies for recovering from mistakes and fostering a culture of continuous learning and improvement in healthcare. Questions and Topics: What is your favorite mistake? Is this a near miss or patient harm? Did I understand your definition of a near miss correctly? What was the reaction and response to the incident? Can you explain the concept of high reliability organizations and its relevance to healthcare? What was the patient's reaction to the disclosure? What is your reaction to Doctor Mayer's story? What are your thoughts on Just Culture? How do you coach others to recover from mistakes and combat negative self-talk? Key topics discussed: Lumbar puncture incident & its emotional impact Near miss vs. patient harm Just Culture & its implementation High reliability organizations (HROs) Patient disclosure and reactions Second victim phenomenon & support Recovering from mistakes & learning Systemic factors, human error & normalization of deviance Importance of continuous learning & improvement

In this week's episode, Tracy speaks to Kristin Demoranville and Andrew Rose about “Hackers Targeting Canada's Food Supply.” It's true. Hackers are targeting Canada's food supply, and in today's episode, Tracy speaks to Kristin and Andrew, two cyber security professionals, about precisely what is happening. In this episode, they discuss: A string of ransomware attacks by Russian hackers are targeting Canada's agriculture sector and raising serious concerns about the safety of the food supply. Kristin shares more. Tracy remarks that since releasing their first episode together, serious cyber events have occurred, including the Co-op incident and the auto/machinery dealership parts system. (Episode 233: Cyber Attacks: Is Agriculture At Risk? Links to this episode below) Hackers and ransomware attacks are becoming an increasing threat to farmers. What are they, and how can they impact farmers?  Andrew has been working with the Canadian dairy industry on the milk industry hacks that have been occurring. Andrew shares more.  What do these cyber attacks look like, how do they happen, and how can we prevent them?  What do you do, and who can you call if you have an attack?  Is cyber insurance something farmers should be considering?  Tracy asks, “Is Canada's food supply safe and secure from cyber-attacks compared to other industries?” The answer is concerning. Regardless of your type and size of farming operation, we highly recommend that producers tune into this eye-opening episode.   *********** SHOW RESOURCES Tracy & Kristin's First Episode together…Episode 233: Cyber Attacks: Is Agriculture At Risk?https://www.farmmarketer.com/Resources/ResourceItem?resourceItemId=498 • Disarm Foundation - an excellent tool to counter information warfare • Just Culture - and organizational philosophy that provides innoculation against AI enabled social engineered attacks • Help@Isac.bio for assistance before/during/after a cyber incidence • In the US, report cyber crimes to www.IC3.gov for tracking and triage purposes (including anonymous reporting) *********** SIGN UP If you enjoyed this episode, don't forget to sign up as an Insider so that you are first to know about all-new Impact Farming episodes, Expert Corner Segments, fantastic contests, and new promotions https://www.farmmarketer.com/impact_farming_show/sign-up

When a medical error occurs, it is critical that we view the error through the lens of empathy and Just Culture.  This includes errors that have made national headlines.  Welcome to Episode 35.  How can a surgeon remove someone's liver thinking it is a spleen that is so diseased that it was four times bigger than normal and it had moved to the other side of his body?  In this episode, we discuss the unbelievable case of William Bryan who went into the hospital for left-sided flank pain and ultimately died on the OR table after Dr. Thomas Shaknovsky allegedly transected the major vasculature supplying the liver.----------------------------------------------------------------------------------Real Nurses, Real Talk website: https://www.purposedrivenpx.com/real-nurses-real-talk-podcastInterest form to tell your story: https://form.jotform.com/230685346709060Be sure to connect with us on Instagram:@realnurses_pcSend questions, topic ideas, and/or comments to realnursespc@gmail.com.

In this episode of the Winners Find a Way Show, host Trent Clark sits down with Mark Graban, author of The Mistakes That Make Us and host of the podcast My Favorite Mistake. They dive into the importance of embracing mistakes as learning opportunities and the power of resilient leadership. With a deep discussion on the different types of mistakes, from those that require prevention to those that drive innovation, Trent and Mark share personal stories and actionable insights that every leader can apply. Key Discussion Points: The dual nature of mistakes: deadly serious versus innovation-driving. How celebrating mistakes can foster a culture of growth and improvement. The concept of "Just Culture" in healthcare and its implications for leadership. Insights into leadership from legendary figures like John Wooden and Pat Summitt. Personal reflections on handling failure, the importance of resilience, and maintaining a healthy mindset after mistakes. Guest: Mark Graban is a recognized expert in leadership, consulting, and podcasting. With an engineering background from Northwestern and MIT, Mark is known for his work in process improvement, especially in the healthcare sector. He is the author of The Mistakes That Make Us and the host of the popular podcast My Favorite Mistake. Host: Trent Clark is the CEO of Leadershipity, a seasoned entrepreneur, and a former Major League Baseball coach with three World Series appearances. He is also the author of Leading Winning Teams. Episode Highlights: [00:02:00] Introduction of Mark Graban and his focus on learning from mistakes. [00:05:00] Mark shares his journey from engineering to leadership consulting. [00:15:00] The role of vulnerability in leadership and the importance of asking for help. [00:30:00] How leaders can create a safe space for learning from mistakes. [00:40:00] The importance of role clarity and adaptation in building winning teams. [00:55:00] Mark's advice for leaders struggling with mistakes: Be kind to yourself, learn from the experience, and move forward. Connect with Mark Graban: Website: MarkGraban.com LinkedIn: Mark Graban Podcast: My Favorite Mistake Connect with Trent M. Clark: Website: Leadershipity.com LinkedIn: Trent M. Clark Email: trent@leadershipity.com   Grab a copy of our Book “Leading Winning Teams”  Here: https://bit.ly/4cVWy2t  If you're interested in elevating your team's performance and doubling your organizational value, reach out to Trent for a consultation. Visit Leadershipity.com to learn more or schedule a 15-minute call with Trent.   Listen to More Episodes: Catch new episodes of the Winners Find a Way Show every Friday at 12:30 PM Eastern / 9:30 AM Pacific.   Disclaimer: The views and opinions expressed in this podcast are those of the host and guest and do not necessarily reflect the official policy or position of any organization.   

How can admitting mistakes save lives? Why is self-reporting crucial in aviation? In this episode of the Like a Pilot podcast, host Phil Wilkes answers a subscriber's question as he explores the transformative power of a Just Culture, where honesty and transparency are key to maintaining safety. We'll uncover how pilots use self-reporting to learn from errors without fear of punishment, ensuring safer skies for everyone. Join Phil as he takes you behind the scenes of airline operations, delves into real-life stories of pilots who've confessed their mistakes, and reveals how these practices can revolutionise other industries. Tune in for an eye-opening journey into the heart of aviation's Just Culture and its profound impact on safety and accountability.

In this episode of Nurses Uncorked, Nurse Jessica Sites and Nurse Erica interview Delanor Manson, the Chief Executive Officer of the Kentucky Nurses Association. They discuss the passing of House Bill 159 in Kentucky, which decriminalizes unintentional medical errors, making it the first and only state to do so. The bill provides immunity from criminal liability for healthcare workers and encourages a just culture of quality improvement and open communication. Delanor shares the process of writing and championing the bill. They also discuss the impact of the bill on nurse recruitment, retention, and the nursing profession as a whole. Additionally the discussion includes other legislation they have been directly involved in. Delanor highlights the Leadership and Advocacy Academy program offered by the Kentucky Nurses Association to teach nurses advocacy skills and engage with legislators. They have implemented programs to encourage nurses to get involved in politics and decision-making. Thank you to our sponsor, Vivian Health! Head to https://vivian.health/nursesuncorked to shop the ultimate job marketplace for all healthcare workers!    Thank you to our sponsor, Stink Balm Odor Blocker! Please visit  https://www.stinkbalmodorblocker.com/  and use promo code UNCORKED15 for 15% off your purchase!   Interested in Sponsoring the Show?  Email with the subject NURSES UNCORKED SPONSOR to nursesuncorked@nursesuncorked.com    Help Us Keep This Podcast going and become an official Patron of Nurses Uncorked! Gain early access to episodes, patron only bonus episodes and earn the title of becoming either a wine cork, wine bottle or Grand Preserve for exclusive benefits! https://patron.podbean.com/nursesuncorkedpodcast   Chapters: 00:55 Introduction and Welcome 04:00 House Bill 159: Decriminalizing Medical Errors 06:45 The Process 14:54 Just Culture and Quality Improvement in Healthcare 22:40 RaDonda Vaught Case 26:35 Impact on Nurse Recruitment and Retention 29:09 Advice to Other States to Implement Legislation 33:27 Problem of the Week 36:04 Leadership & Advocacy Academy; Nurse Legislator Engagement Program 41:28 HB176 Workplace Violence Prevention 49:40 HB200 Healthcare Workforce Investment Fund 51:45 Taking Ownership and Accountability 1:05:51 Enema of the Week Award   Sources: https://kentucky-nurses.nursingnetwork.com/nursing-news/198583-hb159-is-now-a-law-say-thank-you-to-legislators-and-the-governor-  https://apps.legislature.ky.gov/recorddocuments/bill/24RS/hb159/bill.pdf https://www.greaterlouisville.com/advocacy-and-legislation/bill-to-bolster-health-care-workforce-introduced/    New episodes of Nurses Uncorked every Tuesday (Monday for patrons!). Help us grow by giving our episodes a download, follow, like the episodes and a 5 ⭐️ star rating!   Please follow Nurses Uncorked at!  https://www.tiktok.com/@nurses.uncorked?_t=8drcDCUWGcN&_r=1 https://instagram.com/nursesuncorked?igshid=OGQ5ZDc2ODk2ZA== https://youtube.com/@NursesUncorkedL https://www.facebook.com/profile.php?id=100094678265742&mibextid=LQQJ4d You can listen to our podcast at: https://feed.podbean.com/thenurseericarn/feed. https://podcasts.apple.com/us/podcast/nurses-uncorked/id1698205714 https://spotify.link/8hkSKlKUaDb https://nursesuncorked.com    DISCLAIMER: This Podcast and all related content [published or distributed by or on behalf of Nurse Erica, Nurse Jessica Sites or Nurses Uncorked Podcast is for informational purposes only and may include information that is general in nature and that is not specific to you. Any information or opinions expressed or contained herein are not intended to serve as or replace medical advice, nor to diagnose, prescribe or treat any disease, condition, illness or injury, and you should consult the health care professional of your choice regarding all matters concerning your health, including before beginning any exercise, weight loss, or health care program.  If you have, or suspect you may have, a health-care emergency, please contact a qualified health care professional for treatment.   Any information or opinions provided by guest experts or hosts featured within website or on Nurses Uncorked Podcast are their own; not those of Nurse Jessica Sites, Nurse Erica or Nurses Uncorked Company.  Accordingly, Nurse Erica, Nurse Jessica Sites and the Company cannot be responsible for any results or consequences or actions you may take based on such information or opinions. All content is the sole property of Nurses Uncorked, LLC. All copyrights are reserved and the exclusive property of Nurses Uncorked, LLC.

In this episode, we talk with Carrie Beth Roddy, a COPIC Patient Safety and Risk Manager, who joins Dr. Zacharias for a conversation on Just Culture. Carrie starts with defining the concept of Just Culture, explaining how it is being integrated into traditional medical culture, and the importance of using it to create opportunities to prevent future medical errors. We dig into the difference between human and system errors, factors that contribute to Just Culture's success, how it facilitates more open discussions among providers while ensuring the highest level of safe treatment for patients, and ways that it supports meaningful interactions in the healthcare workplace. Feedback or episode ideas email the show at wnlpodcast@copic.com Disclaimer: Information provided in this podcast should not be relied upon for personal, medical, legal, or financial decisions and you should consult an appropriate professional for specific advice that pertains to your situation. Health care providers should exercise their professional judgment in connection with the provision of healthcare services. The information contained in this podcast is not intended to be, nor is it, a substitute for medical diagnosis, treatment, advice, or judgment relative to a patient's specific condition.

Matt Grissinger, RPh, FISMP, FASCP is the Director of Education at the Institute for Safe Medication Practices (also known as ISMP).  During our conversation, we talk about ISMP's Targeted Medication Safety Best Practices for Community Pharmacy first.  Then, we talk about how to report an error, CPE available from past ISMP webinars, adding education on operations to the pharmacy school curriculum, and more.  This is a great episode for any pharmacist, pharmacy student, pharmacy technician, or pharmacy owner.  Medication Safety is important.     Thank you for listening to episode 280 of The Pharmacist's Voice ® Podcast!   To read the FULL show notes, visit https://www.thepharmacistsvoice.com/podcast.  Select episode 280.   Subscribe to or follow The Pharmacist's Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!     Apple Podcasts   https://apple.co/42yqXOG  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Bio (May 2024) Matthew Grissinger, RPh, FISMP, FASCP is the Director of Education at the Institute for Safe Medication Practices (ISMP). He first joined ISMP in 2000 as an ISMP Safe Medication Management Fellow. Prior to joining ISMP, he served as a home care and long-term care pharmacy surveyor for the Joint Commission. He was project leader for the Hospital and Healthsystem Association of Pennsylvania (HAP) Hospital Improvement Innovation Network's (HIIN) Adverse Drug Event (ADE) Project, a collaborative project engaging healthcare organizations to reduce and prevent patient harm from the use of anticoagulants, insulins, and opioids. He has published numerous articles in the pharmacy literature, including regular columns in P&T and is a journal reviewer for a number of publications including the Joint Commission Journal on Quality and Patient Safety, Pharmacoepidemiology, Journal of Managed Care and Specialty Pharmacy, BMJ Quality and Drug Safety, and Annals of Internal Medicine. He is a chapter contributor to a textbook published by McGraw-Hill entitled Pharmacy Management: Essentials for All Practice Settings, Essentials of Nurse Informatics, Remington: The Science and Practice of Pharmacy, and Medication Errors. He is recently completed the Just Culture certification course. Mr. Grissinger serves as the Chair for the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP), and Co-Chair of the National Quality Form (NQF) Common Formats Expert Panel. He is also on the Faculty Advisory Board for the Pharmacy Learning Network (PLN) and the Publications Advisory Board for Davis's Drug Guide for Nurses. He also served on the WHO Focus Group on Measurement Tools for Medication Safety, United States Pharmacopeia's (USP) Safe Medication Use Expert Committee from 2005-2010, the FDA Proprietary Name Review Concept Paper workshop panel in 2008, FDA Naming, Labeling, and Packaging Practices to Minimize Medication Errors workshop panel in 2010 and the Joint Commission Home Care Compounding Pharmacy Technical Advisory Panel in 2013. He is also an adjunct assistant professor for Temple University School of Pharmacy. Mr. Grissinger received a BS in Pharmacy from the Philadelphia College of Pharmacy and Science and is a fellow of the Institute for Safe Medication Practices as well as the American Society of Consultant Pharmacists.   Subscribe to or follow The Pharmacist's Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!     Apple Podcasts   https://apple.co/42yqXOG  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Links from this episode Matt Grissinger on LinkedIn https://www.linkedin.com/in/matthew-grissinger-63231ab/  ISMPs new website

In this episode, TRC Healthcare staff members, Pam Piotrowski BSP, RPh, MBA, Product Manager for Pharmacist's Letter & Prescriber Insights, and Mary Franks, MSN, APRN-FPA, FNP-C, Lead Nurse Planner with NetCE discuss practical strategies to promote medication safety across healthcare teams.None of the speakers have anything to disclose. TRC Healthcare offers CE credit for this podcast. Log in to your Pharmacist's Letter or Prescriber Insights account and look for the title of this podcast in the list of available CE courses.The clinical resources mentioned during the podcast are part of a subscription to Pharmacist's Letter and Prescriber Insights: Checklist: Responding to Med ErrorsChart: Potentially Harmful Drugs in ChildrenChart: Potentially Harmful Drugs: Beers CriteriaIf you're not yet a Pharmacist's Letter or Prescriber Insights subscriber, find out more about our product offerings at trchealthcare.com. Follow or subscribe, rate, and review this show in your favorite podcast app. Find the show on YouTube by searching for ‘TRC Healthcare' or clicking here. You can also reach out to provide feedback or make suggestions by emailing us at ContactUs@trchealthcare.com.

A Just Culture in the workplace means that everyone should feel safe to speak up, and leads to open and honest communication, systems thinking, engagement, and participation, where everyone is involved in making improvements. Professor Janet Anderson and Garry Mann, our Human Factors team, talk to Yooralla's Director of Just Culture Miranda Cornelissen, about the benefits of implementing a Just Culture in the workplace.

Think about the last time you made a mistake. Now, imagine this happened at work, with a patient, and that your clinical setting is a punitive place where people are shamed for their mistakes. Would you want to tell anyone about this error?  What if, instead, you worked somewhere that embraced open conversation about errors, and looked without judgment at all the factors that might lead to mistakes?  This is at the heart of Just Culture - a philosophy and process that looks at both the individual and the system in a non-punitive way to figure out where something went wrong, and how we can all learn from it and make changes so it doesn't happen again. Our guest for this episode is Dr. Nidhi Goel - UMSOM alum, Med Peds physician, a leader in quality and safety for both the medicine and pediatrics departments at our hospital, and Director of the Medicine Clerkship - for a practical conversation on exactly what Just Culture is and how it impacts our students. Spoiler alert: she shares a real-world example of the Just Culture process that our team will never forget.  Resources: AHRQ's Just Culture Guide IHI courses Patient Safety and Quality Improvement elective from the UMSOM Course Catalog  

Creating a Just Culture in the Perioperative Setting by AORNJournal

Sean Klein joins Evan, Sujit, and Cale to talk about the Production LiveSite Review (PLR) process used by Azure Engineering for modern incident analysis and learnings. Media file: https://azpodcast.blob.core.windows.net/episodes/Episode484.mp3 YouTube: https://youtu.be/EsRrxguRn2Y Resources: How Complex Systems Fail Etsy Engineering | Blameless PostMortems and a Just Culture   Other updates: https://learn.microsoft.com/en-us/azure/load-testing/quickstart-create-and-run-load-test https://learn.microsoft.com/en-us/azure/load-testing/how-to-parameterize-load-tests#secrets  

Just Cullture is a concept that emphasizes creating a fair and accontable environment in organizations, especially those involved in patient safety. The principles of Just Culture are designed to balance the need for learning from mistakes and improving system safety with the need to hold individuals accountable for their actions. It recognizes that errors will happen, and the focus should be on learning from those errors to prevent future occurences. By implementing a Just Culture, organizations create an environment where individuals feel safe repoirting errors without fear of unwarranted blame or punishment. This contributes to enhancing overall safety and reduces risk of serious incidents. Listen in to learn more.

We're joined by Barbara L. Olson, a nurse and the chief clinical officer at The Just Culture Company. We dive into the recent report by the President's Council of Advisors on Science and Technology (PCAST) titled "A Transformational Effort on Patient Safety." Barbara shares insights on the report's key findings and recommendations, particularly focusing on the concept of Just Culture and its role in improving patient and clinician safety in health care systems. Barbara L. Olson is a nurse and chief clinical officer, The Just Culture Company. In this role, she supports health care clients in planning and sustaining Just Culture as a system of workplace justice. She can be reached on X @safetynurse. She discusses the KevinMD article, "A shop teacher's daughter on transforming patient safety." Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers. VISIT SPONSOR → https://kevinmd.com/careers Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern. VISIT SPONSOR → https://kevinmd.com/pattern SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/6M3nEF Powered by CMEfy. 

Gareth Lock sits down with Jay to discuss all things, 'Human Factors.'Gareth Lock is a retired senior officer in the RAF, having spent 25 years flying Hercules transport aircraft, involved in flight trials and R&D, and a Systems Engineer/Requirements Manager. He left the RAF in 2015 setting up the Human Diver to bring human factors knowledge and practice from aviation, oil & gas, healthcare and academia into the sports, military, scientific and commercial diving domains. He has since taught more than 500 people face-to-face, 2000 people online, published a book, and produced a documentary, all about applying human factors, non-technical skills and a Just Culture to diving. He provides HF advice to the British Diving Safety Group and co-chairs the Natural History Dive Safety group which advises on diving safety to the UK media sector. In terms of diving, he was trained primarily through GUE up to Tech 2, CCR 1, and was the head of QC for the organisation for a number of years.Gareth Lockhttps://www.thehumandiver.com/The Dive Tablehttps://www.thedivetable.com/Fish Dive Surf, Inc.https://fishdivesurf.com/Gardner Underwaterhttps://gardnerunderwater.com/If you enjoyed this episode and want to be a part of this growing community, you can join us in a couple of ways: Subscribe to the podcast so you get notified when new episodes drop;Leave a rating wherever you listen to your podcasts;Send the link to the show; thedivetable.com to a dive buddy, your dive team, or your last scuba instructor.Share your thoughts with us by leaving us a voicemail here on our website or say howdy.

This episode can be seen on our YouTube Podcast channel. We would love to hear from you! Please consider giving us your feedback about the Leadership Podcast by going to this link so we can deliver meaningful content.In this episode, we have the privilege of delving into the world of leadership through the lens of Krista Haugen, a seasoned expert in emergency, critical care, and flight nursing with over twenty-five years of experience through her remarkable career and personal experiences, where adversity became the catalyst for her passion in prevention and preparedness in healthcare. As a survivor of a helicopter EMS crash, Krista's unique perspective has ignited her commitment to mitigating the physical and psychological toll on patients and providers.In this conversation, Krista shares her expertise on the crucial role of leadership in fostering a culture of prevention and preparedness within organizations and the public healthcare system. Drawing from her strengths of empathy, adaptability, and developer skills, Krista provides practical insights into bridging communication gaps between leadership and staff, harnessing the power of survivor experiences, and driving resilience in high-stress environments.Discover how incident review models like Just Culture and High Reliability can revolutionize safety, continuous learning, and improvement under effective leadership. Explore Krista's strategies for predicting and addressing risks while her expertise in coaching and mentoring shines a light on supporting team members through adversity.From her experiences, we unravel the art of tailored communication for impactful safety culture promotion, and we envision the evolving role of leaders in shaping the future of trauma prevention within emergency medical services.Join us in this enriching episode as Krista Haugen unpacks the profound connection between leadership, adversity, and pursuing safer, more resilient healthcare systems.

Every year, the Vizient Pharmacy Vision Awards celebrate the values and achievements of Vizient member pharmacies. In 2022, the MD Anderson Pharmacy Division won the Excellence and Performance Improvement Award for working toward a just culture through education and evaluation of adverse events. Dr. Marisa Mendoza and Dr. Ali-Reza Shah-Mohammed provide the details of their successful program. Moderator: Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence Guests: Marisa Mendoza, PharmD, CHCP, CPHQ Clinical Pharmacy Specialist Pharmacy Continuing Education Program MD Anderson Cancer Center Ali-Reza Shah-Mohammadi, PharmD, MS, FISMP, CMQ Medication Safety Consultant Department of Patient Safety MD Anderson Cancer Center Show Notes: [02:21] Just Culture and the Notre-Dame Cathedral fire [04:11] First steps [05:40] Importance of the gap analysis [06:22] Educating all staff, not just leadership [07:43] Passion counts [09:03] Three misconceptions about Just Culture [11:19] Staff response and implementation [12:44] How to get started [14:49] Future plans Resources: Vizient Pharmacy Vision Awards Overview document About the program 2022 award winners Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Spotify Stitcher Android RSS Feed  

One of the recurring themes linked to healthcare in the United States is that where the need is greatest, there you are likely to find the fewest resources needed for resilience to challenges. This is particularly true during a disaster, be it pandemic, hurricane or economic downturn. A year into the COVID pandemic, the St. Bernard safety-net hospital in the South Side of Chicago received an “F” grade on its safety report. Already under disproportionate strain, the management team needed to implement a turnaround. Deploying the Just Culture model and collaborative change principles, the team fostered adoption of improved practices and documentation, resulting in a “B” rating in 2022, and at the time of publishing this episode in May, 2023, St. Bernard Hospital has now scored an “A” Grade. For this episode of the podcast, three members of the team that led those changes share their experiences with our host and Movement is Life Chair, Dr. Mary O'Connor. Featuring Orthopedic surgeon Dr. Daria Terrell MD, Medical Director of Clinical Programming and Health Outcomes, and President of Medical Staff; Orthopedic surgeon Dr. Vietta L. Johnson, MD; and Michael Richardson, RN, Chief Clinical, Quality & Patient Safety Officer. © Movement is Life 2023

On this episode of the "Day Watch Podcast," I talk to Paul LeSage, (Ret) lead flight paramedic, assistant fire chief, and director of Oregon's second-largest emergency 911 and dispatch center,  to discuss his upcoming orientation class at Wayne Township Fire Department on April 5th, 2023.   Paul's work includes conducting complex event investigations, helping organizations integrate Just Culture principles into their internal justice systems, evaluating learning systems in high-reliability industries, and teaching leaders, managers, supervisors, clinicians, and other front-line operators how to instill Just Culture into daily operational practices best.www.waynefire.org

Host, Tammy Allen, is joined again by Scott Griffith and they continue to discuss Collaborative High Reliability. This week they define Just Culture, explore its origins and how it fits into the Collaborative High Reliability Model.

Scott Griffith, President and Managing Partner of SG Collaborative Solutions, LLC joins host, Tammy Allen to discuss the origins of High Reliability and what it means. SG Collaborative Solutions combined the common lessons learned across multiple high consequence industries with the specific initiatives identified as best practices within each organization. The result is a model and taxonomy which SG Collaborative Solutions has granted exclusive authorization to DNV as the independent audit organization of the Collaborative High Reliability® model. DNV provides the world's first Collaborative High Reliability® and Collaborative Just Culture® Certification offered by an independent audit organization. This first-of-its-kind program has established qualifications that serve as the foundation necessary to apply for CHR organization certification. CHR organization certification validates that an organization has embraced the CHR methodology sustained over time. This podcast series will define Just Culture and High Reliability. We will break down each section with examples. We will also be interviewing organizational leaders that are currently on the journey to becoming a highly reliable organization.

Join host, Tammy Allen, as she gives an introduction to the basics of High Reliability and Just Culture and how those two concepts relate to DNV. She'll review the attributes of Collaborative High Reliability and give a general outline for what you can expect from subsequent episodes.

Highly Reliable Organization. Just Culture. What do these terms really mean to executives seeking sustainable operational excellence? Our podcast will delve into the history and current socio-technical science to define and explain the concepts surrounding High Reliability and Just Culture. We'll explore the relationship between the two terms, the principles that shape them, and how they are related. You'll hear examples of how any company in any industry can - and should - work toward becoming a Collaborative Highly Reliable Organization™.

On this episode, Jeff Akin reviews Star Trek Deep Space 9, Waltz (Season 6, Episode 11). He will examine the leadership approaches of Captain Sisko and kind of Dukat too. There is a lot to unpack in this episode. Jeff dives into Just Culture, the danger of labeling people (with a tangent into alignments from D&D), and offers a glimpse into the genius of Chris Voss's book, Never Split the Difference which is the best read on negotiation you will ever read. Starfleet Leadership Academy Online Store: www.starfleetleadership.academy/store  Follow the Academy and connect through: Website: https://www.starfleetleadership.academy/  Twitter: https://twitter.com/SFLApodcast Instagram: https://www.instagram.com/jefftakin/ Facebook: https://facebook.com/groups/sflapodcast/ YouTube: https://www.youtube.com/channel/UCebdT7xtm2237q0f857BBuw Find and follow Starfleet Leadership Academy on all your favorite podcast streaming platforms! Got friends who are fans of Star Trek or interested in topics on leadership? Don't forget to share the podcast! Support the Starfleet Leadership Academy Podcast on: https://patreon.com/sfla And if you visit the episode page at https://www.starfleetleadership.academy/, you'll find a transcript of this episode. The Starfleet Leadership Academy is a proud member of the ElectraCast Media Best Business Network.  Learn more about your ad choices. Visit megaphone.fm/adchoices

Just culture is a framework for open and honest discussions around errors occurring in hospitals. In Episode 15, we share our experiences with Just Culture, and provide insights into creating an safe, trusting work environment. Healthcare is on a journey to Zero Harm, and Just Culture is one way to get there. Also, for all our Emergency Nursing colleagues...Happy Emergency Nurses Week! Thank you really doesn't seem like enough for the incredible work ya'll do for your communities...but it is all we have...so THANK YOU!!!-----------------------------------------Be sure to connect with us on Instagram:@realnurses_pcSend questions, topic ideas, or comments to realnursespc@gmail.com

Believe it or not, October is almost here! And that means it's time for another Quality Month celebration at Michigan Medicine. This year's keynote speaker, Dr. Jo Shapiro, and director of the Office of Patient Safety, Nicole Templeton, recently joined The Wrap to preview the month and talk about why "Just Culture and Psychological Safety" is such an important theme. Check it out today! Hosted on Acast. See acast.com/privacy for more information.

Rætt er við dr. Erlu Björnsdóttur sálfræðing og sérfræðing í svefnrannsóknum og Ingvar Tryggvason flugstjóra og fyrrum formann Öryggisnefndar Félags íslenskra atvinnuflugmanna. Þau eru bæði fyrirlesarar á Reykjavik Flight Safety Symposium sem haldið er í sjötta sinn í ár. Erla ræðir um mikilvægi svefns fyrir heilsu, líðan og árangur og Ingvar segir frá innleiðingu sanngirnismenningar eða „Just Culture“ í flugheiminum.

Danny sits down with Epiroc's Global SafeStart guru David Bianco to discuss how vital a Just Culture is to organizational success and how SafeStart is a perfect tool for the job.Host: Danny SmithGuest: David Bianco https://safetalk.buzzsprout.com/1032442/9825473-psychological-safety?t=0

"From a place of personal accountability and commitment to system improvement, RaDonda Vaught's conduct in the aftermath of this tragic event has been exemplary. She told what she knew, as soon as she knew it, to any stakeholder, for any purpose in hopes that understanding her actions, state of mind, priorities, omissions, and flaws could help her patient or any other. Much of what we have learned comes from the painful, candid narrative of RaDonda Vaught, at no small consequence to herself. She is the nurse the patient safety community has longed for, indeed has spent two-and-half decades nurturing. She should not go to jail." Barbara L. Olson is a nurse and senior advisor, The Just Culture Company. She supports health care clients in planning and sustaining Just Culture as a system of workplace justice and can be reached on Twitter @safetynurse. She shares her story and discusses her KevinMD article, "Why a nurse should not go to jail." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

In this episode, we discuss the Second Victim Syndrome and Just Culture. We also discuss progesterone levels and vaginal progesterone for prevention of preterm labor, a new study about Exparel, the ARRIVE trial and news of a lower primary Cesarean rate, piercings and surgery, and whether we should include the endometrium in the closure of Cesareans. 

Join CASC Leadership discuss the most recent advancement in our Safety Programs and how it impacts JetBlue Pilots. The Safety LOA or LOA 16, a contractual agreement between the Company and JetBlue ALPA, incorporates Central Air Safety involvement in our Safety Management System, protections and policies to support a “Just Culture” and allow further engagement of JetBlue Pilots in our safety reporting systems to strengthen our reporting culture.

The RaDonda Vaught case has nurses everywhere questioning whether an the future for nurses is that unintentional actions will lead to prosecution. A big question in this case is whether Just Culture was applied. Just Culture is a key component in ensuring a culture of safety, and in this episode you will learn why you need to start using it today as well as the exact steps of how to implement the Just Culture tool.

Today we get behind the mic with Nurse Erica and bring you her recap & experiences from the past week at Radonda Vaught's trial. The highlights and takeaways we can all learn from and how we can move forward in our profession. Nurse Erica is a registered nurse with over 20 years of experience as a nurse and in nursing leadership. She holds experience in pediatrics and hospice, is the founder of The Last Pizza Party, and is also a connect creator on IG and TikTok. We need to unite. Now, more than ever we want to platform these conversations and highlight the importance for all of us in the healthcare field to start taking active steps to improve systems for providers and our patients. From improving our workplace environments (safe staffing ratios, mandated breaks, Just Culture, Leadership who listens to & supports us) to getting involved in policy (lobbying, researching politicians who support safe healthcare policies, & using our collective voices and votes). NOW is the time to drive change in our profession.  RESOURCES & LINKS TO MAKE CHANGE & LEARN MORE https://www.impactinhealthcare.org/ (IMPACT IN HEALTHCARE ) Building a better system for everyone! Learn more, get involved, or made a donation to the non-profit working hard to improve healthcare policy!  RADONDA VAUGHT  https://www.facebook.com/groups/386388859974423 (Nurses March for Radonda Vaught ) http://istandwithradonda.com (istandwithradonda.com) https://www.change.org/p/grant-radonda-vaught-clemency (Sign the petition ) RaDonda Vaught:  PO Box #128 Bethpage, TN 37022  May 13th @ 9am sentencing  CHRISTANN GAINEY  https://6abc.com/christann-gainey-herbert-r-mcmaster-sr-philadelphia-senior-living-trump-security-advisor/11690388/ (Christann Gainey, LPN case (abc 6 action news) ) https://abcnews.go.com/US/wireStory/nurse-pleads-guilty-fatal-fall-mcmasters-father-83745387 (Christiann Gainey, LPN case (abc news) ) To connect with Nurse Erica clickhttps://www.instagram.com/the.nurse.erica/ ( HERE) To connect with Tori click https://www.instagram.com/nurse.tori_/ (HERE)  To connect with Sam click https://www.instagram.com/heysamanthaa/ (HERE) To connect with Cellfie Show click https://www.instagram.com/cellfie_podcast/ (HERE) Check out our Cellfie Show collab sock!!!  https://www.upatdawn.co/collection/cellfie-show-x-up-at-dawn-collab (SHOP UP AT DAWN X CELLFIE SHOW CLICK HERE) https://www.cellfiepodcast.com/ (Cellfie Show ) https://www.cellfiepodcast.com/shop-1 (Cellfie Podcast Merch)  Produced by: Tori + Sam  THIS EPISODE IS BROUGHT TO YOU BY PICMONIC (CODE: CELLFIE save 20%) Picmonic, Inc. is an audiovisual learning platform designed for healthcare students (RN, MD, DO, CNA, LPN, NP, PT etc) It is the study tool of choice for learning thousands of the most difficult to remember and most frequently tested topics, board exam prep and uses questions centered on an evidence-based “learn-review-quiz” format. Quick & effective 2-minute Picmonic videos Connects difficult to remember facts with unforgettable characters Ties the facts together into ridiculously memorable stories Reinforce what you learn and track your progress with thousands of built-in rapid review multiple-choice quizzes. Intelligent spaced-repetition algorithms automatically adjust to your learning needs, so you'll be reminded to review the right information, at the right time - increasing long-term retention. https://www.picmonic.com/viphookup/nursetori (CLICK HERE) THIS EPISODE IS BROUGHT TO YOU BY CELLFIE STUDIOS MAXIMIZE YOUR NURSING PROFESSION This 28 page eBook is a digital download that provides you with NURSE PRO TIPS to help you land that dream job! This is a fully loaded guide complete with the strategies to help you master your job application and interview process. We cover all of the juicy details to help you...

RaDonda Vaught, A Tennessee nurse is facing two criminal charges for a medication error that occurred at Vanderbilt Hospital in 2017. The medication error was initially covered up by the hospital, but after an anonymous source uncovered the mistake, Vanderbilt immediately shifted blame to the nurse, RaDonda Vaught, who had been cooperating with investigations for the entire 10 months preceding.  The Tennessee board of nursing has charged Radonda with civil charges, fines, and she is now being tried criminally for a medication error. We are weighing in today with a quick recap and our thoughts on this case. What does this mean for us as nurses and the healthcare community? This is in blatant disregard of "Just Culture" and if she is prosecuted, an incredibly dangerous precedent will be set amongst nurses, making healthcare even more unsafe than it currently is. WRITE A LETTER TO RADONDA'S LAWYER  Peter Strianse Capital View 11th Ave North Suite 600 Nashville TN 37203 https://www.instagram.com/the.nurse.erica/ (NURSE ERICA) https://youtu.be/bVN4ldj20tk (NURSE LIZ YOUTUBE (Radonda Vaught Trial | Nurse Faces Criminal Charges for Med Error) ) Check out our Cellfie Show collab sock!!!  https://www.upatdawn.co/collection/cellfie-show-x-up-at-dawn-collab (SHOP UP AT DAWN X CELLFIE SHOW CLICK HERE) To connect with Tori click https://www.instagram.com/nurse.tori_/ (HERE)  To connect with Sam click https://www.instagram.com/heysamanthaa/ (HERE) To connect with Cellfie Show click https://www.instagram.com/cellfie_podcast/ (HERE) https://www.cellfiepodcast.com/ (Cellfie Show ) https://www.cellfiepodcast.com/shop-1 (Cellfie Podcast Merch)  Produced by: Tori + Sam  THIS EPISODE IS BROUGHT TO YOU BY CELLFIE STUDIOS MAXIMIZE YOUR NURSING PROFESSION This 28 page eBook is a digital download that provides you with NURSE PRO TIPS to help you land that dream job! This is a fully loaded guide complete with the strategies to help you master your job application and interview process. We cover all of the juicy details to help you perfect the art of interviewing. CLICK HERE https://payhip.com/CellfieStudiosLLC (THE COMPLETE NURSE INTERVIEW GUIDE TO LAND YOUR DREAM JOB! )