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Table 1 Description of objectives and initiatives to foster a just culture

From: Fostering a just culture in healthcare organizations: experiences in practice

Organization

Objectives

Initiatives

MH 1

Strengthening the involvement and shared ownership of employees in accident investigations and learning from incidents, including suicide attempts.

Series of dialogue sessions with employees aimed at exploring past experiences with accident investigations. Participants had various professional backgrounds across teams (managers; psychiatrists; psychologist; psychiatric nurses and psychotherapists). A feedback session in which the findings of these sessions were discussed by means of a world café method with all participating employees.

MH 2

Searching an appropriate way to 1) learn from incidents of sexual boundary transgressions of mental health professionals towards patients, and 2) prevent future sexual boundaries transgressions.

Dialogue sessions on sexuality and sexual boundary violations including a session with two former patients (victims) and team members discussing the incidents and focus on what the team and the organization could learn from this incident in order to prevent future sexual boundary violations.

MH 3

Evaluation the organization’s patient safety policy through a Just Culture perspective.

The researchers observed and conducted interviews about the extensive policy on patient safety that the organization had implemented. For instance a safety café, in which people can talk freely about fallibility and how safety within healthcare can be improved. During the safety café, people shared personal experiences with regard to incidents.

H 1

Improving internal adverse events investigations based.

Two workshops were organized for incident-investigators within the organization. Both workshops aimed at fostering reflection and learning from current research strategies.

H 2

Developing an approach to quality of care based on “learning from what goes well” and “personal involvement”.

Weekly quality-meetings to complement existing complication-meetings. During these meetings discharged patients are discussed as well as scheduled admissions and operations.