Patient Safety and the "Just Culture": A Primer for Health Care Executives.
Marx D. New York, NY: Columbia University; 2001.
Accountability is a concept that many wrestle with as they steer their organizations and patients toward understanding and accepting the idea of a blameless culture within the context of medical injury. Marx presents the concept from the legal perspective but does so for the non-barrister. Written prior to the acceptance of open disclosure or general policy support of it, the primer thoughtfully outlines the complex nature of deciding how best to hold individuals accountable for mistakes. Four key behavior concepts serve as the structure for the paper: human error, negligence, reckless conduct, and knowing violations. How they are applied to various situations in health care and how the individuals involved should be disciplined provide thoughtful reading.
Free full text (PDF)
Dana-Farber Cancer Institute Principles of a Fair and Just Culture.
Boston, MA: Dana-Farber Cancer Institute.
SPECIAL OR THEME ISSUE
The Criminal Edition.
The Just Culture Community. January/February 2007;1-6.
Leadership committed to safety.
Sentinel Event Alert. August 27, 2009;(43):1-3.
Do you hold staff accountable for safety?
Terry K. Hosp Health Netw. February 2010.
View all related resources...
Find Related Resources by...
Health Care Executives and Administrators
Non-Health Care Professionals
Approach to Improving Safety
Credentialing, Licensure, and Discipline
United States of America
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.
Contact AHRQ PSNet
Terms & Conditions
Freedom of Information Act
The White House
USA.gov: U.S. Government Official Web Portal
Agency for Healthcare Research and Quality • 540 Gaither Road Rockville, MD 20850 • Telephone: (301) 427-1364