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.
Strategic Accounts Manager, Arbinger Institute, 1379 North 1075 West, Suite 100, Farmington, UT, 84025.
Mil Med. 2020 Oct 1;185(Suppl 3):52-57. doi: 10.1093/milmed/usaa143.
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.
医疗保健和退伍军人健康管理局已经采取了许多举措来改善患者护理，包括努力为患者安全和质量结果创造“公正文化”环境。尽管在这些举措上投入了大量资源并付出了努力，并且取得了一些暂时的改善，但我们仍在努力取得重大和可持续的改善。在退伍军人管理局北德克萨斯医疗保健系统，我们发现我们的努力方向有误。通过集中精力改变驱动行为的潜在思维模式，我们希望为我们创造一个基础，帮助我们真正实现一个高可靠性和公正文化的组织，为我们的患者和员工提供他们应得的护理和结果。
