Just Culture is More Than Just Talk- How CUSP Culture and Teamwork Led to ZERO CLABSI Infections
NCPS Just Culture Collaborative Dates and Time Location UNMC’s · 2015-06-01 · NCPS Just...
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NCPS Just Culture Collaborative – Just Culture Certification Workshop Information Dates and Time: June 9-11 th , 2015, from 8AM to 5PM each day. Please arrive on time and plan to attend the entire session for each day of the workshop. Location: UNMC’s Harold M. and Beverly Maurer Center for Public Health Room 3013. This room is on the third floor and in the northwest corner of the building. A campus map is included. The Center for Public Health building is indicated on the map, and is near 39 th St. and Dewey Ave. Parking: Parking is available on the UNMC Campus in Lot 15S, which is the student section of Lot 15 that wraps around the Center for Public Health and Student Life Center (see campus map included – portions of Lot 15S are indicated by the shaded red lines). Student parking stalls are marked with WHITE stall lines painted in Lot 15S. Yellow stall lines are designated for employees only, so please park only within WHITE stall lines in Lot 15S. No parking tags or other indicators are needed to park in Lot 15S. Driving Directions: The Element Omaha Midtown Crossing parking structure on 33 rd and Dodge St Omaha, NE 68131 to UNMC Parking Lot 15S near South 39 th St. and Dewey St. A map is included. Head South on S 33 rd St toward Farnam St Turn right onto Farnam St Turn left on S 40 th St Turn left onto Dewey Ave Turn right onto S 39 th St – S 39 th St will take you into the parking lot, look for Lot 15S signs If you are staying at The Element, this hotel offers a shuttle service to and from UNMC. If you are interested in using this shuttle service, please contact the Element’s Front Desk to arrange pick-up and drop-off times. Agenda: A copy of the certification course agenda is included, and includes the course objectives. Materials: All materials necessary for the certification workshop will be available on the first day of the workshop. You may wish to bring additional paper and a pen or pencil to take notes. If you have not already done so, please make sure you complete the online Just Culture pre-certification course training modules prior to the start of the workshop. Instructions to access this online training were sent via email in late April/early May. Meals: Water, coffee, lunch, and a morning and afternoon snack will be provided during each day of the certification workshop. In addition, there are vending machines available in the Center for Public Health building. There is also a convenience shop located in the Michael F. Sorrell Center for Health Science Education, just a minute or two walk from the Center for Public Health building. Dining in Omaha: A list of restaurants in the Midtown Crossing, Dundee/Happy Hollow, Aksarben Village, and Old Market/Downtown areas of Omaha is included. If you have any additional questions, please contact Vicki Kennel at [email protected], or Ann McGowan at [email protected]. If additional direction or information is needed during the workshop, you may contact Vicki Kennel at (402) 699-0280.
Transcript of NCPS Just Culture Collaborative Dates and Time Location UNMC’s · 2015-06-01 · NCPS Just...
NCPS Just Culture Collaborative – Just Culture Certification Workshop Information
Dates and Time: June 9-11th, 2015, from 8AM to 5PM each day. Please arrive on time and plan to attend the entire
session for each day of the workshop.
Location: UNMC’s Harold M. and Beverly Maurer Center for Public Health Room 3013. This room is on the
third floor and in the northwest corner of the building.
A campus map is included. The Center for Public Health building is indicated on the map, and is near
39th St. and Dewey Ave.
Parking: Parking is available on the UNMC Campus in Lot 15S, which is the student section of Lot 15 that
wraps around the Center for Public Health and Student Life Center (see campus map included –
portions of Lot 15S are indicated by the shaded red lines). Student parking stalls are marked with
WHITE stall lines painted in Lot 15S. Yellow stall lines are designated for employees only, so please
park only within WHITE stall lines in Lot 15S. No parking tags or other indicators are needed to park
in Lot 15S.
Driving Directions: The Element Omaha Midtown Crossing parking structure on 33rd and Dodge St Omaha, NE 68131 to
UNMC Parking Lot 15S near South 39th St. and Dewey St. A map is included.
Head South on S 33rd St toward Farnam St
Turn right onto Farnam St
Turn left on S 40th St
Turn left onto Dewey Ave
Turn right onto S 39th St – S 39th St will take you into the parking lot, look for Lot 15S signs
If you are staying at The Element, this hotel offers a shuttle service to and from UNMC. If you are interested in using this
shuttle service, please contact the Element’s Front Desk to arrange pick-up and drop-off times.
Agenda: A copy of the certification course agenda is included, and includes the course objectives.
Materials: All materials necessary for the certification workshop will be available on the first day of the workshop. You
may wish to bring additional paper and a pen or pencil to take notes. If you have not already done so, please make sure
you complete the online Just Culture pre-certification course training modules prior to the start of the workshop.
Instructions to access this online training were sent via email in late April/early May.
Meals: Water, coffee, lunch, and a morning and afternoon snack will be provided during each day of the certification
workshop. In addition, there are vending machines available in the Center for Public Health building. There is also a
convenience shop located in the Michael F. Sorrell Center for Health Science Education, just a minute or two walk from
the Center for Public Health building.
Dining in Omaha: A list of restaurants in the Midtown Crossing, Dundee/Happy Hollow, Aksarben Village, and Old
Market/Downtown areas of Omaha is included.
If you have any additional questions, please contact Vicki Kennel at [email protected], or Ann McGowan at
[email protected]. If additional direction or information is needed during the workshop, you may contact Vicki
Kennel at (402) 699-0280.
Park in Lot 15S
College of Public Health
Building
UNMC Lot 15S
Element Hotel
Parking Structure
North
Farnam St.
Dewey Ave.
S 40
thSt.
S 33
rdSt.
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The Just Culture Three Day Certification Course Agenda Nebraska Coalition for Patient Safety (NCPS)
Day 1
Morning session
8-10:00 Introduction to just culture · What is workplace justice today · Just culture” A simple model · Check on Learning Exercise: A tale of two citizens · The “Guilty Mind” (US V. Morisette)
10-12:00 Who we are as human beings · Life, Liberty and the Pursuit of happiness · Imposers and Duties (Palsgraf v. Long Island RR) · Human Intentions · Introduction to the three behaviors
Afternoon Session
12-1:00 Lunch
1-5:00 Managing the Socio-Technical System · What we must believe about the Management of Risk · Managing System Design · “Wing Walkers” · Managing Human Behaviors · The Reasonable Person Standard · Mislabeled Specimens: A Case Study · The 16 Design Laws of a Just Culture
5-6:00 Advisor Remains for questions as needed Advisor will offer a 5-10 min. break every hour and fifteen minutes
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Day 2
Morning session
8-12:00 Outcome Engenuity’s Just Culture Algorithm
· Duty to produce an outcome · Duty to follow a procedural rule · Check on learning exercises: Scenarios (group learning)
Afternoon Session
12-1:00 Lunch
1-5:00: Just Culture Algorithm (cont.) · Duty to avoid causing unjustifiable risk or harm · Check on learning exercises: Scenarios (group learning) 5-6:00 Advisor Remains for questions as needed Advisor will offer a 5-10 min. break every hour and fifteen minutes
Day 3
Morning session
8-10:00 Outcome Engenuity’s Just Culture Algorithm (cont.) · Repetitive human errors · Repetitive At-Risk behaviors · Check on learning exercises: Scenarios (group learning)
10-12:00 Just Culture Implementation, Measures, and Questions · JC Measures · Final Questions · Closing comments
Afternoon Session
12-1:00 Lunch
1-5:00 Review of One Day Just Culture Managers Course (Train the Trainer) Advisor will offer a 5-10 min. break every hour and fifteen minutes ·
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Course Objectives
Attendees will be able to champion, mentor, and train staff on the Just Culture
concepts to reduce errors and adverse events through:
A. The application of the 5 skills (Values, System Design, Behavioral Choices, Learning
Systems, and Justice).
1. Values – Defining and understanding competing values.
2. System Design – Managing the quality of the system design.
3. Behavioral Choices – Managing the quality of the behavioral choice.
4. Learning Systems – Use of learning system principles to encourage reporting
and learning from errors, while using investigative rules and concepts to
analyze errors and events.
5. Justice – Establishment of fair and consistent guidelines to affect
accountability.
Omaha Restaurants near the UNMC area
Midtown Crossing area
From Dodge to Harney St, between 33rd St. and
Turner Blvd.
Black Oak Grill
Cantina Laredo
Chicago Dawg House
Crave
Delice European Bakery & Café
The Grey Plume
Ingredient
Lenny’s Sub Shop
Pana 88
Saints Pub + Patio
Dundee / Happy Hallow area
From Dodge to Cuming St., between 52nd and
46th St.
Pitch Pizzeria
Dario’s Brasserie
Goldbergs
The French Bulldog
Amsterdam Falafel and Kabob
Marks Food, Wine, and Sprit
Aksarben Village area
From Pacific to Center St., between 72nd and 60th
St.
DJ’s Dugout
Dudley’s Pizza and Tavern
Jones Bros. Cupcakes
Mai Thai
Ponzu Sushi & Grill
Spirit World
Voodoo Taco
Old Market / Downtown area
From Farnam to Jackson St., between 13th and
10th St.
Billy Frogg’s Grill & Bar
Blue Sushi Old Market
Jackson Street Tavern
J’s on Jackson
M’s Pub
Matsu Sushi
Old Chicago
Pepperjax Grill
Rock Bottom Brewery
Roja
Spaghetti Works
Stokes Grill & Bar
Twisted Fork Grill & Bar
Upstream Brewing Company
Zio’s Pizzeria
