Understanding why health-care professionals make errors is necessary to undersatnd how poorly designed systems and other factors contribute to errors in the health-care system.
While errors are a fact of life, the consequences of errors on patient welfare and staff can be devastating.
It involved asking was the behaviour
▶️ Human error
▶️ Reckless behaviour?
The Just Cultue method of investigation looks at the extent of the behaviour behind the error, and apportioning blame only if the behaviour was reckless.
Medical students and other healthcare professionals need to understand how and why systems break down and why mistakes are made so they can act to prevent and learn from them.