10/30-Violations and Just Culture

Define violations/workarounds and normalization of deviance and recognize when a

Violations: Deliberate but not necessarily reprehensible- deviations from those practices deemed necessary

→First, there must exist rules, guidelines, protocols or norms to be violated

→Violations involves intentional action that is contrary to these rules

Normalization of Deviance: The gradual shift in what is regarded as normal after repeated exposures to deviant behavior

→Routine violations

Recognize the different types of violations in practice

Recognize violation-producing conditions in practice

→Low probability of detection

→Inconvenience in performing a procedure according to protocol

→Copying behavior of others who are violating procedures

→Lack of disapproving authority figure present

→Group pressure to violate existing procedures

Explain how some violations can also be rule-based mistakes

Some violations are rule-based mistakes when they happen because someone misunderstood or misapplied a rule, not because they chose to ignore it. For example, a pharmacist might make a mistake with dosage calculations due to a rule misunderstanding. In these cases, better training can help prevent future errors.

SOME violations are rule based mistakes, but not all rules based mistakes are violations

Explain “just culture” and how an accountability tool can support it

A fair and just culture holds individuals accountable for their actions but does not punish individuals for issues attributed to flawed systems or processes or for reporting events 

An accountability assessment tool supports an objective and transparent process for determining when an individual should be held accountable for actions or not

Classify an action using “just culture” terms and determine the appropriate

accountability for that action