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Penn Medicine @ Work

Human Error: Console Don’t Discipline

When we investigate Safety Net reports,  we usually find one of three behaviors:  (1) Human Error; (2) At-Risk Behavior; or (3) Intentionally Reckless Behavior

In our weekly Just Culture quiz, 40 percent of those who responded to the recent example of a Human Error thought it was At-Risk or Intentionally Reckless Behavior. This means that 40 percent of us might have blamed or punished a colleague for a mistake. Sometimes it is hard to see the difference between a mistake and something risky or reckless.

Human Errors are mistakes, slips, lapses… things we didn’t do on purpose. For example:

... you accidentally order methimazole instead of metronidazole.

... you put supplies away while a colleague is telling you a funny story, and you put the Foley catheters in the wrong supply bin.

... you mistakenly put Patient A’s progress note into Patient B’s chart after a long and tiring shift.

A Just Culture does not punish people for making mistakes like these, no matter what the outcome. We know  we are human; we are prone to certain kinds of errors such as substituting one thing for another or missing a step while being distracted. 

Healthcare in general still has a fairly punitive culture where people are blamed for a human error – sometimes even at PPMC. 

“Just Culture” Challenge

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Everyone in the health care plays a role in delivering safe care.By uniting together and sharing that common goal,we can all make a difference in patient safety. For the next five weeks, we will be presenting a “Just Culture”challenge.Ea...Full story

Plans Underway for Lancaster General Health to Join UPHS

Building on a longstanding clinical relationship between the two organizations, the University of Pennsylvania Health System has reached a final agreement for Lancaster General Health (LG Health) to join UPHS. A three-hospital health system...Full story

Open Enrollment Begins on April 20th

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Open Enrollment Is April 20 – May 3, 2015 Take action during Open Enrollment if you want to: Make changes to your current benefit elections for 2015 – 2016 Add or drop a dependent from your benefit coverage. Contribute to a Health Car...Full story

Take a Fresh Step into 2015

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Participate in the “Reward for Resolutions” Health Challenge … and Have the Opportunity to Earn $100! We all want to be happier and healthier in the New Year. Good health happens when the physical, emotional, social, and environmental par...Full story

HIM Corporate Consolidation

As part of the corporate consolidation plan, the Health Information Management Department (Medical Records) will relocated the departments at HUP, PAH, and PPMC to 1500 Market Street on December 4th, 2014. The new address and contact inf...Full story

Penn Medicine @ Work

Healthy Rewards: A Successful First Year! The Healthy Rewards Program has ended its first year as a success! The point-based program allows employees to earn points for completing an online well-being assessment, knowing their numbers, an...Full story

Apply Today for the 2014 UPHS Quality and Patient Safety Awards

Do you have a great project that you want to share with others? Start Gathering Your Data! Quality Patient Safety Award Submission Time Is here! This award has been a long standing opportunity for teams to formally document their achieve...Full story

Earn Points and Get Healthier with Healthy Rewards

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The new 2014 Healthy Rewards program is live and ready for you to sign in and start participating! The more points you earn, the more you can win … and the healthier you get! For each healthy activity or challenge you complete, you earn po...Full story

Training High-Achieving Students for Careers in Health Care

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Penn Medicine Academy Internship Program Tyler Jackson is a charming, well-spoken high-school senior with a bright smile and a curious mind. “I like working with people who are different than me,” said Tyler, who is a current participant i...Full story

UPHS Annual Open Enrollment

The UPHS annual Open Enrollment is available now through April 27, 2014. This year’s enrollment is an active enrollment which means you must make an active election during the enrollment period! Read on for more information about Open Enrol...Full story

 

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