NCPS Just Culture Collaborative Workshop Info

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.
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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
Element Hotel
S 33rd St.
Parking
Structure
Farnam St.
S 40th St.
Dewey Ave.
UNMC Lot 15S
North
The Just Culture
Three Day Certification Course Agenda
Nebraska Coalition for Patient Safety (NCPS)
Day 1
Morning session
8-10:00
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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
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Introduction to just culture
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
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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
1
Day 2
Morning session
8-12:00 Outcome Engenuity’s Just Culture Algorithm
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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.)
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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.)
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Repetitive human errors
Repetitive At-Risk behaviors
Check on learning exercises: Scenarios (group learning)
10-12:00 Just Culture Implementation, Measures, and Questions
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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.
3
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