Cultures of quality & safety

10 important questions on Cultures of quality & safety

How is Bate et al. Defining 'Cultural quality challenges'?

Giving quality a shared, collective meaning, value, and significance within the organization

What is Shein's Culture Triangle?

  • Stable
  • supplies a frame of reference -> horizon in which you see things


Artifacts = refield practices (action -> way you talk)

Espoused values = underlying values we have (education etc)

Basic underlying assumptions = I have to learn from other professors (hard to change)

What are cultural challenges in healthcare perspective:

  • Different understandings of quality
  • Silo cultures
  • Defensive cultures
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Safety cultures, what is pathological culture?

Who cares as long as we're not caught

Safety cultures, what is reactive culture?

Safety is important, we do a lot every time we have an accident

more prevalent

vaak wordt iets gedaan als er iets al gebeurd is

Safety cultures, what is calculative culture?

We have system in place to manage all hazards

safety systems a lot of organizations no must  have

oversight in organisation (indicator system) mistakes are made, collected on central level

so have to report more rather than safety being integrated!

Safety cultures, what is proactive culture?

We work on the problems that we still find -> proactive


risk -> tackle

Safety cultures, what is generative culture?

Safety is how we do business round here

incorporate safety in your culture -> normal to talk and so safety

What is the difference between safety I and II?

Safety II is more bottom up approach

Just culture
  • reflection-in-action crucial for safety
  • need open attitude 


= just culture is an organizational culture that allows for open, non punitive accounting, targeted at restitutive practices (in case of failure) and open conversations (in case of normal practice) --> closely aligned to safety II

Culture koppelen aan een case vrouw die elk half uur de verpleging belt

Instead of problematic behavior -> misunderstood behavior

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