Pinterest Daniel Vaughan-Whitehead Daniel Vaughan-Whitehead is senior economist at the International Labour Office and founder of the Fair Wage Network he writes in his personal capacity; these are his views and do not necessarily reflect those of the ILO To achieve fair wages in the garment sector requires action on different fronts and from different actors.
Other industries have improved their reliability by applying innovative concepts to interpersonal relationships and administrative hierarchical structures Chandler In the last 10 years the science of patient safety has become more sophisticated, with practical concepts identified and tested to improve the safety and reliability of care.
Objective Three initiatives stand out as worthy regarding interpersonal relationships and the application of provider concerns to shape operational change: The development and implementation of Fair and Just Culture principles, the broad use of Teamwork Training and Communication, and tools like WalkRounds that promote the alignment of leadership and frontline provider perspectives through effective use of adverse event data and provider comments.
The argument is made that they must be systematically and consistently implemented in an integrated fashion. Conclusions There are excellent examples of institutions applying Just Culture principles, Teamwork Training, and Leadership WalkRounds—but to date, they have not been comprehensively instituted in health care organizations in a cohesive and interdependent manner.
To achieve reliability, organizations need to begin thinking about the relationship between these efforts and linking them conceptually. Safety, teamwork, leadership, walkrounds, reliability, culture In health care we excel in defining projects and tackling them with zeal, yet the end result, particularly in the safety-based ones, is that most do not achieve the desired outcomes.
Instead, projects suffer from inadequate design, and we harvest, at best, modest results. Mindfulness is defined by Roberts, Weick, and Sutcliffe as being comprised of five components: A constant concern about the possibility of failure even in the most successful endeavors, deference to expertise regardless of rank or status, an ability to adapt when the unexpected occurs commitment to resiliencean ability to both concentrate on a specific task while having a sense of the bigger picture sensitivity to operationsand an ability to alter and flatten hierarchy as best fits the situation Weick and Sutcliffe These common characteristics together appear to generate reliably dependable processes with minimal and manageable errors.
Health care aspires to high reliability but has not, to date, clearly framed the steps necessary to achieve such. Our historical approach mimics early steps in other industries as evidenced by a preoccupation with fancy technology and outcome-based initiatives, but without the systematic effort to build the mindfulness necessary to make all other initiatives successful.
These three initiatives are critical and must be pursued with and integrated into all other operations. They are 1 the development of a Fair and Just Culture Marx2 leadership intelligently engaged in WalkRounds safety by using frontline provider insights to directly influence operational decisions Frankel et al.
The success of these pursuits is interdependent, and hospitals interested in transforming care must spend equal effort on them.
If pursued in this manner, the likelihood is that outcome-based initiatives will reach their goals more frequently and faster, failure to do so is likely to ensure that safe and effective care remains an elusive goal.
The tools work synergistically, are reasonably simple in concept but less easily implemented, and are difficult to measure.
Ultimately they are essential for all other efforts. This article relates the components of Just Culture, Engaged Leadership, and Teamwork and Communication and suggests a framework for action in each, including specific tools.What Makes A Just Society?
Throughout history, people have been trying to create an improved, fair, and equal system of justice, not only to better society in which one lives, but to also find a sense of meaning in what responsibilities people should hold within their civilizations in order to create this just way of living.
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Get started now! Towards a just society Michael Sandel Although we debate the meaning of the 'good life', it is impossible without shared ideas about justice and civic virtues. In order to achieve fair wages in the fashion industry, all of the actors involved, whether government, employers, trade associations and brands, employees and their legitimate representatives.
Distributive justice refers to the extent to which society's institutions ensure that benefits and burdens are distributed among society's members in ways that are fair and just. When the institutions of a society distribute benefits or burdens in unjust ways, there is a strong presumption that those institutions should be changed.