Culture of Safety critical incident review
The Department of Human Services is using the Culture of Safety systemic critical incident review model to review critical incidents, such as medication errors and wheel chair safety incidents. The project began in May 2019.
Why is DHS using the Culture of Safety model?
- To improve the quality of life and community participation/contribution of people with disabilities
- To develop a robust and proactive response to critical incidents dedicated to accountability, learning and improvement of Minnesota’s systems, rather than assessing blame
- To move beyond surface level understandings of how systems fail to an understanding of how various parts of a system worked together to influence undesirable outcomes
- To develop recommendations for systemic changes to Minnesota’s home and community-based services system.