Alumni
Timely Topics Webinar: To Err is Human: A Just Culture’s Reframing of the Case of RaDonda Vaught
12 p.m.
In 2019, nurse RaDonda Vaught accidentally administered the wrong medication to a patient, resulting in the patient’s death. Vaught was charged with reckless homicide. Were safety protocols in place, sufficient and being practiced? Was this human error worthy of a reckless homicide conviction?
Join us for an analysis of the RaDonda Vaught case using a patient safety lens and applying a just culture framework to human errors. Just culture requires a change in focus from errors and outcomes to system design and management of the behavioral choices of all employees.
Presented by:
- Anne Smeraglio, M.D. ’13, associate professor of medicine with OHSU’s Division of Hospital & Specialty Medicine and director of Health Systems Science.
- Douglas Rice, M.D. ’21, internal medicine resident physician with OHSU School of Medicine and chief resident on the OHSU Housestaff Quality and Safety Council (HGSC).
- Gabe Monti, M.D., internal medicine resident physician with OHSU School of Medicine and chief resident on the OHSU HGSC.
If you would like to request a recording of this webinar, please email the Alumni Team at [email protected].
