Making Just Culture Part of the “Heartbeat” of Your Facility

Consider this scenario: a nursing home resident lives for the weekly visits from volunteers with their dogs. During one visit, a dog scratches her arm and breaks the skin. The wound is treated and appears to be healing. However, to prevent her from further harm, facility leaders and the resident’s family decide the pet visits should stop. The resident, who is cognitively intact, is upset. She is adamant that she is happy to take the risk of getting hurt to spend time with the dogs.