A 28-year-old medical student observes an attending physician enter a patient's room without performing hand hygiene before examining a hospitalized 62-year-old male with pneumonia (temperature 38.2°C, HR 102 bpm, RR 22/min, SpO2 89% on 2L O2). The patient's recent blood cultures grew gram-negative rods. The student notes the attending has not mentioned infection control protocols during rounds. According to safety culture principles, which approach best supports addressing this lapse?

  1. A)A culture of individual excellence that prioritizes personal performance
  2. B)A just culture that encourages reporting of safety concerns without fear of retributionGABARITO
  3. C)A blame culture that holds individuals accountable for every error
  4. D)A culture of silence that protects team cohesion
  5. E)A hierarchical culture that respects seniority in clinical decisions

Explicação

A just culture distinguishes between human error, at-risk behavior, and reckless behavior, and encourages all team members to report safety concerns without fear of punishment. This empowers students and junior staff to speak up when they observe safety lapses... Ver explicação completa e trilha adaptativa →

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