Select all that apply: Which of the following are examples of how to create a culture of safety?

Choice A reason: Evidence-Based Practice is a systematic approach to health care that uses the best available evidence, clinical expertise, and patient preferences to make decisions about the care of individual patients. While it is a critical aspect of modern health care, it is not the culture that has replaced the culture of blame.

Choice B reason: Teamwork is essential in health care for providing comprehensive care and ensuring patient safety. However, it is not the specific culture that has replaced the culture of blame. Teamwork is a component of a larger cultural shift towards safety and quality in health care.

Choice C reason: Authority refers to the power or right to give orders, make decisions, and enforce obedience. A culture of authority does not replace a culture of blame; instead, it could potentially perpetuate it if not balanced with accountability and open communication.

Choice D reason: Safety has become the primary focus in health care, replacing the culture of blame with a culture of safety. This shift emphasizes learning from errors, improving systems and processes, and preventing harm to patients through a non-punitive approach to incident reporting and analysis.

Choice A reason:

Analytic reasoning involves a systematic and logical approach to problem-solving. While John may have used some form of analysis, the situation described emphasizes his quick recognition of the problem, which is more characteristic of intuitive reasoning.

Choice B reason:

Narrative reasoning is associated with the use of storytelling or the patient's personal health narrative to inform clinical decisions. In this scenario, John's decision-making is not described as being influenced by the patient's personal story.

Choice C reason:

Expertise refers to the knowledge and skills acquired through experience. Although John's expertise likely contributed to his ability to recognize the signs of a pulmonary embolism, the term does not specifically describe the type of reasoning he used.

Choice D reason:

Intuitive reasoning is characterized by the ability to understand something instinctively, without the need for conscious reasoning. John's immediate recognition of the patient's potential condition suggests that he used intuitive reasoning based on his experience and knowledge.