Timothy D. Averch, MD, FACS, FRCS (Glasg), presented “From Risk to Resilience: The Voyage of Just Culture in the Workplace” during the 44th Annual Ralph E. Hopkins Urology Seminar on February 5, 2025, in Jackson Hole, Wyoming.
This content is available free to the GRU Community. Login or create an account to view it.
How to cite: Averch, Timothy D. “From Risk to Resilience: The Voyage of Just Culture in the Workplace.” February 5, 2025. Accessed Feb 2026. https://grandroundsinurology.com/from-risk-to-resilience-the-voyage-of-just-culture-in-the-workplace/
From Risk to Resilience: The Voyage of Just Culture in the Workplace – Summary
Timothy D. Averch, MD, FACS, FRCS (Glasg), examines the transition from a punitive approach to a just culture in healthcare. In this 16-minute presentation, Dr. Averch focuses on patient safety and system accountability.
Dr. Averch believes medical errors remain a significant challenge in healthcare, with adverse events occurring in every ICU admission and thousands of deaths resulting from preventable mistakes annually. Traditional blame-focused models discourage error reporting, limiting opportunities for systemic improvement. Just culture differentiates between human error, at-risk behavior, and reckless behavior, ensuring appropriate responses that foster learning rather than punishment. This model enhances safety by promoting transparency, trust, and effective teamwork.
Applying just culture principles extends to incident reporting, quality improvement initiatives, and team-based problem-solving, shifting the focus from individual blame to collective responsibility. Integrating these strategies into medical institutions requires leadership commitment, education, and process standardization. Dr. Averch highlights that implementing just culture enhances patient outcomes and cultivates a supportive and ethical work environment where safety and fairness coexist.
About The 44th Annual Ralph E. Hopkins Urology Seminar:
The Ralph E. Hopkins Urology Seminar is a multi-day meeting focused on training urologists in the latest in assessing, diagnosing, and treating urologic conditions in the clinical setting. Updates are provided on urologic cancers, stone disease, urologic reconstruction, female urology, infertility, sexual function, emerging surgical techniques, and general urology. The 44th iteration of the meeting took place from February 5th to February 8th, 2025, in Jackson Hole, Wyoming.
For further educational activities from this conference, visit our collection page.
ABOUT THE AUTHOR
Timothy D. Averch, MD, FACS, FRCS (Glasg), is Chief of the Division of Urology at Prisma Health Midlands, and Clinical Professor and Vice Chair for Quality in the Department of Surgery at the University of South Carolina School of Medicine in Columbia, South Carolina. His expertise includes kidney stones, endourology, laparoscopic urology and surgery, and metabolic urology.
Dr. Averch earned his medical degree from the University of Pittsburgh in Pennsylvania. He completed residencies in General Surgery and Urology at New York Medical College in Valhalla, New York, and completed his fellowship in Endourology at Johns Hopkins University in Baltimore, Maryland.
Dr. Averch is a member of the American Medical Association, the American Urological Association, the Fellowship of the American College of Surgeons, the Endourological Society, the Society of Academic Urologists, the Society for Urology and Engineering, and the Fellowship of the Royal College of Physicians and Surgeons of Glasgow. A leader in his field, he received the Distinguished Contribution Award from the American Urological Association and has published numerous papers, abstracts, and book chapters related to urologic surgery.
