JUST 
CULTURE

How do healthcare providers establish a culture that encourages open reporting of adverse events and risky situations, yet hold people and organizations accountable in a just manner?

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Just culture reshapes our understanding of accountability, the role of the system, and the role of human behavior. A just culture seeks to create an environment that encourages individuals to report mistakes so that the precursors to error can be better understood in order to fix the system issues.

In a just culture, individuals are continually learning, designing safe systems, and managing behavioral choices.

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Resources:

• Agency for Healthcare Research and Quality - Understand Just Culture

• The Just Culture - training and certification courses

• "Just Culture? Lessons Learned and Strategies for Implementation" - UNMC presentation

• Center for Patient Safety Just Culture