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Throughout this toolkit, you will find the resources you need to create, and maintain, a Just Culture framework at your institution to promote a strong culture of safety. Culture is defined as how we do things - our morale, customs, behaviors, beliefs, and even the way we develop trust.
Just Culture Decision Support Tool Repetitive Occurrences of: Human Error / At Risk Behavior / Reckless Behavior START Are there behavior choices that are causing the repetitive occurrences?
What does a Just Culture look like? Applies to a healthcare provider’s/staff’s actions, in any situation, that might lead to harm of persons or property. Applies when a healthcare provider/staff works within a system and is responsible for following a procedural rule created by the system.
In a Just Culture the organization and team members share accountability for safety and quality, learn from errors and mishaps, understand humans make mistakes, design systems to prevent errors, and treat people fairly when errors happen.
To mitigate errors, Marx created the Just Culture Algorithm, a methodology for considering what a manager should do when a breach occurs and suggests actions to address the breach from both the system and employee perspective (Marx, 2008).
(Lee, 1987) The just seems to make the directive more polite than the bare imperative. Just can also reduce the force of an assertion, by indicating uncertainty.
