CPD articles

Improving safety by developing trust with a just culture

Why you should read this article:

To enhance your knowledge of the concept of just culture when measuring and assuring safety

To identify how to apply a just culture approach to your organisation

To count towards revalidation as part of your 35 hours of CPD, or you may wish to write a reflective account (UK readers)

To contribute towards your professional development and local registration renewal requirements (non-UK readers)

 

This article presents a simple conceptual road map for implementing a just culture in healthcare settings. The concept of just culture was developed as one of five fundamental elements of a safety culture by psychology professor James Reason in 1997. A just culture requires an unbiased method of judging human error and is designed to develop organisational trust so that adverse medical events (errors) are reported and corrected before they combine with other errors to cause injury or death. To implement a just culture properly so as to increase organisational safety, practitioners must understand its role in enabling the error reporting needed to develop a safety culture. This article reviews these foundational concepts and explores the human causes of errors that a just culture addresses, the psychological importance of a just culture in enabling error reporting and how to implement a just culture in organisations.

Jobs