What is Just Culture? Just Culture is a supportive system of shared accountability designed to balance the assessment of systems, processes and human behavior when an error occurs or an event is reported. The program puts special focus on system design and behavior management, enabling the organization to take action where needed. This model better equips an organization to learn about system vulnerabilities and correct errors before they affect the patient.
Implementing Just Culture requires the organization’s leaders to commit to:
- Developing and embedding a culture of accountability that is just and fair
- Refraining from punishing well-intentioned employees who make human errors. Instead, employees are supported and the error used as an opportunity to learn, not to blame (partner vs. police)
- Fostering an open and safe reporting system in which everyone is encouraged to speak up without fear of reprisal
- Creating an environment of shared learning that focuses on safe system design to help employees make better behavioral choices in a challenging healthcare environment
The two-day, facility-based trainer sessions develop individual trainers within the organization who then carry the training forward to management and frontline staff. The session focuses on system design and identifying manageable behaviors, introducing attendees to human factor science applicable to event analysis and application of the Just Culture algorithm. It is important for those receiving this training to have a full understanding of Just Culture principles and to learn to apply the Just Culture algorithm, as they will serve as the primary contacts and trainers in the organization. Participants will receive coaching by BETA-certified trainers and will be required to teach back content to confirm their understanding.
The four-hour manager/director/supervisor training session is designed for all management level employees who will use Just Culture when evaluating behaviors of frontline staff. To ensure widespread change of philosophy and culture, it is important to introduce and socialize the concepts of Just Culture to supervisory levels of the organization. In so doing, the training creates the foundation on which Just Culture principles are built, which is now supported by the organizations Human Resources policies. It will include an introduction to human factors and ergonomics, patient safety science and Just Culture principles, including the use and application of the Just Culture algorithm. The training will be conducted by those who participated in the two-day train-the-trainer program taught by BETA-certified trainers.
The two-hour frontline line staff training introduces staff to Just Culture principles of accountability, from both an organizational and individual standpoint, and the process of applying the Just Culture algorithm. The training includes an introduction to human factors and ergonomics, patient safety science and a basic overview of event investigation. The training will be conducted by those who participated in the two-day train-the-trainer program taught by BETA-certified trainers.
BETA Healthcare Group is committed to the success of our member organization’s continued journey towards Just Culture. To that end we have established monthly collaborative calls for organizations that have completed implementation and rollout of the program. The purpose of the calls is to share lessons learned and ideas about what is working well and what challenges, if any, are being encountered. These interactive, all-teach-all-learn sessions also offer an opportunity to practice applying the Just Culture algorithm in different scenarios that members may have faced.