BETA*rm Just Culture

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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 a patient or an employee.

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




For questions about BETA’s Just Culture program please send an email to

Program Descriptions

Online Staff Training

The staff training session is a 20 minute, self-placed online learning module with a post-test that can be easily uploaded to your electronic learning platform. The 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 is to be conducted upon completion of leadership training.

Four-hour Manager/Director/Supervisor Training Sessions

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.

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