Just culture


Just Culture is a concept related to systems thinking which emphasizes that mistakes are generally a product of faulty organizational cultures, rather than solely brought about by the person or persons directly involved. In a just culture, after an incident, the question asked is, “What went wrong?” rather than “Who caused the problem?”. A just culture is the opposite of a blame culture.
A just culture helps create an environment where individuals feel free to report errors and help the organization to learn from mistakes. This is in contrast to a “blame culture” where individual persons are fired, fined, or otherwise punished for making mistakes, but where the root causes leading to the error are not investigated and corrected. In a blame culture mistakes may be not reported but rather hidden, leading ultimately to diminished organizational outcomes.
In a system of just culture, discipline is linked to inappropriate behavior, rather than harm. This allows for individual accountability and promotes a learning organization culture.
In this system, honest human mistakes are seen as a learning opportunity for the organization and its employees. The individual who made the mistake may be offered additional training and coaching. However, willful misconduct may result in disciplinary action such as termination of employment—even if no harm was caused.
Work on just culture has been applied to industrial, healthcare, aviation and other settings.
According to James Reason, a just culture is one of the components of a safety culture.