Empower fairness, safety, and resilience across your organization.
Designing Safety Through Fairness and Accountability
Evaluate decision quality and system design to foster accountability while ensuring psychological safety. By focusing on behaviors and system improvements, Just Culture empowers organizations to learn from mistakes without fear of blame, strengthen trust through fair decision-making, and design safer systems that both prevent harm and enable proactive risk management.
Foster a Culture of Safety and Accountability
Transform your organization by embedding fairness, accountability, and proactive risk management into everyday practice. Through the lens of systems thinking, Just Culture combines human factors engineering with evidence-based methodologies to advance safer, more equitable care. By focusing on behaviors rather than outcomes, and applying consistent responses regardless of harm, organizations create an environment where trust and learning thrive. In partnership with The Just Culture Company, we go beyond traditional training to help organizations establish a balanced accountability model—empowering both employees and leadership to drive lasting system-wide safety.
To sustain and measure the success of Just Culture initiatives, we provide innovative tools, including:
Just Culture Algorithm
A clear, step-by-step decision-making guide.
Just Culture Improvement Index
A benchmarking tool to measure cultural progress.
Training Resources
Programs that build internal capacity for ongoing improvement.
Together, these tools empower organizations to design safer systems and support better decision-making at every level.
Transform Healthcare’s Punitive Culture
Ten Steps to Make Lasting Change For Patients & Workers
Despite decades of progress, many healthcare professionals still fear blame when mistakes happen. The data tells a story: nearly half* of nurses believe errors are held against them—and that culture negatively impacts safety, trust, and retention.
It doesn’t have to be this way.
Implement evidence and science-based education and training
Transform Your Organizational Culture with ECRI
As your organization prepares for initiatives like the CMS Patient Safety Structural Measure, ECRI and The Just Culture Company offer the expertise and tools to improve safety, equity, and resilience while meeting tomorrow’s standards.
More Ways We Help
Patient Safety Advisory Services
Tackle healthcare's most pressing challenges head on with our human-centered, systems-based approach.
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Patient Safety Organization
Build a culture of safety with patient safety expertise, guidance, data, and broad subject matter knowledge.
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