Just Culture in EMS

How we think about workplace accountability is inherently important. The concept of justice is the foundation of our society and is something that every American expects, including in the workplace.

Patient and provider safety is important, but how do we establish a culture that encourages open reporting of adverse events and risky situations, yet hold people and organizations accountable in a just manner?  The challenge lies in distinguishing between a system that might create risks, human error which may result in a bad outcome, and reckless behavior that intentionally puts lives or organizations at risk.

Just Culture reshapes our understanding of accountability, the role of the system, and the role of human behavior, allowing us to distinguish between human behaviors to help us arrive at a consistent way to establish a safe environment by managing the system, and behavior.

But, what IS Just Culture?  Visit Outcome Engenuity to learn more.

Hear a message from Outcome Engenuity’s founder, David Marx, with an industry-specific overview:

EMS  Healthcare

CPS Supports Culture Improvement

The Center for Patient Safety (CPS) recognizes a “just” culture is an important and necessary program in every healthcare organization. Organizations with cultures that support open communication of errors while in a non-punitive environment (a “just” culture) are more likely to achieve high levels of improvement in patient safety.

CPS supports Outcome Engenuity’s model of Just Culture. We provide and support education, implementation and training for hundreds of healthcare organizations across the country to improve patient safety throughout the continuum of care. Today, patient safety remains the foundation of our work – patient safety is all we do.

Complete the form below to find out more about our Just Culture education, implementation support and training or get a cost estimate for your organization.

CPS Assists Organizations with Implementation and Sustainability

Many organizations are eager to adopt a just culture. They make a hefty investment in training and purchasing materials, but then may feel overwhelmed and unsure what steps to take first. But there is support available that can guide successful and efficient implementation that is structured to work in your unique environment.

We know every organization is in a different place strategically, and tactically, and therefore, we offer multiple offerings to meet your needs. Our implementation and sustainability plan is designed to fit any size organization, from a small EMS agency to a large health system.

The Center will:

  • provide onsite identification and consultation support to determine your unique needs
  • help to develop a realistic timeline for deployment of Just Culture at your organization
  • provide ongoing virtual and onsite implementation and sustainability support for 6 months, one year, or more

There is some preparatory work that may be necessary, but CPS will help you identify your organization’s Just culture champion or team members that will be a point of contact and identify appropriate organizational commitment. We may ask you to complete a culture assessment if you have not completed one at your organization within the last 18 months. We can help you administer the assessment and interpret your results.

Consultation and training costs are affordable and designed to fit your needs. We want you to be successful today, tomorrow, and in the future!

Complete the form at the bottom of the page for more information or contact Lee Varner at [email protected].

CPS Administers Just Culture Training

Are you interested in training only, or perhaps a refresher course? We can design training to support your internal efforts, whether you are just starting the culture journey, or if you are more experienced in your journey and looking to move forward to the next level.

  • Introduction to Just Culture: Would you and/or your staff like an introductory presentation of Just Culture? This is delivered in a webinar format lasting about one hour.
  • Just Culture Manager Training: This day-long class provides the hands-on training, tools, and resources necessary to implement Just Culture within an organization.  One or more individuals from an organization can become the Champions for the program. Minimum class size is 20 people and can be taught to an entire organization or offered to several individuals from different organizations within a similar geographic location.  This class is scheduled based on demand.
  • Just Culture ReEducate: Are you looking for a condensed program to invigorate a previous implementation?  This is done at your location and can be customized to fit your needs.


Complete the form below to find out more about our consultation services or schedule training. We’ll determine a plan that will work best for your organization.

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.