Background: The framework of a just culture ensures balanced accountability for both individuals and the organization responsible for designing and improving systems in the workplace. Engineering principles and human factors analysis influence the design of these systems so they are safe and reliable.
Methods: Approaches for improving patient safety introduced here are (1) analysis of error, (2) specific tools to enhance safety, and (3) outcome engineering.
Conclusion: The just culture is a learning culture that is constantly improving and oriented toward patient safety.
Keywords: Behavior; medical errors; patient safety.