RT Journal Article SR Electronic T1 Just Culture: A Foundation for Balanced Accountability and Patient Safety JF Ochsner Journal JO Ochsner J FD O. P. Jindal Global University SP 400 OP 406 VO 13 IS 3 A1 Philip G. Boysen II YR 2013 UL http://www.ochsnerjournal.org/content/13/3/400.abstract AB 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.