Quality and a Just Culture

It is fascinating that for all the discussion around quality culture, which borrows from Safety II and other safety movements/submovements, we’ve largely avoided using the term justice, which is so prevalent in certain areas of the safety world. One can replace quality with justice and talk about many of the same things.

Both attempt to realize Deming’s Point 8—to drive out fear—which I consider Deming’s most radical proposition.

We really should see them as building blocks. A just culture enables the open reporting and analysis of errors necessary for a quality culture to identify areas for improvement. The two cultures are complementary—a robust quality program requires psychological safety fostered by a just culture. However, a quality culture has broader aims beyond responding to errors or safety lapses. We cannot have a Quality Culture without a Just Culture.

Psychological safety creates an environment where staff can speak up, enabling a just culture. A just culture defines the balanced accountability approach for responding to errors and safety events. A quality culture is a broader concept that drives improvement across the organization, relying on the foundation of a just culture.

But I really wish we used the term justice more. Promoting justice is an activity I wish we took more seriously as a profession.