title: Organizational accountability in a just culture.
abstract: Policies and procedures exist to safeguard patients and protect them from harm; however, a deeper understanding as to why a particular sentinel event occurred and less focus on the individual who made the error can have positive outcomes. Nursing leaders should strive to maintain a just culture to promote reporting and learning in their facility, thereby creating a culture of safety for patients.
authors.affiliation: University of North Carolina Health Care, Chapel Hill, NC, USA.
authors.forename: Celeste M
authors.initials: CM
authors.lastname: Mayer
authors.forename: Dale
authors.initials: D
authors.lastname: Cronin
mesh_terms: D001291:Attitude of Health Personnel; D003617:Dangerous Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D007857:Leadership; D019300:Medical Errors / Q000379:methods / Q000451:nursing / Q000517:prevention & control* / Q000523:psychology; D009718:Nurse Administrators / Q000458:organization & administration; D024802:Nurse's Role; D015279:Organizational Culture; D010344:Patient Advocacy; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012309:Risk-Taking; D017751:Safety Management / Q000458:organization & administration*; D012752:Shame; D012935:Social Justice; D012941:Social Responsibility; D013597:Systems Analysis; D014342:Truth Disclosure; D014481:United States