Just culture in healthcare: in search of a solid foundation for justice

Maristela Santini Martins; Marcelo José dos Santos; Edenise Maria Santos da Silva Batalha; Andresa  Gomes de Paula; Hércules de Oliveira Carmo; Vagner Ferreira do Nascimento

Published

2025-09-04

Just culture in healthcare: in search of a solid foundation for justice

Cultura justa en salud: en busca de una base sólida para la justicia

Cultura justa em saúde: em busca de uma fundamentação sólida para a justiça

Keywords:

Safety Culture, Patient Safety, Medical Errors, Justice, Nursing (en)
Cultura de Seguridad, Seguridad del Paciente, Errores Médicos, Justicia, Enfermería (es)
Cultura de Segurança, Segurança do Paciente, Erros Médicos, Justiça, Enfermagem (pt)

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Authors

Maristela Santini Martins Universidade de São Paulo https://orcid.org/0000-0002-0730-3923
Marcelo José dos Santos Universidade de São Paulo https://orcid.org/0000-0001-5123-8797
Edenise Maria Santos da Silva Batalha Universidade do Estado da Bahia https://orcid.org/0000-0003-0014-9529
Andresa Gomes de Paula Universidade de São Paulo https://orcid.org/0000-0001-5077-7908
Hércules de Oliveira Carmo Universidade de São Paulo https://orcid.org/0000-0002-6996-4233
Vagner Ferreira do Nascimento Universidade do Estado de Mato Grosso https://orcid.org/0000-0002-3355-163X

References

(1) Marx D. Patient safety and the “just culture”: a primer for health care executives. Columbia University; 2001.

(2) Reason J. Managing the risks of organizational accidents. Aldershot: Ashgate; 1997.

(3) Dekker SWA. Just culture: restoring trust and accountability in your organization. 3rd ed. Boca Raton: CRC Press; 2017.

(4) Dekker SWA, Breakey H. ‘Just culture:’ improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85:187–193. https://doi.org/10.1016/j.ssci.2016.01.018

(5) van Baarle E, Widdershoven G, Molewijk B. Just culture as dialogical learning: theoretical foundations and practical implications of restorative justice. J Med Ethics. 2025:1–8. https://doi.org/10.1136/jme-2025-110761

(6)Dekker SWA. Just culture: balancing safety and accountability. Aldershot: Ashgate; 2007.

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Just culture in healthcare: in search of a solid foundation for justice. Av. enferm. [Internet]. 2025 Sep. 4 [cited 2026 Sep. 13];43(3):1-4. Available from: https://revistas.unal.edu.co/index.php/avenferm/article/view/123189

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