Just Culture

Certification Course

April 28-29 2020 / New York, NY. USA

$500 discount available to HANYS members.
Please contact us to acquire the discount code to apply when registering.

About the Just Culture Certification Course


We struggle in today’s world to hold people accountable in a fair and just manner when things don’t go as planned. Nowhere is this more evident than in high consequence industries like healthcare. We all want accountability, but what does that look like when any mistake, any choice, could have devastating outcomes? Outcome Engenuity’s Just Culture Certification Course explores this very question and changes how industry leaders view the concept of justice. Synthesizing research from systems engineering, human factors, and the law, this course empowers leaders to make a difference. Leaders make an immediate impact upon returning to their organizations to improvea investigations, reducing adverse events, and fostering a culture of curiosity, shared learning, and accountability.

Outcome Engenuity is the only firm that provides training AND certifies through testing that course attendees have the depth of knowledge to lead their organizations in cultural transformation to a culture of consistently improved outcomes.


Inlcudes two-year license to Just Culture Assessment Tool desktop software.


Breakfast & Lunch are included. Gluten-free and vegan options available.


Engage with other professionals in scenario-based training excercises using the Just Culture Algorithm v4.0


2-Hours Pre-course Video Series Presented with David Marx and his latest book; Dave’s Subs: A Novel Story About Workplace Accountability

Who Should Attend:

  • Operations Directors
  • Safety Officers
  • Risk Managers
  • Human Resources Officers
  • Other Departmental Leaders

With a Just Culture You Can:

  • Build a more accountable culture
  • Reduce adverse events
  • Meet regulatory expectations
  • Improve operational reliability

Course Agenda

7:30 a.m.–8:00 a.m. Sign In and Breakfast

Just Culture Overview; Core Values; Alignment with Organizational Values & Expectations; Resolving Conflicts

8:00 a.m.–9:00 a.m.

The Cognitive Basis of Choice

9:00 a.m.–10:00 a.m.

The Five Behavior Spectrum & Organizational Response System Design

10:00 a.m.–12:00 p.m.
12:00 p.m.–1:00 p.m. Lunch Break

Learning Systems/Root Cause Analysis

1:00 p.m.–2:00 p.m.

The Three Duties and Breaches of Duty

2:00 p.m.–3:30 p.m.

Just Culture Algorithm: Identifying & Judging Breaches of Values; Procedures; Outcomes

3:30 p.m.–4:50 p.m.

Debrief Day 1 & Homework

4:50 p.m.–5:00 p.m.
7:30 a.m.–8:00 a.m. Sign In and Breakfast

Review and Teach-back

8:00 a.m.–8:30 a.m.

Just Culture Algorithm: Identifying & Managing Repetitive Human Error & Repetitive At-Risk Behavior

8:30 a.m.–10:00 a.m.

Just Culture Algorithm Practice Using Scenarios

10:00 a.m.–12:00 p.m.
12:00 p.m.–1:00 p.m. Lunch Break

Just Culture Algorithm Practice Using Scenarios

1:00 p.m.–2:30 p.m.

Just Culture Implementation & Change Management

2:30 p.m.–3:50 p.m.

Debrief & Next Steps

3:50 p.m.–4:00 p.m.


Barbara Olson

MS, RN, CPPS, FISMP, Chief Clinical Officer, Executive Lead Healthcare Operations, Sr. Advisor, The Just Culture Company

Barbara Olson serves as The Just Culture Company’s Chief Clinical Officer and Executive Lead, Healthcare Operations. In this role, she oversees Just Culture implementations for health system clients and supports Trajectories, Outcome Engenuity’s socio- technical risk modeling system in healthcare
Read Barbara’s Bio



the role of an organization’s mission & values in establishing fair accountability and continuous improvement


“risk monitor” and effective strategies for triggering employees’ risk monitors


the five core behaviors representing the spectrum of human intention


the factors contributing to strong system design and the relationship between risk mitigation, values, and design.


the legal principles that provide the foundation for a just culture


the role played by leaders and the tools they use to shape a just culture


the role of ‘the reasonable person standard’ in evaluating perception of risk and behavioral choices


and contrast values-based, outcome-based and procedure-based duties


and describe the three duties and how to identify & respond when breaches of those duties occur


proficiency using the Just Culture algorithm through guided practice




per attendee

$500 discount available to HANYS members.
Please contact us to acquire the discount code to apply when registering.

Lenox Hill Hospital
The Einhorn Auditorium
131 E. 76th Street
New York, NY 10075

Nearby Hotels

Residence Inn by Marriott New York Manhattan/Central Park
1717 Broadway
New York, NY 10019

Hilton Garden Inn New York Central Park South-Midtown West
237 W 54th St.
New York, NY 10019

What is included:

  • Two hours of pre-course online video training
  • Two days of immersive instructor-led training and scenario excercises
  • Breakfast and Lunch on Training days
  • Printed course workbook with presenter slide deck
  • Just Culture Algorithm™ v 4.0 printed trifold
  • Just Culture Assessment Tool desktop software
  • Final Proficiency Exam
  • Certified Champion Certificate (score 80% or more on final exam)

What is not included:

  • travel to and from the course destination
  • parking expenses
  • room or hotel fees


Need more information about this course? Interested in hosting a Just Certification Course at your organization? Reach out to us. We’re here to help.