Make Just Culture just your culture
Dan Barker
@barkerd427
Just Culture started in Hospitals and Aviation
@barkerd427
How Complex Systems Fail
Always in a state of failure
@barkerd427
How Complex Systems Fail
There is no
“root cause”
@barkerd427
How Complex Systems Fail
All actions are gambles
@barkerd427
How Complex Systems Fail
Humans are the solution
@barkerd427
Just Culture is trust, learning, and accountability
What can you do?
@barkerd427
Change your language
@barkerd427
I should have -> I did x and expected y, but saw z
@barkerd427
Blameless Postmortems
@barkerd427
Timeline,
Just the Facts, Learning
@barkerd427
Teach others
@barkerd427
How Complex Systems Fail, Westrum Model, Just Culture
@barkerd427
Where will you fail?
@barkerd427
Patience
@barkerd427
Grace
@barkerd427
If you can’t change your org, then change your org.
@barkerd427