WILMINGTON, DE Medication Safety Focused Just Culture Certification Course - August 2-4, 2017
Educational Review Systems is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This program is approved for 21.5 hours (2.15 CEUs) of continuing pharmacy education credit. Proof of participation will be posted to your NABP CPE profile within 4 to 6 weeks to participants who have successfully completed the post-test. Pharmacists must participate in the entire presentation and complete the course evaluation to receive continuing pharmacy education credit.

Nursing continuing education is provided by Debora Simmons, PhD, RN, CCNS, FAAN. The program is approved by the California Board of Registered Nursing. Nurses must participate in the entire program and complete a course evaluation and post-test to receive continuing education credit. This program is approved for a total of 21.5 hours (2.15 CEUs) of continuing education for nurses.



This course is designed to help organizations achieve better outcomes, pursue sustainable and positive culture change through learning and justice, and reduce adverse events. We take an in-depth look at specific accountabilities of all levels of staff and leadership, the nature of duties owed by organizations to their staff and clients, regulators, investors, and other organizational influences.

This is accomplished by developing in-house expertise in the 5 Skills and the Just Culture AlgorithmTM. Participants are provided with the tools and knowledge to lead cultural change and build effective socio-technical, justice, and learning systems in their organizations.

The Just Culture Algorithm is the premier tool used to achieve both justice and accountability across industries worldwide. During the course, participants will gain insight into the history behind the Algorithm, and explore its connections to the Declaration of Independence, the U.S. Constitution, the Model Penal Code, and the ‘natural’ law. We will also examine how this tool integrates the law with key principles of systems engineering, social engineering, and individual human factors.

Opportunities are provided throughout the course to apply the learning and explore how organizations can realize consistently better outcomes in support of organizational values. Specific case examples associated with medication safety will be provided for real-world simulations for pharmacists and nurses, along with broad organizational examples for other healthcare leaders and human resources staff.


Upon completion of the Just Culture Certification Course, participants will be able to:

  • Describe the 5 skills that lead to producing better outcomes 
  • Identify the role of an organization’s mission and values 
  • Define the factors of system design and good design strategies 
  • Describe the principles of managing the 3 human behaviors 
  • Describe the legal principles that provide the foundation for Just Culture 
  • Define the role played by imposers and the tools they use 
  • Identify the role of the ‘reasonable person standard’ 
  • Evaluate the role of the ‘natural’ law 
  • Define and contrast outcome-based and procedurebased duties 
  • Define and describe the 3 duties and how to identify breaches of those duties Demonstrate proficiency using the Just Culture Algorithm through guided practice 
  • Describe Just Culture implementation strategies


  • Pharmacy managers 
  • Nurse managers 
  • Medication safety officers 
  • Patient safety officers 
  • Leaders from risk, safety, quality, and human resources
  • medical staff officers and other organizational operations leaders


Customers have asked the question. A manager can learn to walk through the Algorithm in a matter of hours. A manager can learn to build a rudimentary cause and effect diagram in an hour. A manager can receive an introduction to human factors in an hour or two. In total, a manager will generally spend a day learning about accountability and what it looks like. Those managers will feel a bit overwhelmed by the day’s learning, some from the complexity of the tools, some from the foreign nature of the ideas as compared to what organizations typically do today.

It’s material that cannot be condensed into an eight-hour managerial course. Every organization that chooses to implement Workplace Accountability will need a critical mass of internal champions who understand the concepts and tools at a greater-than introductory depth. It has been said that not everyone is a doctor, not everyone an astronaut not everyone a gymnast, but we are, indeed, all judges. Employees have deeply held beliefs about how their peers, and their managers, should be held accountable. The Workplace Accountability model will likely be at odds with many of those beliefs. The workplace is just too complex, and currently beliefs too deeply held, to create a culture change through one day of manager’s training.

Scenarios will arise that will test a manager’s skill, and a manager’s resolve to manage in a different way. Perhaps it’s an at-risk behavior leading to harm, but with the recognition that many of the other staff are skipping the same safety task. Perhaps it’s the recognition that one group of employees is being held accountable to a standard when others are not. These are not easy scenarios to address.

An organization needs well-trained internal champions to make Just Culture concepts a reality. And that’s what the three-day certification course creates – certified culture changing champions.