Culture change is challenging. It means changing what people think and do in their daily work and interactions with the healthcare system. It takes time and the efforts of many people to be successful. Just culture change initiatives in other healthcare systems emphasize the need to:

• Get buy-in, starting with senior leadership. Visible and active senior leadership support is essential.
• Adopt common language and processes that support a just culture.
• Engage and  train leaders, managers and healthcare workers.
• Build awareness and share information about just culture with patients and the public.
• Measure progress.