Just culture: “Evidence”, power and algorithms

Sidney W. A. Dekker, James M. Nyce


Background: The notion of “just culture” has become a way for hospital administrations to determine employee accountability for medical errors and adverse events.

Method: In this paper, we question whether organizational justice can be achieved through algorithmic determination of the intention, volition and repetition of employee actions.

Results and conclusion: The analysis in our paper suggests that the construction of evidence and use of power play important roles in the creation of “justice” after iatrogenic harm.


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DOI: https://doi.org/10.5430/jha.v2n3p73


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Journal of Hospital Administration

ISSN 1927-6990(Print)   ISSN 1927-7008(Online)

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