Just Culture: Practical Implementation for Radiologist Peer Review

Judah Burns, Todd S. Miller, Jeffrey M. Weiss, Amichai J. Erdfarb, David Silber, Shlomit A. Goldberg-Stein

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Peer review is a cornerstone of quality improvement programs and serves to support the peer learning process. Peer review in radiology incorporates the review of diagnostic imaging interpretation, interventional procedures, communication, and the evaluation of untoward patient events. A just culture is an environment in which errors and near-miss events are evaluated in a deliberately nonpunitive framework, avoiding a culture of blame and responsibility and focusing instead on error prevention and fostering a culture of continuous quality improvement. Adoption of a just culture requires careful attention to detail and relies on continuous coaching of individuals and teams to ensure future systems improvements and a culture of safety. The authors describe the practical implementation of a just culture framework for peer review in an academic radiology department and highlight its application to interpretive, noninterpretive, and procedural domains through case examples.

Original languageEnglish (US)
JournalJournal of the American College of Radiology
StateAccepted/In press - Jan 1 2018


  • Just culture
  • peer learning
  • peer review
  • quality improvement

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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