They say it takes seven years to change a culture. Creating a "culture of safety is no different. Yet, many health care institutions treat their Just Culture Implementation like it is any other process improvement project. This presentation will describe why the Just Culture is vital to a successful risk management program. It will also detail the journey taken by Barnes-Jewish Hospital in fostering the Just Culture. It will provide insights for institutions that are just starting to consider the Just Culture, as well as those who have already developed an implementation plan.