How J&J transformed how it learns and investigates.

The challenge

Around 2021, Johnson and Johnson set out to deepen how its safety and quality teams learn from work. As a people-first organization operating complex socio-technical systems, J&J wanted to understand more fully why people make the decisions they do and how to support them, looking beyond a single root cause to the many interacting conditions that shape how work actually succeeds.

Four pillars of implementation

Pillar 1

Leadership engagement

Psychology Applied delivered Mindset Shifter workshops across sites in the United States, Mexico, and Puerto Rico. The workshops acknowledged blame as something many people were conditioned into from an early age. Once leaders had space to reflect, they quickly recognized the gap between the organization's values and some of its past responses to incidents.

Leaders began to see their role differently: as people who create the conditions for others to work safely, rather than enforcers checking compliance.

Pillar 2

Enabling tools

Rather than introducing entirely new processes, Psychology Applied enhanced what J&J already had. HOP principles were integrated into existing activities such as Gemba Walks, Risk Assessments, and Investigations using simple aids: discussion cards, extended templates, and structured interview guides. Once people experienced the value for themselves, interest spread quickly. Sites began reaching out, asking for tools, support, and training.

Pillar 3

Investigation transformation

Nearly 40 representatives of the Quality team attended a 5-day masterclass covering psychological trauma and its impact during investigations, supporting investigation teams while avoiding bias, learning-oriented interviewing using TEDS and open clarifying questions, identifying error traps and organizational factors, and co-developing corrective actions with the people who do the work.

Participants learned how to create system and context maps, bringing non-linear thinking to exploring incidents.

Pillar 4

Upskilling the HSE function

Over 130 HSE and quality professionals completed the Competency Pathway. Johnson and Johnson's model gives each manufacturing site between one and three champions, each holding a higher level of expertise than anyone else on site.

A core part of the champion's role is to support the implementation of Human and Organizational Performance and proactive learning across their site.

What changed

The demand for tools and training across J&J was organic, not pushed. As sites experienced the value of the approach, interest spread to additional facilities and functions without central mandate.

Client snapshot

Organization
Johnson and Johnson
Industry
Healthcare / pharmaceuticals
Scope
Multiple sites across five continents
Program
Mindset Shifter, investigation masterclass (5 days), enabling tools integration, Competency Pathway, Site Activation
Key innovation
A network of site champions embedding Human and Organizational Performance across every site

Want the full detail, or to talk through what a similar program could look like for your organization?