For the simple case, it isn't necessarily that fragile. Write the entire database to a temp file, then after flushing, move the temp file to overwrite the old file. All Unix filesystems will ensure the move operation is atomic. Lots of "we dump a bunch of JSON to the disk" use cases could be much more stable if they just did this.
Doesn't scale at all, though - all of the data that needs to be self-consistent needs to be part of the same file, so unnecessary writes go through the roof if you're only doing small updates on a giant file. Still gotta handle locking if there is risk of a stray process messing it up. And doing this only handles part of ACID.
don't forget to fsync the file before the rename! and you also need to fsync the directory after the rename!