Just Culture: Balancing Safety and AccountabilityAshgate Publishing, Ltd., 2007 - 153 páginas A just culture protects people's honest mistakes from being seen as culpable. But what is an honest mistake, or rather, when is a mistake no longer honest? Drawing on his experience with practitioners (in nursing, air traffic control and professional aviation) whose errors were turned into crimes, Dekker lays out a new view of just culture. This book will help you to create an environment where learning and accountability are fairly and constructively balanced. |
Conteúdo
Why Bother with a Just Culture? | 17 |
Between Culpable and Blameless | 29 |
The Importance Risk and Protection of Reporting | 39 |
The Importance Risk and Protection of Disclosure | 47 |
Are All Mistakes Equal? | 57 |
Hindsight and Determining Culpability | 65 |
You Have Nothing to Fear if Youve Done Nothing Wrong | 75 |
Without Prosecutors There Would be No Crime | 85 |
Are Judicial Proceedings Bad for Safety? | 91 |
Stakeholders in the Legal Pursuit of Justice | 105 |
Three Questions for a Just Culture | 119 |
Not Individuals or Systems but Individuals in Systems | 131 |
A Staggered Approach to Building your Just Culture | 137 |
Epilogue | 145 |
| 151 | |
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Termos e frases comuns
accident actions acts aftermath air traffic control aircraft airline approach autopilot aviation baby behavior Cairo international airport calls for accountability captain chapter co-pilot cockpit voice recorder consequences crew crime criminal culpable culture decision decision tree defensive defensive medicine disclose disclosure doctors domain expertise draw the line ethical Eurocontrol event example failure flight engineer happened healthcare hindsight hindsight bias honest human error Ibid incident involved Israeli Israeli Air Force judge of instruction judgment judicial proceedings judiciary justice legal system lidocaine look Mara Medical error mg/ml mistake negligence normal normative errors nurse omertà operator organization organization's organizational learning outcome pediatrics pilot practitioners prescription problem procedures professional prosecution prosecutor protection question regulator responsibility risk runway safety data safety investigation seen solution stakeholders story Supreme Court Swedish Supreme Court technical error tell things trial trust truth turn vials victims violations wrong Xylocard