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Just Culture: Balancing Safety and Accountability
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Just Culture: Balancing Safety and Accountability

3.91 of 5 stars 3.91  ·  rating details  ·  34 ratings  ·  6 reviews
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 author's experience with practitioners (in nursing, air traffic control and professional aviation) whose errors were turned into crimes, this title lays out a view of just culture.
Paperback, 166 pages
Published December 21st 2007 by Ashgate (first published January 1st 2007)
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Kate
The book is about how punishing a single person for an unintended loss of life does not help the system (healthcare, air traffic, etc) keep similar incidents from happening again and is inappropriate because that single person is 1) part of a larger system 2) probably trying to be safe 3) also traumatized by inflicting injury unintentionally. The other main idea is that people tend to make judgements based on the outcome rather than on the situations and actions that they are actually supposed t ...more
Jerry Mahn
Dekker looks at the issue of what organizations do when something goes wrong. Do we find the easiest employee to blame, and fire them, thus feeling we took care of the problem, or do we create a culture in which employees feel empowered to admit mistakes, evaluate the circumstances that led to it, and then learn from the mistake as an organization? Very interesting issues...
Matthew Horvat
Bad stuff happens to good people. The truth turns into people's versions. Something serious can draw media and even court attention. A code of silence typically ensues because it is to easily to be unjustly accused. And it is no wonder why this happens. Rather than increase reporting of accidents, the author suggests that we generate a culture of honestly disclosing accidents with the only intention of learning to avoid repeated mistakes.

The book is littered with examples from real cases where
...more
Alastair Lack
The quote in another review 'bad stuff happens to good people' is so true, and this should be required reading for every HR manager and CEO. Slightly complex language, but the messages are clear.
Noladishu
Very dry, but raises some interesting points.

This book got famous because it was what Sully Sullenberger was reading when his plane went down.

Jackie
Must read for everyone working in a high stakes profession, from medicine to mining to aviation. And for lawyers.
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“Accidents are no longer accidents at all. They are failures of risk management.” 1 likes
“Not being able to find a cause is profoundly distressing; it creates anxiety because it implies a loss of control. The desire to find a cause is driven by fear.” 1 likes
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