Just Culture
Restoring Trust and Accountability in Your Organization, Third Edition
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Narrated by:
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Sidney Dekker
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By:
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Sidney Dekker
About this listen
A just culture is a culture of trust, learning, and accountability. It is particularly important when an incident has occurred or when something has gone wrong. How do you respond to the people involved? What do you do to minimize the negative impact and maximize learning?
This third edition of Sidney Dekker's extremely successful Just Culture offers new material on restorative justice and ideas about why your people may be breaking rules. Supported by extensive case material, you will learn about safety reporting and honest disclosure, retributive just culture, and the criminalization of human error.
Some suspect a just culture means letting people off the hook. Yet they believe they need to remain able to hold people accountable for undesirable performance. In this new edition, Dekker asks you to look at accountability in different ways. One is by asking which rule was broken, who did it, whether that behavior crossed some line, and what the appropriate consequences should be. In this retributive sense, an account is something you get people to pay or settle. But who will draw that line? And is the process fair? Other ways to approach accountability after an incident is to ask who was hurt; to ask what their needs are; and to explore whose obligation it is to meet those needs. People involved in causing the incident may well want to participate in meeting those needs. In this restorative sense, an account is something you get people to tell and others to listen to.
If you learn to look at accountability in different ways, your impact on restoring trust, learning, and a sense of humanity in your organization could be enormous.
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Blind Spots
- Why We Fail to Do What’s Right and What to Do about It
- By: Max H. Bazerman, Ann E. Tenbrunsel
- Narrated by: Kate McQueen
- Length: 7 hrs and 18 mins
- Unabridged
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When confronted with an ethical dilemma, most of us like to think we would stand up for our principles. But we are not as ethical as we think we are. In Blind Spots, leading business ethicists Max Bazerman and Ann Tenbrunsel examine the ways we overestimate our ability to do what is right and how we act unethically without meaning to.
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Great book! Poor narration
- By Susie on 11-20-17
By: Max H. Bazerman, and others
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Why Honor Matters
- By: Tamler Sommers
- Narrated by: Tamler Sommers
- Length: 6 hrs and 58 mins
- Unabridged
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To the modern mind, the idea of honor is outdated, sexist, and barbaric. It evokes Hamilton and Burr and pistols at dawn, not visions of a well-organized society. But for philosopher Tamler Sommers, a sense of honor is essential to living moral lives. In Why Honor Matters, Sommers argues that our collective rejection of honor has come at great cost. Reliant only on Enlightenment liberalism, the United States has become the home of the cowardly, the shameless, the selfish, and the alienated. Properly channeled, honor encourages virtues like courage, integrity, and solidarity.
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A critical, yet seemingly impossible, topic!
- By Anonymous User on 03-10-20
By: Tamler Sommers
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Unwarranted
- Policing Without Permission
- By: Barry Friedman
- Narrated by: Sean Pratt
- Length: 13 hrs and 56 mins
- Unabridged
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In June 2013, documents leaked by Edward Snowden sparked widespread debate about secret government surveillance of Americans. Just over a year later, the shooting of Michael Brown, a black teenager in Ferguson, Missouri, set off protests and triggered concern about militarization and discriminatory policing. In Unwarranted, Barry Friedman argues that these two seemingly disparate events are connected - and that the problem is not so much the policing agencies as it is the rest of us.
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Insightful book
- By laserpro on 03-02-17
By: Barry Friedman
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Friend and Foe
- When to Cooperate, When to Compete, and How to Succeed at Both
- By: Adam D. Galinsky, Maurice E. Schweitzer
- Narrated by: Tom Perkins
- Length: 9 hrs and 1 min
- Unabridged
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In Friend and Foe, researchers Galinsky and Schweitzer explain why this debate misses the mark. Rather than being hardwired to compete or cooperate, humans have evolved to do both. It is only by learning how to strike the right balance between these two forces that we can improve our long-term relationships and get more of what we want.
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Unexpected
- By Garron Rose on 01-05-16
By: Adam D. Galinsky, and others
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Tough Cases
- Judges Tell the Stories of Some of the Hardest Decisions They've Ever Made
- By: Russell F. Canan - editor, Gregory E. Mize - editor, Frederick H. Weisberg - editor
- Narrated by: Isabel Keating, Richard Ferrone
- Length: 11 hrs and 1 min
- Unabridged
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In Tough Cases, judges from different kinds of courts in different parts of the country write about the case that proved most difficult for them to decide. Some of these cases received international attention: the Elián González case in which Judge Jennifer Bailey had to decide whether to return a seven-year-old boy to his father in Cuba after his mother drowned trying to bring the child to the United States, or the Terri Schiavo case in which Judge George Greer had to decide whether to withdraw life support from a woman in a vegetative state over the wishes of her parents.
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Puts being a judge in perspective
- By David Bigelow Stouffer on 01-14-20
By: Russell F. Canan - editor, and others
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To Protect and Serve
- How to Fix America's Police
- By: Norm Stamper
- Narrated by: Malcolm Hillgartner
- Length: 10 hrs and 36 mins
- Unabridged
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American policing is in crisis. The last decade witnessed a vast increase in police aggression, misconduct, and militarization, along with a corresponding reduction in transparency and accountability. Nowhere is this more noticeable and painful than in African American and other ethnic minority communities. Racism - from raw, individualized versions to insidious systemic examples - appears to be on the rise in our police departments.
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Truth mixed with liberal rhetoric
- By Eric G. on 11-19-16
By: Norm Stamper
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The Law of Superheroes
- By: James Daily J.D., Ryan Davidson J.D.
- Narrated by: Eric G. Dove
- Length: 7 hrs and 58 mins
- Unabridged
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Could Superman sue if someone exposed his identity as Clark Kent? Is a life sentence for an immortal like Apocalypse "cruel and unusual punishment"? Is X-ray vision a violation of search and seizure laws? Is the Joker legally insane? And who foots the bill when a hero destroys a skyscraper or two while defending Metropolis? Fear not, gentle listener! The answers to these questions and a multitude more are contained inside this audiobook.
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Legal Pedantry Has Never Been This Much Fun
- By Troy on 07-31-14
By: James Daily J.D., and others
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How Did That Happen?
- Holding People Accountable for Results the Positive, Principled Way
- By: Roger Connors, Tom Smith
- Narrated by: Lloyd James
- Length: 9 hrs and 53 mins
- Unabridged
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Drawing on case studies, many from client companies, the authors show how to establish clear expectations and manage the unmet expectations that inevitably occur. And they offer a positive, principled way that engages hearts and minds. This book can help people at every level---from senior executives to front-line workers---enjoy greater productivity, profitability, and job satisfaction.
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HELP - How Can I Get The Lost Hours Back ?
- By Mike on 09-23-09
By: Roger Connors, and others
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The Deep State
- How an Army of Bureaucrats Protected Barack Obama and Is Working to Destroy the Trump Agenda
- By: Jason Chaffetz
- Narrated by: Jason Chaffetz
- Length: 7 hrs and 36 mins
- Unabridged
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Former congressman and current Fox News contributor Jason Chaffetz explains how we ended up with a politicized federal bureaucracy that actively works to promote the Democratic Party's agenda and undermine Donald Trump.
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Excellent insight to the dirty dealings of the gov
- By Henwhisperer on 09-26-18
By: Jason Chaffetz
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No Ego
- How Leaders Can Cut the Cost of Workplace Drama, End Entitlement, and Drive Big Results
- By: Cy Wakeman
- Narrated by: Cynthia Farrell
- Length: 4 hrs and 45 mins
- Unabridged
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No Ego is about increasing awareness of just how often individuals are operating out of ego at work, breeding drama and discord rather than innovation and constructive collaboration. It is high time to reinvent leadership thinking. The current work experience is so full of emotional waste that it's seen as a foregone cost in today's business environments. Cy Wakeman teaches straightforward strategies in which this time and energy can be re-commissioned and put toward the value that hired talent is intended to provide.
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It's a good dose of reality, but not enough...
- By Phaethon on 02-25-20
By: Cy Wakeman
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Bargaining with the Devil
- When to Negotiate, When to Fight
- By: Robert Mnookin
- Narrated by: Robert Mnookin
- Length: 7 hrs and 44 mins
- Abridged
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One of the country's most eminent practitioners of the art and science of negotiation offers practical advice for the most challenging conflicts - when you are facing an adversary you don't trust, who may harm you, or who you may even feel is evil. The head of Harvard's famed Program on Negotiation, Robert Mnookin provides tools for confronting devils of all kinds - in business, politics, and family life.
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Morally questionable
- By Dave on 01-22-19
By: Robert Mnookin
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Seeing What Others Don't
- The Remarkable Ways We Gain Insights
- By: Gary Klein
- Narrated by: Christopher Lane
- Length: 9 hrs
- Unabridged
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Insights—like Darwin's understanding of the way evolution actually works, and Watson and Crick's breakthrough discoveries about the structure of DNA-can change the world. We also need insights into the everyday things that frustrate and confuse us so that we can more effectively solve problems and get things done. Yet we know very little about when, why, or how insights are formed—or what blocks them. In Seeing What Others Don't, renowned cognitive psychologist Gary Klein unravels the mystery.
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Not enough actionable ideas
- By Blair on 02-24-15
By: Gary Klein
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Scapegoat
- A Flight Crew's Journey from Heroes to Villains to Redemption
- By: Emilio Corsetti III
- Narrated by: Fred Filbrich
- Length: 11 hrs and 18 mins
- Unabridged
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On April 4, 1979, a Boeing 727 with 82 passengers and a crew of seven rolled over and plummeted from an altitude of 39,000 feet to within seconds of crashing, were it not for the crew's actions to save the plane. The cause of the unexplained dive was the subject of one of the longest NTSB investigations at that time. While the crew's efforts to save TWA 841 were initially hailed as heroic, that all changed when safety inspectors found 21 minutes of the 30-minute cockpit voice recorder tape blank.
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pits large faceless entitles against a small group
- By Midwestbonsai on 08-15-16
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Building on its successful predecessors, the third edition of The Field Guide to Understanding 'Human Error' will show a new way of dealing with a perceived "human error" problem in your organization. It will help you trace how your organization juggles inherent trade-offs between safety and other pressures and expectations, suggesting that you are not the custodian of an already safe system. It will encourage you to start looking more closely at the performance that others may still call "human error", allowing you to discover how your people create safety through practice, at all levels of your organization, mostly successfully, under the pressure of resource constraints and multiple conflicting goals.
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Amazing
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What does the collapse of sub-prime lending have in common with a broken jackscrew in an airliner’s tailplane? These were systems that drifted into failure. While pursuing success in a dynamic, complex environment with limited resources and multiple goal conflicts, a succession of small, everyday decisions eventually produced breakdowns on a massive scale. The growth of complexity in society has outpaced our understanding of how complex systems work and fail. This book explores complexity theory and systems thinking to understand better how complex systems drift into failure.
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wish I could exchange for another title
- By REK on 02-15-20
By: Sidney Dekker
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Do Safety Differently
- By: Sidney Dekker, Todd Conklin
- Narrated by: Jay Allen, Sidney Dekker, Todd Conklin
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It is hard to change almost a lifetime of your organization’s thinking about safety in the traditional way and it is really difficult to change your organization’s history of bureaucracy that continues to reinforce the traditional safety definitions and metrics our organizations have used for many years. Let’s face it, change even for the better is hard to do. Doing Safety Differently is a discussion between two friends on what they have learned by watching organizations around the world change the way they do work.
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It’s possible to change our mindset when we think and work around safety.
- By GUSTAVO Arriens on 09-12-24
By: Sidney Dekker, and others
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The Safety Anarchist
- Relying on Human Expertise and Innovation, Reducing Bureaucracy and Compliance
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Work has never been as safe as it seems today. Safety has also never been as bureaucratized as it is today. Over the past two decades, the number of safety rules and statutes has exploded, and organizations themselves are creating ever more internal compliance requirements. Bureaucracy and compliance now seem less about managing the safety of workers, and more about managing the liability of the people they work for. At the same time, progress on safety has slowed. Many incident and injury rates have flatlined. Worse, excellent safety performance on low-consequence events tends to increase the risk of fatalities and disasters.
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Eastwood reads safety...
- By Justin Halford on 02-07-19
By: Sidney Dekker
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Stop Blaming
- Create a Restorative Just Culture
- By: Sidney Dekker
- Narrated by: Sidney Dekker
- Length: 3 hrs and 4 mins
- Unabridged
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Overall
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Performance
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There’s been an incident in your organization. People are impacted. You need to do something. How do you avoid blame, and how do you start learning and improving? This book tells you how to respond restoratively; to stay away from flow-chart just cultures that try to match shades of culpability with suitable sanctions. Instead, it invites you to ask what the impacts are of the incident. And what needs to be done to fix those impacts. And whose obligation is it to go do that. If you pursue these questions, you have already begun building a restorative just culture.
By: Sidney Dekker
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The End of Heaven
- Disaster and Suffering in a Scientific Age
- By: Sidney Dekker
- Narrated by: Sidney Dekker
- Length: 5 hrs and 36 mins
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In this deeply personal audiobook, Sidney Dekker narrates his own experiences with disaster and suffering, and in the process, he examines a largely unexplored dilemma. How can we satisfactorily deal with suffering when the disaster that caused it is no more than the dispassionate sum of utterly mundane, imperfect human decisions and technical failures? Broad in its historical sweep and ambition, The End of Heaven is as rich as it is moving.
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A meditation on author’s own loss
- By J. Schaub on 08-18-23
By: Sidney Dekker
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The Field Guide to Understanding 'Human Error'
- By: Sidney Dekker
- Narrated by: Sidney Dekker
- Length: 3 hrs and 58 mins
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Overall
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Performance
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Building on its successful predecessors, the third edition of The Field Guide to Understanding 'Human Error' will show a new way of dealing with a perceived "human error" problem in your organization. It will help you trace how your organization juggles inherent trade-offs between safety and other pressures and expectations, suggesting that you are not the custodian of an already safe system. It will encourage you to start looking more closely at the performance that others may still call "human error", allowing you to discover how your people create safety through practice, at all levels of your organization, mostly successfully, under the pressure of resource constraints and multiple conflicting goals.
-
-
Amazing
- By Adrienne Ashcraft on 07-13-21
By: Sidney Dekker
-
Drift into Failure
- By: Sidney Dekker
- Narrated by: Sidney Dekker
- Length: 7 hrs and 49 mins
- Unabridged
-
Overall
-
Performance
-
Story
What does the collapse of sub-prime lending have in common with a broken jackscrew in an airliner’s tailplane? These were systems that drifted into failure. While pursuing success in a dynamic, complex environment with limited resources and multiple goal conflicts, a succession of small, everyday decisions eventually produced breakdowns on a massive scale. The growth of complexity in society has outpaced our understanding of how complex systems work and fail. This book explores complexity theory and systems thinking to understand better how complex systems drift into failure.
-
-
wish I could exchange for another title
- By REK on 02-15-20
By: Sidney Dekker
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Do Safety Differently
- By: Sidney Dekker, Todd Conklin
- Narrated by: Jay Allen, Sidney Dekker, Todd Conklin
- Length: 5 hrs and 6 mins
- Unabridged
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Overall
-
Performance
-
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It is hard to change almost a lifetime of your organization’s thinking about safety in the traditional way and it is really difficult to change your organization’s history of bureaucracy that continues to reinforce the traditional safety definitions and metrics our organizations have used for many years. Let’s face it, change even for the better is hard to do. Doing Safety Differently is a discussion between two friends on what they have learned by watching organizations around the world change the way they do work.
-
-
It’s possible to change our mindset when we think and work around safety.
- By GUSTAVO Arriens on 09-12-24
By: Sidney Dekker, and others
-
The Safety Anarchist
- Relying on Human Expertise and Innovation, Reducing Bureaucracy and Compliance
- By: Sidney Dekker
- Narrated by: Sidney Dekker
- Length: 7 hrs and 50 mins
- Unabridged
-
Overall
-
Performance
-
Story
Work has never been as safe as it seems today. Safety has also never been as bureaucratized as it is today. Over the past two decades, the number of safety rules and statutes has exploded, and organizations themselves are creating ever more internal compliance requirements. Bureaucracy and compliance now seem less about managing the safety of workers, and more about managing the liability of the people they work for. At the same time, progress on safety has slowed. Many incident and injury rates have flatlined. Worse, excellent safety performance on low-consequence events tends to increase the risk of fatalities and disasters.
-
-
Eastwood reads safety...
- By Justin Halford on 02-07-19
By: Sidney Dekker
-
Stop Blaming
- Create a Restorative Just Culture
- By: Sidney Dekker
- Narrated by: Sidney Dekker
- Length: 3 hrs and 4 mins
- Unabridged
-
Overall
-
Performance
-
Story
There’s been an incident in your organization. People are impacted. You need to do something. How do you avoid blame, and how do you start learning and improving? This book tells you how to respond restoratively; to stay away from flow-chart just cultures that try to match shades of culpability with suitable sanctions. Instead, it invites you to ask what the impacts are of the incident. And what needs to be done to fix those impacts. And whose obligation is it to go do that. If you pursue these questions, you have already begun building a restorative just culture.
By: Sidney Dekker
-
The End of Heaven
- Disaster and Suffering in a Scientific Age
- By: Sidney Dekker
- Narrated by: Sidney Dekker
- Length: 5 hrs and 36 mins
- Unabridged
-
Overall
-
Performance
-
Story
In this deeply personal audiobook, Sidney Dekker narrates his own experiences with disaster and suffering, and in the process, he examines a largely unexplored dilemma. How can we satisfactorily deal with suffering when the disaster that caused it is no more than the dispassionate sum of utterly mundane, imperfect human decisions and technical failures? Broad in its historical sweep and ambition, The End of Heaven is as rich as it is moving.
-
-
A meditation on author’s own loss
- By J. Schaub on 08-18-23
By: Sidney Dekker
What listeners say about Just Culture
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Fen fen
- 06-30-20
case management essential
case management is a core part of safety as patients transition through the system. This is a must read!
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- Anonymous User
- 10-28-23
Great book for any security professional
As security professionals we often quickly blame the end user. Oh, how come they made that mistake (i.e. clicking on a phishing link). But we just always analyze the system to understand what made them do what they did. I am grateful to Sidney Dekker and other academics researching culture’s role in understanding and preventing incidents.
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- safa
- 09-04-18
culture influence on investigations
I listened to both books "Just Culture: restoring trust.." and "Field guide.." by Sidney Dekker. I recommend starting with this book because it is easier to understand and contains many good stories. Also, the writer expands on "Culture" in the filed guid book.
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- Ciprian Dobre-Trifan
- 01-12-20
Very actual analysis of the psychology of safety
The book presents a very important facts based analysis of a very contemporary issue regarding justice and how much it needs to change in order to be appropriate for the current complexities and responsibilities of modern professionals and society as a whole.
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- Southard
- 09-02-24
What is Just?
Working in the aircraft industry can be very challenging. Lives are at stake. Being a big, public company adds financial pressures which can be fickle and immense. Having the right culture is critical. Understanding the culture is often nuanced and complex. Having the right words to express the ideas around culture can be the difference between building a healthy culture and perpetuating an unhealthy one. This book provides frameworks and language to help understand just cultures and unjust cultures. There are many helpful ideas and case studies included, but the biggest lesson I learned was about the balance each company must have between restorative justice and retributive justice. Retributive justice asks “Who messed up and how do we punish them so that justice is served?” Restorative justice asks, “What went wrong, who was hurt, how can we fix the processes, and how can we heal those who were hurt?” Retributive justice often seeks scapegoats. Restorative justice seeks learning and healing. Dekker describes three types of errors or mistakes that can be made in our high-speed work environments: 1) Human errors or honest mistakes. 2) At-risk behavior or errors made by workers dealing with great or unknown risks. 3) Negligence. Workers ignoring risks, rules, or requirements and making decisions that cause harm. The challenge is that it is often hard to draw a line between what is okay and not okay. It is hard to determine where to start consequences. Often our vocabulary and logic fail us and we do more harm than healing when sorting out what to do following an error or mistake. Justice is a matter of perspective. Dekker also spends a lot of time describing the second victims. These are the people who suffer as a result of a mistake, error, or choice they made working in these environments such as a police officer who kills someone in the line of duty, a nurse who makes a fatal medical mistake, or a pilot who causes a crash. These people are often hurt and may spend years suffering from guilt, shame, loss of credentials, jail time, or in the worst cases, they may even take their own lives after an incident. These second victims are often the scapegoats and can be forgotten or abused by retributive justice cultures. Restorative justice cultures seek these victims out too and seek to learn from them and their experiences and use those lessons to fix systems that failed. Dekker describes the following theories which are used to describe why people break the rules or make mistakes: labeling theory, control theory, learning theory, bad apple theory, stupid rules or subculture theory, and resilience theory. I’ve seen examples of all of these at work and in other areas. Understanding them helps give language to some of the interesting psychology they describe. Dekker also talks about the interesting dynamics of reporting and disclosure, and how leaders or regulators can incentivize individuals and organizations to open up about mistakes and learn from them before an accident or legal case forces the action. This isn’t a very long book, but it is packed with good lessons, examples, and language to help understand complex ideas about company cultures. I’ll reread this soon to soak up more of the lessons.
This is for anyone seeking to learn about justice.
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