Just Culture: Balancing Safety and AccountabilityAshgate, 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
A Nurses Error Became a Crime | 1 |
Between Culpable and Blameless | 29 |
The Importance Risk and Protection of Reporting | 39 |
Direitos autorais | |
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accident actions aftermath air traffic control aircraft airline approach autopilot aviation behavior Cairo international airport calls for accountability captain chapter co-pilot cockpit voice recorder consequences crew crime criminal culpable culture decision decision tree disclose disclosure doctors domain expertise draw the line ethical Eurocontrol event example failure flight engineer happened healthcare hindsight hindsight bias honest human error Ibid improvement incident involved Israeli judge of instruction judgment judicial proceedings judiciary justice learning legal system Libyan airliner lidocaine look Mara Medical error medical malpractice mg/ml mistake negligence normal normative errors nurse omertà operator organization organization's organizational organizational learning outcome patient 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