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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? In this edition, the author revises, enhances and expands his view of just culture, additionally tackling the key issue of how justice is created inside of organizations.
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. It lays out how to bend your response away from rules and violations and consequences. And to stay away from flow-chart just cultures that supposedly 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. A restorative just culture doesn't let people off the hook. It holds people accountable, even when it forgives them for what they did. It does so by engaging in a forward-looking accountability. It asks what you and they need to do-given your roles in the organization-to repair the harms that were caused, to rebuild the trust that was undermined, and to restore the relationships that were dented.Speaking directly to organisational leaders and others, this book explains how incidents are a stress test for you and your organization. It clarifies why retributive (flow-chart) just cultures don't work and why they probably do more harm than good. It shows how restorative just culture can become your compass and your guide, taking you through the identification of impacts, needs and obligations following an incident. It demonstrates how forgiveness and accountability can go hand in hand, and how there are rigorous and more useful alternatives to firing someone. It helps you with the question of who qualifies for restorative justice, and what the goals are that you might hope to achieve with it. The book discusses what to do if there's a conflict that needs resolving. It avoids large programs that need rolling out or that require an organization-wide implementation. Instead it suggests that you can gradually change your culture by building a little, testing a little, fixing and little and then building a little more.The book concludes with asking how good you need to be, and invites you to stop expecting perfection. It proposes that you might pursue integrity in your organization instead. Written by the leading voice on restorative just culture today, this little book is a quick read. It is presented in a format and a language that makes the ideas easily accessible. If you follow the guidance in it, your impact on restoring trust, learning, and a sense of humanity could be enormous.
The second edition of a bestseller, Safety Differently: Human Factors for a New Era is a complete update of Ten Questions About Human Error: A New View of Human Factors and System Safety
This latest edition of The Field Guide to Understanding 'Human Error ' will help you understand how to move beyond 'human error'; how to understand accidents; how to do better investigations; how to understand and improve your safety work.
The previous edition looked critically at the answers human factors would typically provide and compared/contrasted them with current research and insights at that time. Today, the unrelenting pace of technology change and growth of complexity calls for a different kind of safety thinking. This book explains how to turn safety from a bureaucratic accountability back into an ethical responsibility for those who do our dangerous work; how to embrace the human factor not as a problem to control, but as a solution to harness.
We tend to blame and forget those professionals who cause incidents and accidents, but they are victims too. They are second victims whose experiences of an incident or adverse event can be as traumatic as that of the first victims. This book goes through what we know about trauma, guilt, forgiveness and injustice and how these might be felt by the second victim. It discusses how to conduct investigations of incidents that do not alienate second victims or make them feel even worse. It enters into a conversation on support and resilience and where the responsibilities for creating it may lie.
"With coverage ranging from the influence of professional identity in medicine and problematic nature of "human error," to the psychological and social features that characterize healthcare work, to the safety-critical aspects of interfaces and automation, this book spans the width of the human factors field and its importance for patient safety today. In addition, the book discusses topics such as accountability, just culture, and secondary victimization in the aftermath of adverse events and takes readers to the leading edge of human factors research today: complexity, systems thinking and resilience"--Provided by publisher.
Explores complexity theory and systems thinking to better understand how complex systems drift into failure. This book develops a vocabulary that allows us to harness complexity and find different ways of managing drift.
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