Searched: "just culture"
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"Two divers entered a wreck without laying a line. They entered a room, and due to some ineffective finning techniques and poor trim, along with percolation from the ceiling of the room, the room silted out quickly and they spent the next 10 mins in a panic trying to find their way out. Eventuall...
There are plenty of quotes out there relating to learning from mistakes. "Experience is simply the name we give our mistakes." - Oscar Wilde "You must learn from the mistakes of others. You can't possibly live long enough to make them all yourself." - Samuel Levenson "Making mistakes sim...
Two weeks ago, I wrote a blog about the (in)ability to learn from near-misses because they are often treated as successes. Furthermore, the research behind the article also showed that those in leadership positions of organisations are rewarded for near-misses because the positive outcome contrib...
I spend a fair amount of my time talking about psychological safety and a Just Culture, and while they both can help teams and organisations learn and improve, in my opinion, they are subtlety different but interdependent. This blog will explain what each of the terms means and how they fit into ...
This week I saw the image below posted online. I thought it was humorous because of the contrast between the message displayed on the board and the marking on the ground which showed that this was a cycle lane. I shared it with a cycling group on FB I am part of and the majority of people made cr...
The title of this blog might appear to be a bit strong, but consider the following: The man dropped the vase, and it broke. The vase broke when it was dropped by the man. The first sentence puts the action (or agency) on the man, on the ‘who’ was involved, whereas the second statement focu...
Cultura Justa é provavelmente um dos conceitos mais mal compreendidos em Fatores Humanos. Neste blog, vou explicar o que queremos dizer com isso e por que é tão importante tê-la para permitir que ocorra aprendizado. O que queremos dizer com cultura? De acordo com o dicionário, cultura é "as ide...
The aviation industry has long recognised the importance of checklists for enhancing safety and standardising procedures in flight operations. Over time, checklists have expanded to other domains such as medicine with the World Health Organisations Surgical Safety Checklist. Verbal aide memoirs h...
When you go diving, do you even consider what ‘safe’ means? ‘Safe’ can mean many things to many different people. A 10m reef dive for some has a level of risk, maybe from the wildlife that resides there or the currents or waves that are present. A 30m wreck dive with some level of penetration has...
Accidents, incidents and near misses occur in diving every day. Fortunately, most of them don’t end up with a serious or fatal outcome. While the media focus in diving safety is on the fatalities because they are emotive and public, there are more lessons that can be learned from incidents and ne...
