Webinar: 20 May, 18:30 UK

Accountability and a Just Culture: 
How to really learn when things go wrong

The presentation will last 60mins with 30mins Q&A afterwards. The presentation will look at how mistakes happen, the concept of 'fair', what is a Just Culture, what the difference is between forward-looking and backwards-looking accountability, what the difference is between retributive and restorative Just Culture, and what you can do personally to create a more Just environment to allow real learning to happen.

Just Culture resources below

Access the 90-min recording

Accountability and a Just Culture in Diving

A Just Culture is the opposite of a blame culture. Note that a Just Culture is not the same as a no-blame culture but is a culture where individuals are accountable for their wilful misconduct or gross negligence. Remembering that our own behaviours (and associated errors) are heavily influenced by the environment, the goals and targets we have, and the conflicts we are constantly managing. 

Where a Just Culture is present, discipline is linked to behaviour, rather than harm, thereby reducing the impact of outcome bias.

Just Culture Resources

Diving

Gareth Lock (2017). To Err is Human. Shearwater Blog

Diving

Gareth Lock (2016). Just Culture: Why it is essential that we stop judging & blaming and start looking at the context if we are to improve diving safety. TDI/SDI Blog

Diving

Gareth Lock (2014). Just Culture in Diving. X-Ray Magazine.

General

Dekker, S. W. A. (2003). When human error becomes a crime. Human Factors and Aerospace Safety

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General

Dekker, S. W. A. (2009). Prosecuting professional mistake: Secondary victimization and a research agenda for criminology.

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General

Dekker, S. W. A. (2009). Just Culture: Who draws the line?

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General

Dekker, S. W. A. (2014). A new just culture algorithm.

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General

Dekker, S. W. A. & Breakey, H. (2016).‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice.

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General

Restorative Just Culture Checklist. Dekker. 2020.

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Healthcare

David Marx (2001) Patient Safety and the “Just Culture”: A Primer for Health Care Executives

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Aviation

GAIN (2004). A Roadmap to a Just Culture: Enhancing the safety environment. 

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Healthcare

NHS England (2019). A Just Culture Guide.