Download or read book Just Culture written by Sidney Dekker and published by CRC Press. This book was released on 2018-09-07 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: A just culture is a culture of trust, learning and accountability. It is particularly important when an incident has occurred; 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, about retributive just culture and about 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? Another way 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. Learn to look at accountability in different ways and your impact on restoring trust, learning and a sense of humanity in your organization could be enormous.
Download or read book Just Culture 3rd Edition written by Sidney Dekker and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A just culture is a culture of trust, learning and accountability. It is particularly important when an incident has occurred; 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, about retributive just culture and about 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? Another way 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. Learn to look at accountability in different ways and your impact on restoring trust, learning and a sense of humanity in your organization could be enormous.
Download or read book Just Culture written by Professor Sidney Dekker and published by Ashgate Publishing, Ltd.. This book was released on 2012-10-01 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the success of the 2007 original, Dekker revises, enhances and expands his view of just culture for this second edition, additionally tackling the key issue of how justice is created inside organizations. The goal remains the same: to create an environment where learning and accountability are fairly and constructively balanced. The First Edition of Sidney Dekker’s Just Culture brought accident accountability and criminalization to a broader audience. It made people question, perhaps for the first time, the nature of personal culpability when organizational accidents occur. Having raised this awareness the author then discovered that while many organizations saw the fairness and value of creating a just culture they really struggled when it came to developing it: What should they do? How should they and their managers respond to incidents, errors, failures that happen on their watch? In this Second Edition, Dekker expands his view of just culture, additionally tackling the key issue of how justice is created inside organizations. The new book is structured quite differently. Chapter One asks, ‘what is the right thing to do?’ - the basic moral question underpinning the issue. Ensuing chapters demonstrate how determining the ‘right thing’ really depends on one’s viewpoint, and that there is not one ‘true story’ but several. This naturally leads into the key issue of how justice is established inside organizations and the practical efforts needed to sustain it. The following chapters place just culture and criminalization in a societal context. Finally, the author reflects upon why we tend to blame individual people for systemic failures when in fact we bear collective responsibility. The changes to the text allow the author to explain the core elements of a just culture which he delineated so successfully in the First Edition and to explain how his original ideas have evolved. Dekker also introduces new material on ethics and on caring for the’ second victim’ (the professional at the centre of the incident). Consequently, we have a natural evolution of the author’s ideas. Those familiar with the earlier book and those for whom a just culture is still an aspiration will find much wisdom and practical advice here.
Download or read book Just Culture Third Edition Restoring Trust and Accountability in Your Organization written by Sidney Dekker and published by . This book was released on 2016-03-28 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Field Guide to Human Error Investigations written by Sidney Dekker and published by Routledge. This book was released on 2017-11-01 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title was first published in 2002: This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.
Download or read book Safety Differently written by Sidney Dekker and published by CRC Press. This book was released on 2014-06-23 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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. Today, the unrelenting pace of technology change and growth of complexity calls for a different kind of safety thinking. Automation and new technologies have resu
Download or read book Understanding Patient Safety Second Edition written by Robert Wachter and published by McGraw Hill Professional. This book was released on 2012-05-23 with total page 501 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complete coverage of the core principles of patient safety Understanding Patient Safety, 2e is the essential text for anyone wishing to learn the key clinical, organizational, and systems issues in patient safety.The book is filled with valuable cases and analyses, as well as up-to-date tables, graphics, references, and tools -- all designed to introduce the patient safety field to medical trainees, and be the go-to book for experienced clinicians and non-clinicians alike. Features NEW chapter on the critically important role of checklists in medical practice NEW case examples throughout Expanded coverage of the role of computers in patient safety and outcomes Expanded coverage of new patient initiatives from the Joint Commission
Download or read book Third Culture Kids 3rd Edition written by Ruth E. Van Reken and published by Nicholas Brealey. This book was released on 2010-11-26 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: The absolute authority on Third Culture Kids for nearly two decades! In this 3rd edition of the ground-breaking global classic, Ruth E. Van Reken and Michael V. Pollock, son of the late original co-author, David C. Pollock, have significantly updated what is widely recognized as "The TCK Bible." Emphasis is on the modern TCK and addressing the impact of technology, cultural complexity, diversity and inclusion and transitions. Includes new advice for parents and others for how to support TCKs as they navigate work, relationships, social settings and their own personal development. New to this edition: · A second PolVan Cultural Identity diagram to support understanding of cultural identity · New models for identity formation · Updated explanation of unresolved grief · New material on "highly mobile communities" addressing the needs of people who stay put while a community around them moves rapidly · Revamped Section III so readers can more easily find what is relevant to them as Adult TCKs, parents, counselors, employers, spouses, administrators, etc. · New "stages and needs" tool that will help families and organizations identify and meet needs · Greater emphasis on tools for educators as they grapple with demographic shifts in the classroom
Download or read book Lean Hospitals written by Mark Graban and published by CRC Press. This book was released on 2016-06-30 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. Lean Hospitals, Third Edition explains how to use the Lean methodology and mindsets to improve safety, quality, access, and morale while reducing costs, increasing capacity, and strengthening the long-term bottom line. This updated edition of a Shingo Research Award recipient begins with an overview of Lean methods. It explains how Lean practices can help reduce various frustrations for caregivers, prevent delays and harm for patients, and improve the long-term health of your organization. The second edition of this book presented new material on identifying waste, A3 problem solving, engaging employees in continuous improvement, and strategy deployment. This third edition adds new sections on structured Lean problem solving methods (including Toyota Kata), Lean Design, and other topics. Additional examples, case studies, and explanations are also included throughout the book. Mark Graban is also the co-author, with Joe Swartz, of the book Healthcare Kaizen: Engaging Frontline Staff in Sustainable Continuous Improvements, which is also a Shingo Research Award recipient. Mark and Joe also wrote The Executive’s Guide to Healthcare Kaizen.
Download or read book Drift into Failure written by Professor Sidney Dekker and published by Ashgate Publishing, Ltd.. This book was released on 2012-10-01 with total page 442 pages. Available in PDF, EPUB and Kindle. Book excerpt: What does the collapse of sub-prime lending have in common with a broken jackscrew in an airliner’s tailplane? Or the oil spill disaster in the Gulf of Mexico with the burn-up of Space Shuttle Columbia? 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. We have trouble grasping the complexity and normality that gives rise to such large events. We hunt for broken parts, fixable properties, people we can hold accountable. Our analyses of complex system breakdowns remain depressingly linear, depressingly componential - imprisoned in the space of ideas once defined by Newton and Descartes. The growth of complexity in society has outpaced our understanding of how complex systems work and fail. Our technologies have gotten ahead of our theories. We are able to build things - deep-sea oil rigs, jackscrews, collateralized debt obligations - whose properties we understand in isolation. But in competitive, regulated societies, their connections proliferate, their interactions and interdependencies multiply, their complexities mushroom. This book explores complexity theory and systems thinking to understand better how complex systems drift into failure. It studies sensitive dependence on initial conditions, unruly technology, tipping points, diversity - and finds that failure emerges opportunistically, non-randomly, from the very webs of relationships that breed success and that are supposed to protect organizations from disaster. It develops a vocabulary that allows us to harness complexity and find new ways of managing drift.
Download or read book When Cultures Collide Third Edition written by Richard Lewis and published by Nicholas Brealey International. This book was released on 2010-11-26 with total page 625 pages. Available in PDF, EPUB and Kindle. Book excerpt: The classic work that revolutionized the way business is conducted across cultures around the world.
Download or read book Just Culture 2nd Edition written by Sidney Dekker and published by . This book was released on 2016 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the success of the 2007 original, Dekker revises, enhances and expands his view of just culture for this second edition, additionally tackling the key issue of how justice is created inside organizations. The goal remains the same: to create an environment where learning and accountability are fairly and constructively balanced. The First Edition of Sidney Dekker's Just Culture brought accident accountability and criminalization to a broader audience. It made people question, perhaps for the first time, the nature of personal culpability when organizational accidents occur. Having raised this awareness the author then discovered that while many organizations saw the fairness and value of creating a just culture they really struggled when it came to developing it: What should they do? How should they and their managers respond to incidents, errors, failures that happen on their watch? In this Second Edition, Dekker expands his view of just culture, additionally tackling the key issue of how justice is created inside organizations. The new book is structured quite differently. Chapter One asks, 'what is the right thing to do?' - the basic moral question underpinning the issue. Ensuing chapters demonstrate how determining the 'right thing' really depends on one's viewpoint, and that there is not one 'true story' but several. This naturally leads into the key issue of how justice is established inside organizations and the practical efforts needed to sustain it. The following chapters place just culture and criminalization in a societal context. Finally, the author reflects upon why we tend to blame individual people for systemic failures when in fact we bear collective responsibility. The changes to the text allow the author to explain the core elements of a just culture which he delineated so successfully in the First Edition and to explain how his original ideas have evolved. Dekker also introduces new material on ethics and on caring.
Download or read book Human Factors in Traffic Safety written by Robert E. Dewar and published by Lawyers & Judges Publishing. This book was released on 2007 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introducing readers to the behavior of drivers, this title covers a wide variety of perspectives on human factors, ranging from the design of roads, vehicles, and traffic control devices to emotional and motivational determinants of driver behavior. This new edition has been extensively revised and contains new chapters on driver education and driver distraction.
Download or read book Quality and Safety Education for Nurses Third Edition written by Patricia Kelly Vana, MSN, RN and published by Springer Publishing Company. This book was released on 2022-01-27 with total page 625 pages. Available in PDF, EPUB and Kindle. Book excerpt: "I congratulate the editors of [this book] on their commitment to continuously updating the resources needed by nursing leaders, faculty, and students who seek to develop or enhance their quality and safety competencies. The chapters and the contents of this edition align magnificently with new domains of the AACN accreditation standards (2021). Whatever your level of education or role in nursing, this textbook is rich in resources to support your growth." -Linda Cronenwett, PhD, RN (ret.), FAAN Professor & Dean Emeritus University of North Carolina at Chapel Hill School of Nursing Former Principal Investigator, QSEN: Quality and Safety Education for Nurses (From the Foreword) This Third Edition of Quality and Safety Education for Nurses has been thoroughly updated for students in undergraduate Associate, Baccalaureate, Accelerated and BSN completion Nursing programs. There is a chapter focusing on each of the six Quality and Safety Education for Nurses (QSEN) Competency areas, with content on Nursing Leadership and Patient Care Management infused throughout the chapters. The Third Edition also includes new chapters on Systems Thinking, Implementation Science, and Population Health. It includes an Instructor’s manual and Powerpoints. New to the Third Edition: New Chapters: Chapter 3: Systems Thinking Chapter 13: Implementation Science Chapter 15: Population Health and the Role of Quality and Safety Incorporates new content based on The Future of 2020-2030 Report and the 2021 AACN Essentials Contains a "Competency Crosswalk" connecting each chapter's content to QSEN/AACN Competencies Key Features: Supports nursing schools to fulfill accreditation standards for Quality and Safety curricula Includes Clinical Judgment Activities, Case Studies, Interviews, NCLEX-Style Questions, Figures, Tables, Bibliography, Suggested Readings, and more to clarify content Designed to be used in a stand-alone Quality and Safety course, Leadership and Management Nursing course, or as a support for Nursing courses Provides instructor package with an unfolding case study with suggestions for assignments, questions and answers for case study and critical thinking exercises, PowerPoint slides, and more
Download or read book Restorative Just Culture in Practice written by Sidney Dekker and published by CRC Press. This book was released on 2022-06-15 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: A restorative just culture has become a core aspiration for many organizations in healthcare and elsewhere. Whereas ‘just culture’ is the topic of some residual conceptual debate (e.g. retributive policies organized around rules,violations and consequences are ‘sold’ as just culture), the evidence base on, and business case for, restorative practice has been growing and is generating increasing, global interest. In the wake of an incident, restorative practices ask who are impacted, what their needs are and whose obligation it is to meet those needs. Restorative practices aim to involve participants from the entire community in the resolution and repair of harms. This book offers organization leaders and stakeholders a practical guide to the experiences of implementing and evaluating restorative practices and creating a sustainable just, restorative culture. It contains the perspectives from leaders, theoreticians regulators, employees and patient representatives. To the best of our knowledge, there is no book on the market today that can function as a guide for the implementation and evaluation of a just and learning culture and restorative practices. This book is intended to fill this gap. This book will provide, among other topics, an overview of restorative just culture principles and practices; a balanced treatment of the various implementations and evaluations of just culture and restorative processes; a guide for leaders about what to stop, start, increase and decrease in their own organizations; and an attentive to philosophical and historical traditions and assumptions that underlie just culture and restorative approaches. The interest in ‘just culture’, not just in healthcare but also in other fields of safety-critical practice, has been steadily growing over the past decade. It is a trending area. In this, it has become clear that 20-year-old retributive models not only hinder the acceleration of performance and organizational improvement but have also in some cases become a blunt HR instrument, an expression of power over justice and a way to stifle honesty, reporting and learning. What is new in this, then, is the restorative angle on just culture, as it has been developed over the last few years and now is practised and applied to HR, suicide prevention, healthcareimprovement, regulatory innovations and other areas.
Download or read book Evaluation of Human Work 3rd Edition written by John R. Wilson and published by CRC Press. This book was released on 2005-04-04 with total page 1048 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely revised and updated, Evaluation of Human Work is a compendium of ergonomics methods and techniques that is both broad and deep. The editors have once again brought together a team of world-renowned experts and created a forum for them to introduce their most valued techniques and methods. Almost every chapter has been revised and several new chapters have been added. See what’s new in the Third Edition: Sociotechnical design of work systems Team design and evaluation Learning from failures through a joint cognitive systems perspective The Analysis of organizational processes Techniques in user-centered design Increased understanding of the nature of knowledge and knowledge management in contemporary systems Environment surveys Systems for near miss reporting and analysis The one thing that has remained unchanged from the first and second editions is that this text is produced NOT as a cookbook of ergonomics methods. The editor places ergonomics methodology in context, and each chapter carefully describes the background to method development in that area and the application of methods and tools. Exploring the topic of ergonomics/human factors from a ‘doing it’ perspective, the book serves as a guide to what ergonomics can offer industry, business, or human service professionals and a reference for practicing ergonomists.
Download or read book Just Culture Algorithm V3 2 for Employers written by Outcome Engenuity and published by . This book was released on 2012-08-06 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:
