- Cover
- Half Title
- Title Page
- Copyright Page
- Table of Contents
- Preface
- Acknowledgments
- Author
- Case Study: Under the Gun
- Case Study: When Does a Mistake Stop Being Honest?
- Chapter 1 Retributive and Restorative Just Cultures
- Chapter 2 Why Do Your People Break the Rules?
- Chapter 3 Safety Reporting and Honest Disclosure
- A Few Bad Apples?
- Getting People to Report
- What to Report?
- Keeping the Reports Coming In
- Reporting to Managers or to Safety Staff?
- The Successful Reporting System: Voluntary, Nonpunitive, and Protected
- The Difference between Disclosure and Reporting
- The Risks of Reporting and Disclosure
- What is Being Honest?
- Case Study
- Criminal Law and Accidental Death
- Rational Systems that Produce Irrational Outcomes
- The Shortest Straw
- Chapter 4 The Criminalization of Human Error
- The First Victims
- The Second Victim
- The Prosecutor
- The Defense Lawyer
- The Judge
- Lawmakers
- The Employing Organization
- The Consequences of Criminalization
- Tort Liability
- Without Prosecutors, There Would Be No Crime
- Judicial Proceedings and Justice
- Judicial Proceedings and Safety
- Summing Up the Evidence
- Case Study
- Industry Responses to Criminalization
- Response 1: Do Nothing
- Response 2: The Volatile Safety Database
- Response 3: Formally Investigate Beyond the Period of Limitation
- Response 4: Rely on Lobbying, Prosecutorial, and Media Self-Restraint
- Response 5: Judge of Instruction
- Response 6: The Prosecutor Is Part of the Regulator
- Response 7: Disciplinary Rules within the Profession
- Chapter 5 What Is the Right Thing to Do?
- References
- Index
In addition to the many practitioners, students, and colleagues who helped inspire the previous editions of Just Culture, I specifically want to acknowledge the contributions of Rob Robson, Rick Strycker, and Hugh Breakey in shaping the ideas for the third edition.
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