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by Sidney Dekker
Just Culture, 3rd Edition
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
Retributive Just Culture
Shades of Retribution
Difficulties and Fairness in Retribution
Substantive Justice
Breaking The Rules to Get More Recruits: Some Say Cheating Needed to Fill Ranks
Procedural Justice
Summarizing and Managing the Difficulties with Retributive Justice
Restorative Just Culture
Restorative Justice Steps
Who Was Hurt, and What Are His or Her Needs?
Identifying the Obligations to Meet Needs
Restoration and Forgiveness
Comparing and Contrasting Retributive and Restorative Approaches
Neither Retributive nor Restorative Justice “Lets People Off the Hook”
Retributive and Restorative Forms of Justice Deal Differently with Trust
Can Someone or Something Be Beyond Restorative Justice?
Case Study
Are All Mistakes Equal?
Technical Errors: Errors in a Role
Normative Errors: Errors of a Role
Chapter 2 Why Do Your People Break the Rules?
Labeling Theory
Violations Seen from This Bench Are Just Your Imagination
Control Theory
Learning Theory
The Bad Apple Theory
Stupid Rules and Subculture Theory
Resilience Theory
Case Study
Hindsight and Shooting Down an Airliner
The Hindsight Bias
A Normal, Technical Professional Error
A Normative, Culpable Mistake
Hindsight and Culpability
The Worse the Outcome, the More to Account For
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
Voluntary
Nonpunitive
Protected
What If Reported Information Falls into the Wrong Hands?
The Difference between Disclosure and Reporting
Overlapping Obligations
The Risks of Reporting and Disclosure
The Ethical Obligation to Report or Disclose
The Risk with Disclosure
The Protection of Disclosure
What is Being Honest?
Case Study
A Nurse’s Error Became a Crime
At the Supreme Court
A Calculation Gone Awry
“Mea Culpa”
Criminal Law and Accidental Death
Rational Systems that Produce Irrational Outcomes
The Shortest Straw
Chapter 4 The Criminalization of Human Error
The First Victims
Do First Victims Believe that Justice Is Served by Putting Error on Trial?
Are Victims in It for the Money?
The Second Victim
The Prosecutor
What to Prosecute?
Safety Investigations that Sound Like Prosecutors
The Prosecutor as Truth-Finder
The Defense Lawyer
The Judge
Establishing the “Facts”
Determining Whether Laws Were Broken
Deciding Adequate Punishment
Lawmakers
The Employing Organization
The Consequences of Criminalization
Most Professionals Do Not Come to Work to Commit Crimes
Is Criminalization Bad for Safety?
But Isn’t There Anything Positive about Involving the Legal System?
Tort Liability
Without Prosecutors, There Would Be No Crime
The View from Nowhere
There Is No View from Nowhere
Judicial Proceedings and Justice
Judicial Proceedings and Safety
Summing Up the Evidence
Case Study
Industry Responses to Criminalization
Response 1: Do Nothing
Consequences
Response 2: The Volatile Safety Database
Consequences
Response 3: Formally Investigate Beyond the Period of Limitation
Consequences
Response 4: Rely on Lobbying, Prosecutorial, and Media Self-Restraint
Consequences
Response 5: Judge of Instruction
Consequences
Response 6: The Prosecutor Is Part of the Regulator
Consequences
Response 7: Disciplinary Rules within the Profession
Consequences
Chapter 5 What Is the Right Thing to Do?
Dealing with An Incident
Before Any Incident Has Even Happened
After an Incident Has Happened
Not Individuals or Systems, but Individuals in Systems
A Discretionary Space for Personal Accountability
Blame-Free Is Not Accountability-Free
Forward-Looking Accountability
Ask What Is Responsible, Not Who Is Responsible
What Is the Right Thing to Do?
What Can Ethics Tell You?
Virtue Ethics
Duty Ethics
Contract Ethics
Utilitarianism
Consequence Ethics
Golden Rule Ethics
Not Bad Practice, but Bad Relationships
Case Study
There Is Never One “True” Story
Which Perspective Do We Take?
The “Real” Story of What Happened?
Rhetoric: The Art of Persuasion
References
Index
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