“If we adjudicate an operator’s understanding of an unfolding situation against our own truth, which includes knowledge of hindsight, we may learn little of value about why people saw what they did, and why taking or not taking action made… — Sidney Dekker Copy Share Image
“forward-looking accountability.”2 Accountability that is backward-looking (often the kind in trials or lawsuits) tries to find a scapegoat, to blame and shame an individual… — Sidney Dekker Copy Share Image
“Accidents are no longer accidents at all. They are failures of risk management.” — Sidney Dekker Copy Share Image
“It has to do with being open, with a willingness to share information about safety problems without the fear of being nailed for them.” — Sidney Dekker Copy Share Image
“The main question for a just culture is not about matching consequences with outcome. It is this: Did the assessments and actions of the… — Sidney Dekker Copy Share Image
“There is almost no human action or decision that cannot be made to look flawed and less sensible in the misleading light of hindsight.… — Sidney Dekker Copy Share Image
“Unjust responses to failure are almost never the result of bad performance. They are the result of bad relationships.” — Sidney Dekker Copy Share Image
“A just culture accepts nobody’s account as “true” or “right” and others wrong.” — Sidney Dekker Copy Share Image
“Arriving at the edge of chaos is a logical endpoint for drift. At the edge of chaos, systems have tuned themselves to the point… — Sidney Dekker Copy Share Image
“If professionals consider one thing “unjust,” it is often this: Split-second operational decisions that get evaluated, turned over, examined, picked apart, and analyzed for… — Sidney Dekker Copy Share Image
“If we adjudicate an operator’s understanding of an unfolding situation against our own truth, which includes knowledge of hindsight, we may learn little of… — Sidney Dekker Copy Share Image
“In complex systems, after all, it is very hard to foresee or predict the consequences of presumed causes. So it is not the consequences… — Sidney Dekker Copy Share Image
“Creating a climate in which disclosure is possible and acceptable is the organization’s responsibility.” — Sidney Dekker Copy Share Image
