“The main question for a just culture is not about matching consequences with outcome. It is this: Did the assessments and actions of the professionals at the time make sense, given their knowledge, their goals, their attentional demands, their organizational… — 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
