Forgiveness as morally serious response to errors in healthcare: A narrative review

An interesting and recent discussion paper from Sidney Dekker, exploring forgiveness as a ‘morally serious response’ to incidents, as opposed to retributive approaches. Tl;dr: ·         “while retribution addresses certain ethical concerns, it is incomplete and can be counterproductive, particularly for patient safety and organizational learning” ·         “Systems that focus primarily on individual blame risk fostering… Continue reading Forgiveness as morally serious response to errors in healthcare: A narrative review

From individual behaviour to system weaknesses: The re-design of the Just Culture process in an international energy company. A case study

This 2018 paper explored the effects of a re-designed Just Culture (JC) process in an international energy company. It’s a solid read and worth your time – I’ve had to skip heaps. Providing background: ·         This organisation started using the James Reason JC framework in 201, but collective experience in the organisation “indicated that the… Continue reading From individual behaviour to system weaknesses: The re-design of the Just Culture process in an international energy company. A case study