We continue our week 1 discussion of Sidney Dekker’s Just Culture: Restoring Trust and Accountability in Your Organization with some thoughts on Chapter 1 - Retributive and Restorative Just Cultures. When posting your thoughts, consider the following questions:
- What is retributive vs. restorative Just Culture and how does each address individual and system accountability in reducing bad outcomes? What are the challenges to applying each approach within a Just Culture? How can those challenges be managed?
- What are your personal experiences with retributive and restorative Just Culture? How did you feel about the experience? Did it make your place of work safer?
- Dekker mentions that the two cultures are not mutually exclusive. Consider when each approach might be used, when the approaches may be inappropriate, and if they can exist without each other in healthcare organizations.
- Consider James Reason’s Decision Tree for Determining Culpability of Unsafe Acts (below). How does it apply to Dekker's discussion in this chapter?
As ever, please feel free to contribute questions of your own in your discussion as well as things you may not have understood, or any alternative opinions/theories you've come across in the literature.
Next week's blog will focus on Chapter 2.