‘Just Culture’ Versus ‘Blame Culture’ in Aviation

- The objective of this article is to examine which role the theory and sociology of organization might have in the accident analysis of organizations for the improvement of safety and reliability. The possible role for organizational research on accidents in organizations. The two main aims are: the analysis of two different logics of inquiry in case of accidents - the individual blame logic vs the functional-organizational logic-; the evaluation of the possible role and the practical difficulties in the implementation of an organizational approach if errors and organizational accidents occur. Main attention will focus on organizational research direct to have influence on social processes and conditions of extra-academic effect.Key words: organizational learning, organizational errors, blame culture, just culture, safety, organizational reliability

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Barriers to Incident Reporting among Nurses: A Qualitative Systematic Review

Western Journal of Nursing Research ◽

10.1177/0193945921999449 ◽

2021 ◽

pp. 019394592199944

Author(s):

Moataz Mohamed Maamoun Hamed ◽

Stathis Konstantinidis

Keyword(s):

Systematic Review ◽

Methodological Quality ◽

Incident Reporting ◽

Negative Consequences ◽

Incident Reporting Systems ◽

Qualitative Systematic Review ◽

Blame Culture ◽

Critical Appraisal Skills ◽

Definition Of

Incident reporting in health care prevents error recurrence, ultimately improving patient safety. A qualitative systematic review was conducted, aiming to identify barriers to incident reporting among nurses. Joanna Briggs Institute methodology for qualitative systematic reviews was followed, with data extracted using JBI QARI tools, and selected studies assessed for methodological quality using Critical Appraisal Skills Program (CASP). A meta-aggregation synthesis was carried out, and confidence in findings was assessed using GRADE ConQual. A total of 921 records were identified, but only five studies were included. The overall methodological quality of these studies was good and GRADE ConQual assessment score was “moderate.” Fear of negative consequences was the most cited barrier to nursing incident reporting. Barriers also included inadequate incident reporting systems and lack of interdisciplinary and interdepartmental cooperation. Lack of nurses’ necessary training made it more difficult to understand the importance of incident reporting and the definition of error. Lack of effective feedback and motivation and a pervasive blame culture were also identified.

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A Just Culture

Journal of Nursing Care Quality ◽

10.1097/01.ncq.0000277776.97276.0b ◽

2007 ◽

Vol 22 (3) ◽

pp. 210-212 ◽

Cited By ~ 19

Author(s):

Amy Vogelsmeier ◽

Jill Scott-Cawiezell

Keyword(s):

Just Culture

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A Just Culture Approach to Managing Medication Errors

Hospital Pharmacy ◽

10.1310/hpj5204-308 ◽

2017 ◽

Vol 52 (4) ◽

pp. 308-315 ◽

Cited By ~ 1

Author(s):

Erin Rogers ◽

Emily Griffin ◽

William Carnie ◽

Joseph Melucci ◽

Robert J. Weber

Keyword(s):

Medication Errors ◽

Just Culture

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Just culture: “Evidence”, power and algorithms

Journal of Hospital Administration ◽

10.5430/jha.v2n3p73 ◽

2013 ◽

Vol 2 (3) ◽

pp. 73 ◽

Cited By ~ 5

Author(s):

Sidney W. A. Dekker ◽

James M. Nyce

Keyword(s):

Adverse Events ◽

Organizational Justice ◽

Medical Errors ◽

Just Culture ◽

Iatrogenic Harm ◽

The Creation ◽

Power Play

Background: The notion of “just culture” has become a way for hospital administrations to determine employee accountability for medical errors and adverse events. Method: In this paper, we question whether organizational justice can be achieved through algorithmic determination of the intention, volition and repetition of employee actions. Results and conclusion: The analysis in our paper suggests that the construction of evidence and use of power play important roles in the creation of “justice” after iatrogenic harm.

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