Just culture: A case study of accountability relationship boundaries influence on safety in HIGH-consequence industries

2017 ◽  
Vol 94 ◽  
pp. 143-151 ◽  
Author(s):  
Janice R. McCall ◽  
Shawn Pruchnicki
2017 ◽  
Vol 1 (1) ◽  
pp. 83-93 ◽  
Author(s):  
Robin S. Vealey

Although sport psychology consultants typically engage in conflict resolution as part of team interventions, cases of extreme relationship conflict in teams resulting in distrust, tension, and hostility require special consideration for the consultant who is starting “below zero” when beginning a consultant relationship with a program. Such a case warrants not just culture building, but cultural reparation and the development of resolution efficacy among team members. The purpose of this case study is to describe an intervention program with a college basketball team that was experiencing multiple relationships conflicts and an extremely dysfunctional team culture. The intervention focused on (a) enabling players to take ownership of and be accountable for a “smart system” team culture, (b) initiating a process to build resolution efficacy that focused on accepting and managing task conflict (while reducing relationship conflict) and emphasized interpersonal risk-taking and vulnerability to build trust, and (c) enhancing coach-athlete relationships. Reflections on the case include the importance of vigilance about ethical boundary and confidentiality issues in “below zero” situations and the role of coaches who prefer transactional leadership styles in building team culture and resolution efficacy for conflict.


Author(s):  
Candice Freeman ◽  
Jill Erin Stefaniak

Healthcare leadership and department management personnel are tasked with the responsibility of ensuring safe, high-quality patient care delivered by competent and proficient staff. This responsibility often comes in the form of identification of discrepant and erroneous practices that result in subsequent employee disciplinary action process improvement discussions and implementation. This case study presents an example of a sentinel event and how Gilbert's Behavior Engineering Model (BEM) was utilized in the context of a Just Culture to ensure both processes and personnel were adequately supported to meet expected task outcomes.


2013 ◽  
Vol 2 (3) ◽  
pp. 1
Author(s):  
Jeanette Ives Erickson ◽  
Marianne Ditomassi ◽  
Theresa Gallivan ◽  
Keith Perleberg ◽  
Mary Jane Costa

Analysis reveals that most preventable adverse events result from systemic causes, not human error.  The senior patient care executive at a leading hospital recounts the unnecessary death of a patient and the investigation that followed.  Citing the critical importance of a “just culture,” this case study offers a blueprint for managing a serious reportable event.


2014 ◽  
Vol 38 (01) ◽  
pp. 102-129
Author(s):  
ALBERTO MARTÍN ÁLVAREZ ◽  
EUDALD CORTINA ORERO

AbstractUsing interviews with former militants and previously unpublished documents, this article traces the genesis and internal dynamics of the Ejército Revolucionario del Pueblo (People's Revolutionary Army, ERP) in El Salvador during the early years of its existence (1970–6). This period was marked by the inability of the ERP to maintain internal coherence or any consensus on revolutionary strategy, which led to a series of splits and internal fights over control of the organisation. The evidence marshalled in this case study sheds new light on the origins of the armed Salvadorean Left and thus contributes to a wider understanding of the processes of formation and internal dynamics of armed left-wing groups that emerged from the 1960s onwards in Latin America.


2020 ◽  
Vol 43 ◽  
Author(s):  
Michael Lifshitz ◽  
T. M. Luhrmann

Abstract Culture shapes our basic sensory experience of the world. This is particularly striking in the study of religion and psychosis, where we and others have shown that cultural context determines both the structure and content of hallucination-like events. The cultural shaping of hallucinations may provide a rich case-study for linking cultural learning with emerging prediction-based models of perception.


2019 ◽  
Vol 42 ◽  
Author(s):  
Daniel J. Povinelli ◽  
Gabrielle C. Glorioso ◽  
Shannon L. Kuznar ◽  
Mateja Pavlic

Abstract Hoerl and McCormack demonstrate that although animals possess a sophisticated temporal updating system, there is no evidence that they also possess a temporal reasoning system. This important case study is directly related to the broader claim that although animals are manifestly capable of first-order (perceptually-based) relational reasoning, they lack the capacity for higher-order, role-based relational reasoning. We argue this distinction applies to all domains of cognition.


2019 ◽  
Vol 42 ◽  
Author(s):  
Penny Van Bergen ◽  
John Sutton

Abstract Sociocultural developmental psychology can drive new directions in gadgetry science. We use autobiographical memory, a compound capacity incorporating episodic memory, as a case study. Autobiographical memory emerges late in development, supported by interactions with parents. Intervention research highlights the causal influence of these interactions, whereas cross-cultural research demonstrates culturally determined diversity. Different patterns of inheritance are discussed.


Author(s):  
D. L. Callahan

Modern polishing, precision machining and microindentation techniques allow the processing and mechanical characterization of ceramics at nanometric scales and within entirely plastic deformation regimes. The mechanical response of most ceramics to such highly constrained contact is not predictable from macroscopic properties and the microstructural deformation patterns have proven difficult to characterize by the application of any individual technique. In this study, TEM techniques of contrast analysis and CBED are combined with stereographic analysis to construct a three-dimensional microstructure deformation map of the surface of a perfectly plastic microindentation on macroscopically brittle aluminum nitride.The bright field image in Figure 1 shows a lg Vickers microindentation contained within a single AlN grain far from any boundaries. High densities of dislocations are evident, particularly near facet edges but are not individually resolvable. The prominent bend contours also indicate the severity of plastic deformation. Figure 2 is a selected area diffraction pattern covering the entire indentation area.


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