SH19: Speaking up to prevent an adverse event

SH19: Speaking up to prevent an adverse event

In this podcast episode, we delve into the crucial concepts of psychological safety and a Just Culture in the context of diving, teams, and organizations. These two terms, while closely related, have distinct roles in fostering learning, improvement, and safety. The episode begins with a scenario illustrating the interplay of these concepts in a diver's training journey, highlighting the impact of trust, vulnerability, and communication. Psychological safety, as defined by Professor Amy Edmondson, is explored in four stages: Inclusion Safety, Learner Safety, Contributor Safety, and Challenger Safety, each contributing to a learning-focused environment. A Just Culture, aimed at organizational improvement, is introduced as a way to analyze adverse events without resorting to blame. The episode provides insights into the proactive nature of psychological safety and the retrospective approach of a Just Culture in promoting safety and learning in diving and other domains. It emphasizes the need for open communication, understanding human error, and exploring conditions that influence behavior to enhance safety and performance.

Original blog:

https://www.thehumandiver.com/blog/speaking-up-to-prevent-an-adverse-event-looking-back-to-learn

Links:

Blog about near misses:

https://www.thehumandiver.com/blog/were-you-lucky-or-were-you-good-2

European aviation regulations:

https://www.caa.co.uk/media/sf3eiszu/fwm20160629_06_just-culture.pdf

Blog about hindsight bias:

https://www.thehumandiver.com/blog/joining-dots-is-easy-if-you-know-the-outcome

Psychological safety toolkits by Tom Geraghty

https://psychsafety.co.uk/tool-kit/

Video about Psychological safety and Just Culture:

https://vimeo.com/410128892

Tags:

- English Gareth Lock Just Culture Psychological Safety

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Episoder(294)

SH294: Clickbait, trolls and comments. How dive incident posts can teach us — if we let them

SH294: Clickbait, trolls and comments. How dive incident posts can teach us — if we let them

Discussions about diving incidents on social media often follow a predictable pattern: a short, simplified post describes what happened, and comments quickly focus on blaming the individual involved, ...

8 Jul 13min

SH293: Why does nothing change? Why do the same failures keep happening?

SH293: Why does nothing change? Why do the same failures keep happening?

Over the past decade, diving fatalities have remained stubbornly consistent despite better equipment, more training, and growing participation, suggesting the problem isn’t just technical or individua...

4 Jul 22min

SH292: Learning or Blaming: The Choice the Diving Industry Needs to Make. Part 3 of 3.

SH292: Learning or Blaming: The Choice the Diving Industry Needs to Make. Part 3 of 3.

This final blog explores what the research means and how the diving community can realistically improve learning and safety. It argues that the problem is not broken individuals but a system that quie...

1 Jul 14min

SH291: What the Data Told Us: Fear, Trust, and the Stories That Never Get Told. Part 2 of 3.

SH291: What the Data Told Us: Fear, Trust, and the Stories That Never Get Told. Part 2 of 3.

This blog explains how a mixed-methods study explored why divers struggle to share honest, learning-focused stories about incidents. Using a large international survey, focus groups, and expert interv...

27 Jun 13min

SH290: What Happens Underwater, Stays Underwater — And That's a Problem. Part 1 of 3

SH290: What Happens Underwater, Stays Underwater — And That's a Problem. Part 1 of 3

This episode introduces the problem behind learning in diving safety, using the 2020 death of Linnea Mills to highlight how incidents are often caused by deeper system issues, not just individual mist...

24 Jun 12min

SH289: Chac Mool - Diving Deeper into a Triple Fatality with Human Factors

SH289: Chac Mool - Diving Deeper into a Triple Fatality with Human Factors

This episode examines a 2012 triple fatality at Cenote Chac Mool in Mexico using a Human Factors approach, showing how accidents are rarely caused by a single mistake but by a combination of small, in...

20 Jun 24min

SH288: The 'Obvious Thing' Nobody Noticed

SH288: The 'Obvious Thing' Nobody Noticed

This episode explores the fatal case of 18-year-old Linnea Mills to show how visible hazards can go unnoticed when an instructor lacks the mental capacity to recognise them. Linnea was overweighted, u...

17 Jun 15min

SH287: When the Picture Goes Dark

SH287: When the Picture Goes Dark

This episode explores why divers don’t truly “lose” situation awareness, but instead run out of the mental capacity needed to maintain it. Through the story of James on a challenging wreck dive, it sh...

13 Jun 16min

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