SH22: The Need for a Different Perspective

SH22: The Need for a Different Perspective

In this podcast episode, the focus is on the significance of learning from diving incidents, accidents, and near-misses, as these provide valuable lessons for safety improvement. While media attention tends to center on fatalities, the episode argues that a "Just Culture," emphasizing a psychologically-safe environment for open conversation, can promote better learning from incidents and near-misses. It addresses the prevalent tendency to blame individuals for adverse outcomes, highlighting the limitations of this approach, which doesn't consider the context or conditions that lead to these events. The episode introduces two contrasting perspectives: the Individual Blame Logic (IBL), which attributes incidents to individual choices and seeks to assign blame, and the Organisational Function Logic (OFL), which identifies systemic factors that influence outcomes and aims to improve the system. Through a case example, it illustrates how the OFL approach reveals multiple organizational and latent conditions. In conclusion, it underscores the importance of the OFL in creating a safer and more learning-oriented environment compared to the punitive IBL, which tends to conceal learning opportunities.

Original blog: https://www.thehumandiver.com/blog/who-to-blame-what-to-learn

Links:

A review of LiteratureIndividucal Blame vs Organisational Functional Logics in Accident Analysis. Catino, 2008:

https://www.researchgate.net/publication/227822215_A_Review_of_Literature_Individual_Blame_vs_Organizational_Function_Logics_in_Accident_Analysis

Tags:

- English, Decision-Making, Gareth Lock, Just Culture

Denne episoden er hentet fra en åpen RSS-feed og er ikke publisert av Podme. Den kan derfor inneholde annonser.

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

Populært innen Fakta

fastlegen
dine-penger-pengeradet
relasjonspodden-med-dora-thorhallsdottir-kjersti-idem
foreldreradet
rss-kunsten-a-leve
treningspodden
mikkels-paskenotter
sinnsyn
jakt-og-fiskepodden
rss-strid-de-norske-borgerkrigene
hverdagspsyken
level-up-med-anniken-binz
rss-var-forste-kaffe
gravid-uke-for-uke
rss-impressions-2
fryktlos
uroskolen
diagnose
tomprat-med-gunnar-tjomlid
rss-matrescence-med-marte-og-nora