Blame, Just Culture & language

Blame, Just Culture & language

Ben Hutchinson Ben Hutchinson

Ben Hutchinson

HSE Leader / PhD Candidate

发布日期: 2025年2月5日
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Here's another compendium of articles exploring blame and language in the construction of post-hoc causality explanations, or how blame effects learning and investigations.

The other part covers articles on just culture and restorative culture.

Note: I've mostly focused on articles that I've either already summarised or that I could find a full text link for. It's not systematic.

Note 2: Because of the embedded links, please like, share and comment to fight the algorithm.


If you'd like to support my site then feel free to shout a coffee


BLAME & LANGUAGE


https://safety177496371.wordpress.com/2024/06/22/blame-guilt-and-punishment-and-the-language-of-investigations/


https://safety177496371.wordpress.com/2024/05/20/blame-conformity-leading-eyewitness-statements-can-influence-attributions-of-blame-for-an-accident/

https://safety177496371.wordpress.com/2024/05/12/how-does-leading-eyewitness-statements-influence-attributions-of-blame-in-investigations-does-blame-shift-between-people/


https://safety177496371.wordpress.com/2024/04/29/a-review-of-literature-individual-blame-vs-organizational-function-logics-in-accident-analysis/


https://safety177496371.wordpress.com/2024/03/24/the-folly-and-blame-of-objectivist-and-rationalistic-investigations-the-waterfall-train-accident/


https://safety177496371.wordpress.com/2024/01/27/attributions-of-blame-and-individual-error-in-workplace-assault-and-aggression-mask-the-underlying-issues/


https://safety177496371.wordpress.com/2023/11/18/blame-climate-found-to-enhance-error-learning-with-caveats/


https://safety177496371.wordpress.com/2023/09/24/professional-accident-investigators-attribute-more-blame-to-workers-than-laypeople-exhibiting-a-human-error-bias/


https://safety177496371.wordpress.com/2023/07/12/the-unintended-consequences-of-no-blame-ideology-for-incident-investigation-in-the-us-construction-industry/


https://safety177496371.wordpress.com/2022/09/30/the-blame-cycle/


https://safety177496371.wordpress.com/2022/08/11/nature-of-blame-in-patient-safety-incident-reports-mixed-methods-analysis-of-a-national-database/


https://safety177496371.wordpress.com/2022/03/15/pointing-fingers-verbosity-of-patient-safety-narratives-is-associated-with-attribution-of-blame/


https://safety177496371.wordpress.com/2022/01/25/subtle-linguistic-cues-influence-perceived-blame-and-financial-liability/


https://safety177496371.wordpress.com/2025/01/31/factors-affecting-learning-from-incidents-a-cross-industry-review/


https://safety177496371.wordpress.com/2025/01/26/those-found-responsible-have-been-sacked-some-observations-on-the-usefulness-of-error/


https://safety177496371.wordpress.com/2024/08/20/coronial-inquiry-not-hard-to-find-human-culprits-and-we-must-beware-of-falling-prey-to-the-fundamental-attribution-error-i-e-blaming-people-and-ignoring-situational-factors/


https://safety177496371.wordpress.com/2024/08/07/modifying-an-accident-process-and-its-justice-system-from-single-narratives-and-retribution-to-multiple-stories-and-restoration/


https://safety177496371.wordpress.com/2024/07/05/how-not-to-investigate-an-accident/


https://safety177496371.wordpress.com/2024/05/22/from-punitive-action-to-confidential-reporting-a-longitudinal-study-of-organizational-learning/


https://safety177496371.wordpress.com/2024/02/26/replacing-hindsight-with-insight-toward-better-understanding-of-diagnostic-failures/


https://safety177496371.wordpress.com/2023/12/11/experts-under-the-microscope-the-wivenhoe-dam-case/


https://safety177496371.wordpress.com/2023/11/27/using-stories-to-battle-unintentional-injuries-narratives-in-safety-and-health-communication/



https://safety177496371.wordpress.com/2025/02/03/boards-of-directors-influences-on-occupational-health-and-safety-a-scoping-review-of-evidence-and-best-practices/


https://safety177496371.wordpress.com/2023/10/20/attributions-of-accidents-to-human-error-in-news-stories-effects-on-perceived-culpability-perceived-preventability-and-perceived-need-for-punishment/




https://safety177496371.wordpress.com/2023/09/30/human-error-or-an-error-trap-ready-to-strike-the-case-of-a-mechanical-press-arm-amputation/


https://safety177496371.wordpress.com/2023/08/05/biases-in-construction-safety-investigations-roleplay-scenario-study/


https://safety177496371.wordpress.com/2023/06/30/the-context-and-habits-of-accident-investigation-practices-a-study-of-108-swedish-investigators/


https://safety177496371.wordpress.com/2023/05/29/biases-in-incident-reporting-databases-an-empirical-study-in-the-chemical-process-industry/


https://safety177496371.wordpress.com/2023/05/01/accident-report-interpretation/



https://safety177496371.wordpress.com/2022/10/18/learning-from-mistakes-is-easier-said-than-done-group-and-organizational-influences-on-the-detection-and-correction-of-human-error/


https://safety177496371.wordpress.com/2022/08/18/moving-on-after-critical-incidents-in-health-care-a-qualitative-study-of-the-perspectives-and-experiences-of-second-victims/


https://safety177496371.wordpress.com/2022/04/07/overlooking-causes-in-healthcare-accident-investigation-choosing-the-analysis-is-choosing-the-results/


https://safety177496371.wordpress.com/2024/07/03/re?ections-voice-and-silence-in-workplace-conversations/


https://safety177496371.wordpress.com/2023/06/25/heuristics-and-biases-in-judicial-sentencing/


https://doi.org/10.1177/1541931218621370


https://doi.org/10.1016/j.ssci.2020.104968


https://doi.org/10.1080/00140139.2020.1744064


https://pmc.ncbi.nlm.nih.gov/articles/PMC3115647/


https://scholar.archive.org/work/hir52mrwb5bt7khpo4r7dxp56i/access/wayback/https://www.ndsl.kr/soc_img/society/esk/OGGHBK/2016/v35n3/OGGHBK_2016_v35n3_143.pdf


https://www.mdpi.com/1660-4601/16/23/4826/pdf


https://www.researchgate.net/profile/Elena-Stefana/publication/379982323_Beyond_blame_A_systemic_accident_analysis_through_a_neutralized_human_factors_taxonomy/links/6630d8de06ea3d0b7419ba8a/Beyond-blame-A-systemic-accident-analysis-through-a-neutralized-human-factors-taxonomy.pdf


https://doi.org/10.1016/j.aap.2015.01.016


https://www.researchgate.net/profile/Alessandra-Gorini/publication/221902253_A_new_perspective_on_blame_culture_An_experimental_study/links/5b5c4057458515c4b24e94f3/A-new-perspective-on-blame-culture-An-experimental-study.pdf


https://www.researchgate.net/profile/Paulo-Carvalho-33/publication/229862731_Overcoming_the_blame_game_to_learn_from_major_accidents_A_systemic_analysis_of_an_Anhydrous_Ammonia_leakage_accident/links/5a2a7728a6fdccfbbf81e038/Overcoming-the-blame-game-to-learn-from-major-accidents-A-systemic-analysis-of-an-Anhydrous-Ammonia-leakage-accident.pdf


https://www.sciencedirect.com/science/article/pii/S0001691823002007



https://www.scu.edu/media/college-of-arts-and-sciences/psychology/documents/Burger-PB-1981.pdf


https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0128329&type=printable


JUST CULTURE / RESTORATIVE CULTURE


https://safety177496371.wordpress.com/2024/11/11/from-individual-behaviour-to-system-weaknesses-the-re-design-of-the-just-culture-process-in-an-international-energy-company-a-case-study/


https://safety177496371.wordpress.com/2024/05/15/the-process-and-perspective-of-serious-incident-investigations-in-adult-community-mental-health-services-integrative-review-and-synthesis/


https://safety177496371.wordpress.com/2021/10/28/reporting-of-health-information-technology-system-related-patient-safety-incidents-the-effects-of-organizational-justice/


https://safety177496371.wordpress.com/2024/03/06/a-culture-of-openness-is-associated-with-lower-mortality-rates-among-137-english-national-health-service-acute-trusts/


https://safety177496371.wordpress.com/2022/05/13/restorative-just-culture-checklist/



https://safety177496371.wordpress.com/2022/06/07/the-barriers-and-enhancers-to-trust-in-a-just-culture-in-hospital-settings-a-systematic-review/


https://safety177496371.wordpress.com/2022/06/27/just-cultures-line-in-the-sand-is-a-shifting-one-an-empirical-investigation-of-culpability-determination/


https://safety177496371.wordpress.com/2022/11/01/restorative-just-culture-significantly-improves-stakeholder-inclusion-second-victim-experiences-and-quality-of-recommendations-in-incident-responses/


https://safety177496371.wordpress.com/2023/05/16/restorative-just-culture-significantly-improves-stakeholder-inclusion-second-victim-experiences-and-quality-of-recommendations-in-incident-responses-2/


https://safety177496371.wordpress.com/2023/08/21/restorative-just-culture-a-study-of-the-practical-and-economic-effects-of-implementing-restorative-justice-in-an-nhs-trust/


https://doi.org/10.3390/healthcare12202046


https://doi.org/10.1016/j.ssci.2016.01.018


https://www.mdpi.com/2227-9032/9/10/1324/pdf


https://journals.sagepub.com/doi/pdf/10.1177/0004867420918659


https://doi.org/10.1016/j.apnr.2020.151319


https://kajabi-storefronts-production.s3.amazonaws.com/sites/3839/themes/2147871170/downloads/SjaeWrbjSmenkl4Nok8Z_JustCultureCTW.pdf


https://www.tandfonline.com/doi/pdf/10.1080/14773996.2017.1341596


https://bmjopen.bmj.com/content/bmjopen/12/7/e061321.full.pdf


https://link.springer.com/content/pdf/10.1186/s12913-022-08418-z.pdf


https://d1wqtxts1xzle7.cloudfront.net/113547601/viewcontent-libre.pdf?1713615899=&response-content-disposition=inline%3B+filename%3DLegal_Optimism_Restoring_Trust_in_the_Cr.pdf&Expires=1738638702&Signature=DVB2gtSPCLTIqkyX9GmdnqFo6QdJmoEuGKrrTFalB2Ke1EyYTqvpgefiKdLj0GeKWq0aE0CfhqAF15FTSnRYtynPrzM84OLtHScwGStr4lDPNM14DJtutZ0X-shY1KMomqhKODUqEsymMfw8CvMmfODWoBbcC7~1c~9YrJaETaQ-NIGj15AsOBjemztc2RGK8iwK93Z9qpy6HHUW5C0GFEvueWo8Yq6-6-PyL5PCB0kUp80d1cUEuBMJeSJi3EJEArj-tx~reFZVqIaBZQ9bjkLtd4ZtpMfDK73bD7i2xGC-NNdS5B1o-nOPDtogkcBPKMJqzi2LmXecZbPbbsb3aA__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA


https://doi.org/10.1016/j.ssci.2023.106074


https://www.iirp.edu/images/pdf/DOPHTU_From_Restorative_Justice_to_Restorative_Culture.pdf


https://www.mdpi.com/2227-9032/9/10/1324/pdf


https://www.sciencedirect.com/science/article/abs/pii/S0897189718305950


https://discovery.ucl.ac.uk/id/eprint/10134171/1/Conference%20Paper_CIB_W099%26W123_Cultivating%20just%20culture%20in%20construction.pdf


https://d1wqtxts1xzle7.cloudfront.net/57391156/McCall-Pruchnicki_2017_Just_Culture-A_case_study_of_accountability_relationship_boundaries-libre.pdf?1537126199=&response-content-disposition=inline%3B+filename%3DJust_culture_A_case_study_of_accountabil.pdf&Expires=1738653226&Signature=UhdTWlN-rExYvXeDA9ZWz2WizYLRIvS5L47P7iDtJIUFL9w1A~NmRUUA-1k4E~WuMRCQEfprjVPBmKOrKpCSJ1FgH2g2AdYCvW~aEFsJ2dxZQIL-Ta8PmxM5GTcLB2uqHyhosGcsZbpVZNncqu5Z22KhIrwo3-ILsH-deTzVyLQLLgo84XLcAKa0UlJ61B24-DHvhVzeP5Jx-n8lpkNOOWEC8IUOY-O7AdtcTFgZact3xeVyTTS1GXQ2YZFbaC2xUbaNSFXvPZhKiJZIy6w3ONq24gM7LDk8Mbq3OGYAjcjrt4hrEmWcIB8Q9xOZVy~Q0CHjHAtGyN6w190Y-0f9nA__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA



https://link.springer.com/content/pdf/10.1186/s12913-022-08418-z.pdf


https://www.sciencedirect.com/science/article/pii/S2352146522007402/pdf?md5=ad33338d3fc984a1a583f8c92776a294&pid=1-s2.0-S2352146522007402-main.pdf

Lianne Pijls

Stafadviseur kwaliteit & veiligheid

2 周

Thank you for your research. I am currently reviewing the safety management system within my organization, and Just Culture is one of the key aspects I am incorporating. I have saved your post as a reference! ??

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Ben Hutchinson

HSE Leader / PhD Candidate

3 周

Crista Vesel, MSc this may interest you - no less because your paper is listed first

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Susie Scott

Safety & Risk Executive | Human & Organizational Performance (Personal Account - Views expressed are my own)

3 周

Loved your latest addition ..... I wonder how much our attribution bias has moved on from regarding those at the sharp end as 'Incompetent bunglers' who 'foist themselves on companies'?

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Ben Hutchinson

HSE Leader / PhD Candidate

3 周

Heather KAHLE , Susie Scott a bunch more to nerd it up over if you’ve not seen these before

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Mark Genge

Inspector of Mines

3 周

There is a lot here. One challenge I have often considered is when choosing between a compliance investigation methodology or a causation one. It’s probably not really ‘just’ to apply both methods. How to choose? when to choose? Can methodologies be switched? It’s a minefield.

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