Just culture: who gets to draw the line?

Alicke MD (2000) Culpable control and the psychology of blame. Psychol Bull 126:556–74

Becker HS (1963) Outsiders: studies in the sociology of deviance. Free Press, New York

Berlinger N (2005) After harm: medical error and the ethics of forgiveness. The Johns Hopkins University Press, Baltimore

Burr V (2003) Social constructionism. Routledge, London

Byrne G (2002) Flight 427: anatomy of an air disaster. Copernicus books, New York

Christie N (2004) A suitable amount of crime. Routledge, London

Cohen-Charash Y, Spector PE (2001) The role of justice in organizations: a meta-analysis. Organ Behav Hum Decis Processes 86:278–321

Cook RI, Render M, Woods DD (2000) Gaps in the continuity of care and progress on patient safety. BMJ 320:791–794

Dauer EA (2004) Ethical misfits: mediation and medical malpractice litigation. In: Sharpe VA (ed) Accountability: patient safety and policy reform. Georgetown University Press, Washington, pp 185–202

Dekker SWA (2003) Failing to adapt or adaptations that fail: contrasting models on procedures and safety. Appl Ergon 34:233–238

Dekker SWA (2007) Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics 35:463–470

Dekker SWA (2008) Just culture: balancing safety and accountability. Ashgate Publishing Co, Aldershot

Dekker SWA, Laursen T (2007) From punitive action to confidential reporting. Patient Saf Qual Healthc 5:50–56

Douglas M (1992) Risk and blame: essays in cultural theory. Routledge, London

Durkheim E (1950/1895) The rules of the sociological method. Free Press, New York

Erikson K (1966) Wayward puritans. Wiley, New York

Eurocontrol Performance Review Commission (2006) Report on legal and cultural issues in relation to ATM safety occurrence reporting in Europe: outcome of a survey conducted by the Performance Review Unit in 2005–2006. Eurocontrol, Brussels

Ferguson J, Fakelmann R (2005) The culture factor. Front Health Serv Manage 22:33–40

Foucault M (1981) The order of discourse. In: Young R (ed) Untying the text: a post-structuralist reader. Routledge, London, pp 48–79

GAIN (2004) Roadmap to a just culture: Enhancing the safety environment. Global Aviation Information Network (Group E: Flight Ops/ATC Ops Safety Information Sharing Working Group)

Galison P (2000) An accident of history. In: Galison P, Roland A (eds) Atmospheric flight in the twentieth century. Kluwer, Dordrecht, NL, pp 3–44

Green J (2003) The ultimate challenge for risk technologies: controlling the accidental. In: Summerton J, Berner B (eds) Constructing risk and safety in technological practice. Routledge, London

Kohn LT, Corrigan JMK, Donaldson M (eds) (1999) To err is human. Institute of Medicine, Washington DC

Laudan L (2006) Truth, error and criminal law: an essay in legal epistemology. Cambridge University Press, Cambridge

Lerner JS, Tetlock PE (1999) Accounting for the effects of accountability. Psychol Bull 125:255–75

Marx D (2001) Patient safety and the “just culture”: a primer for health care executives. Columbia University, New York

McDonald N, Corrigan S, Ward M (2002 June). Well-intentioned people in dysfunctional systems. Keynote paper presented at the 5th Workshop on human error, safety and systems development, Newcastle

McKenna JT (1999) Criminal and safety probes at odds. Aviat Week Space Technol 47–48 (13 December)

Merry AF, McCall Smith A (2001) Errors, medicine and the law. Cambridge University Press, Cambridge

Morreim EH (2004) Medical errors: pinning the blame versus blaming the system. In: Sharpe VA (ed) Accountability: patient safety and policy reform. Georgetown University Press, Washington, pp 213–232

Nagel T (1992) The view from nowhere. Oxford University Press, Oxford

North DM (2000 May 15) Let judicial system run its course in crash cases. Aviation Week Space Technol, p 66

North DM (2002, February 4) Oil and water, cats and dogs. Aviation Week Space Technol, p 70

Pellegrino ED (2004) Prevention of medical error: where professional and organizational ethics meet. In: Sharpe VA (ed) Accountability: patient safety and policy reform. Georgetown University Press, Washington, pp 83–98

Perrow C (1984) Normal accidents: living with high-risk technologies. Basic Books, New York

Reason JT (1997) Managing the risks of organizational accidents. Ashgate Publishing Co, Aldershot

Rochlin GI (1999) Safe operation as a social construct. Ergonomics 42:1549–1560

Ruitenberg B (2002) Court case against Dutch controllers. The Controller 41:22–5

Sharpe VA (2003) Promoting patient safety: an ethical basis for policy deliberation. Hastings Center Report Special Suppl 33(5):S1–S20

Skegg PDG (1998) Criminal prosecutions of negligent health professionals: the New Zealand experience. Med Law Rev 6:220–46

Smith K (2001) Incompatible goals, uncertain information and conflicting incentives: the dispatch dilemma. Human Factors Aerospace Safety 1:361–380

Suchman LA (1987) Plans and situated actions: the problem of human-machine communication. Cambridge University Press, Cambridge

Ter Kulle A (2004) Safety versus justice. Canso News 18:1–2

Vaughan D (1996) The challenger lauch decision: risky technology, culture and deviance at NASA. University of Chicago Press, Chicago

Vaughan D (1999) The dark side of organizations: mistake, misconduct, and disaster. Annu Rev Sociol 25:271–305

Wiegman D, Zhang H, von Thaden T, Sharma G, Mitchell A (2002) A synthesis of safety culture and safety climate research (Technical report ARL-02-3/FAA-02-2). Aviation Research Lab, University of Illinois, Urbana-Champaign

Wilkinson, S. (1994) The Oscar November incident. Air Space, pp 80–87 (February–March)

Woods DD, Shattuck LG (2000) Distant supervision: local action given the potential for surprise. Cogn Technol Work 2:242–245