There is a concern that a blaming and sometimes ‘punitive’ mindset can be applied too widely and that this in itself is unjust. 6 This idea connects with a broader principle of ‘justice as desert’-that people can deserve to be given praise or blame, sometimes including rewards or sanctions, so as to reflect some combination of the conscientiousness and success of their efforts. Retributive justice is usually distinguished from revenge because the former is measured and insulated from personal emotions. Although punishment can be directed towards other purposes-such as deterrence or reform-punishment is warranted when it is specifically applied to only those people who have committed wrongs. This is a ‘corrective’ approach to justice-whereby an offender is expected to pay some penalty for the harm inflicted on others or done to the social fabric. A commonplace conception of justice that is widely accepted in relation to punishment for crimes is ‘ retributive justice’. To help open up the value questions behind safety policies we first summarise some of the relevant conceptions of justice: In what follows, we summarise three accounts of justice with relevance for patient safety, highlight some of the dilemmas and uncertainties that arise from these competing conceptions and briefly indicate how the field of patient safety might begin to address these complexities.Ĭonceptions of justice and patient safety If those involved in patient safety are to respond respectfully and wisely to concerns about justice then an important first step is to attend more directly to questions about the nature of justice. But hiding underneath this large umbrella there are different conceptions of justice which tell rather different stories about what kinds of things are owed, and by and to whom. There is, however, no simple, agreed and all-encompassing definition of justice, except perhaps at a very abstract level where justice means ‘everyone giving and getting what they owe and are owed’. Put simply, we need to talk about justice. We contend that part of the ongoing muddle about safety cultures stems from this lack of focused attention on the nature and implications of justice in the field of patient safety. Yet, despite aspirations for a ‘just culture’, the idea of justice itself is rarely discussed explicitly or in depth. 5 These, in turn, lead to a sense of sustained unfairness, unresponsiveness and secondary harm. Despite this growing understanding, there remain significant difficulties in listening to and involving patients and families in the organisational responses to safety incidents, 2–4 and for healthcare staff, a blame culture often persists. 1 It also reflects a growing understanding that people caught up in safety events (patients, their families and healthcare staff) can experience feelings of sadness, guilt and anger, and need to be treated fairly and sensitively. This has come about, in part, from a recognition that a so-called ‘blame culture’ discourages openness and learning. Mechanical Integrity of Tubing: Tubing Failures (English)įor more information about the process safety resources CCPS has available, Process Safety Moments, or to volunteer to translate a CCPS Process Safety Moment, please contact CCPS at or at +1-64.The promotion of a ‘just culture’ features prominently in patient safety research and policy. Produto errado no tanque errado: um acidente fatal de reação química (Brazilian Portuguese) Wrong material in the wrong tank: A fatal reactive chemistry incident (English) For more information on how to most effectively use these Process Safety Moments.Ĭurrently, the Process Safety moments are available for download in the PowerPoint file format. Use of the presentation is free of charge, we just ask that while using these materials you please cite CCPS as the source. We encourage people to download, use, and distribute these presentations to help promote process safety awareness and knowledge. CCPS Process Safety Moments are customizable short presentations on process safety that have been put together by the CCPS Process Safety Beacon committee.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |