Quantum safety : the new approach to risk management for the complex workplace

Table of ContentsForewordList of FiguresPrefaceAcknowledgmentsChapter 1: Newtonian Safety and the New View Refraction1.1 Newtonian SafetyNew Views1.2.1 The first New View: Behavioural Based SafetySafety IISafety DifferentlySafety IIIThe New View LandscapeMoving into the Quantum WorldChapter 2: Let⁰́₉s talk about complexity2.1 Different types of systems2.2 Systems, complexity and emergenceComplexity Law & OrderChapter 3: The Lilypond. A new conceptual model to understand safety performance in the modern, complex workplace.The view from above3.1.1 Outcome representationA non-monochrome worldBelow the surface of the LilypondAn intricate ecosystemInteractionsHierarchiesChapter 4: Understanding The Lilypond Model, organisational safety performance and the performance continuum. Human Factors Taxonomies4.2 The Continuum of Human & Organisational PerformanceThe Philosophical RealmThe Organisational RealmThe Personal RealmUsing the Continuum of Human & Organisational PerformanceChapter 5: A different school of Quantum Safety: Moving into the experimental worldThe Organisational RealmThe Personal RealmCreating your Continuum ProfileChapter 6: The Human Performance Foxtrot6.1 Systems soliloquySystems dance partnerPartners on the dancefloorDancing the FoxtrotUnderstanding the danceWhy we need to embrace our partnerChapter 7: Just Culture: Why it isn⁰́₉t just and how it could beLeaving blameRevisiting the idea of justiceJust Culture for the modern, complex workplaceSafety I & Safety IILearn not blameSystems thinkingCivility & respectA new modelChapter 8: Learning from everythingAn adverse event in healthcareAdopting a Just CultureReason⁰́₉s Classical Just Culture Dekker⁰́₉s Restorative Just CultureJust Culture in Quantum SafetyAn adverse event in railAdopting a Just CultureReason⁰́₉s Classical Just Culture Dekker⁰́₉s Restorative Just CultureJust Culture in Quantum SafetyChapter 9: Beneath the surface of the Lilypond. Understanding causation in complex systemsCausation within The LilypondUnderstanding different types of human workWhen causation and complexity meetAdaptive behaviours within The LilypondDeveloping Causal and Non-Causal VariationChapter 10: Learning when we don⁰́₉t dock in the bay Causal Variation in practice10.1.1 The PlanThe EventThe ClimateThe SignificanceThe ActionInvestigating using Causal Variation AnalysisThe Wakashio groundingThe Plan: WakashioThe Event: WakashioThe Climate: WakashioThe Significance: WakashioThe Action: WakashioChapter 11: Continual coaching. Moving from outcome to process.How learning opportunities are utilised currentlyResponding to adverse eventsSpecific feedbackPost event briefingFacilitated Learning & Improvement ConversationsAdaptationsInteractionsDecisionsChapter 12: The way ahead: Developing a roadmap with Quantum SafetyInstitutions & doctrinesCats & WatermelonsSafety Management System: The Babushka editRituals and routinesThe Quantum Safety Roadmap