Quantum Safety: A Powerful Method for Understanding and Preventing Adverse Workplace Incidents
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Quantum Safety is the most comprehensive review of Health & Safety in half a century. Most organizational approaches to Health & Safety are based on the methodology developed during the 1970s, and despite the workplace changing beyond recognition since that time, these approaches have remained untouched. Quantum Safety will develop a new understanding fit for the modern workplace. Quantum Safety is an approach that is part of the ‘"new view" debate. There have been a number of other new approaches to Health & Safety in recent years, and while all have merit and improve understanding to help create the optimal, safe working environment, they have failed to significantly create the change desired. These approaches are often flawed at the philosophical or conceptual level or propose a solution without a pathway to implement the principles in safety critical environments. Quantum Safety is founded on a wholesale critical analysis of the conceptual foundations of Health & Safety before translating the revised principles into a tangible methodology. Central to the development of Quantum Safety is the application of Complexity Science. The traditional approach to Health & Safety is considered to be Newtonian -- It uses linear models and deterministic analysis. Quantum Safety, due to the full consideration of Complexity Science, introduces multidimensional models and develops analysis based on probabilities. Crucially, this does not render Newtonian methodologies as worthless -- In the same manner that Newtonian Physics was able to take mankind to the moon, but required the Quantum understanding within computers to make it possible, Quantum Safety provides the mechanisms to complete organizations safety based journeys. The new mechanisms are fully developed for the reader at both macro and micro levels. How an organization measures safety and what it values is reset and reexamined. How we investigate adverse events and the consequential actions taken with employees to develop a true Just Culture within a high performing culture are also completely revised. Essentially, Quantum Safety creates a pathway for understanding Health & Safety in the complex modern world. To achieve that, new models are introduced to replace the dated, simple tools and a new language developed to communicate this powerful model. It will help propel an organization from considering safety within a concept of industrialized failure avoidance to valuing safety as an integrated aspect of high performance. Cover Half Title Title Page Copyright Page Table of Contents List of Figures and Tables Foreword Preface Author Acknowledgments Chapter 1 Newtonian Safety and the New View Refraction 1.1 Newtonian Safety 1.2 New Views 1.2.1 The First New View: Behaviour Based Safety 1.2.2 Safety II 1.2.3 Safety Differently 1.2.4 Safety III 1.3 The New View Landscape 1.4 Moving into the Quantum World References Chapter 2 Let’s Talk about Complexity 2.1 Different Types of Systems 2.2 Systems, Complexity and Emergence 2.3 Complexity Law and Order References Chapter 3 The Lilypond: A New Conceptual Model to Understand Safety Performance in the Modern, Complex Workplace 3.1 The View from Above 3.1.1 Outcome Representation 3.1.2 A Non-monochrome World 3.2 Below the Surface of the Lilypond 3.2.2 An Intricate Ecosystem 3.2.3 Interactions 3.2.4 Hierarchies References Chapter 4 Understanding the Lilypond Model, Organisational Safety Performance and the Performance Continuum 4.1 Human Factors Taxonomies 4.2 The Continuum of Human & Organisational Performance 4.2.1 The Philosophical Realm 4.2.2 The Organisational Realm 4.2.3 The Personal Realm 4.3 Using the Continuum of Human & Organisational Performance References Chapter 5 A Different School of Quantum Safety: Moving into the Experimental World 5.1 The Organisational Realm 5.2 The Personal Realm 5.3 Creating your Continuum Profile References Chapter 6 The Human Performance Foxtrot 6.1 Systems Soliloquy 6.2 Systems Dance Partner 6.3 Partners on the Dance Floor 6.4 Dancing the Foxtrot 6.5 Understanding the Dance 6.6 Why We Need to Embrace Our Partner References Chapter 7 The Just Culture: Why It Isn’t Just and How It Could Be 7.1 Leaving Blame 7.2 Revisiting the Idea of Justice 7.3 Just Culture for the Modern Complex Workplace 7.3.1 Safety I and Safety II 7.3.2 Learn Not Blame 7.3.3 Systems Thinking 7.3.4 Civility and Respect 7.4 A New Model References Chapter 8 Learning from Everything 8.1 An Adverse Event in Healthcare 8.1.1 Adopting a Just Culture 8.1.2 Reason’s Classical Just Culture 8.1.3 Dekker’s Restorative Just Culture 8.1.4 Just Culture in Quantum Safety 8.2 An Adverse Event in Rail 8.2.1 Reason’s Classical Just Culture 8.2.2 Dekker’s Restorative Just Culture 8.2.3 Just Culture in Quantum Safety References Chapter 9 Beneath the Surface of the Lilypond: Understanding Causation in Complex Systems 9.1 Causation within the Lilypond 9.2 Understanding Different Types of Human Work 9.3 When Causation and Complexity Meet 9.4 Adaptive Behaviours within the Lilypond 9.5 Developing Causal and Non-causal Variation References Chapter 10 Learning When We Don’t Dock in the Bay 10.1 Causal Variation in Practice 10.1.1 The Plan 10.1.2 The Event 10.1.3 The Climate 10.1.4 The Significance 10.1.5 The Action 10.2 Investigating Using Causal Variation Analysis (CVA) 10.3 The Wakashio Grounding 10.3.1 The Plan: Wakashio 10.3.2 The Event: Wakashio 10.3.3 The Climate: Wakashio 10.3.4 The Significance: Wakashio 10.3.5 The Action: Wakashio References Chapter 11 Continual Coaching: Moving from Outcome to Process 11.1 How Learning Opportunities Are Utilised Currently 11.1.1 Responding to Adverse Events 11.1.2 Specific Feedback 11.1.3 Post Event Briefing 11.2 Facilitated Learning and Improvement Conversations 11.2.1 Adaptations 11.2.2 Interactions 11.2.3 Decisions References Chapter 12 The Way Ahead: Developing a Roadmap with Quantum Safety 12.1 Institutions and Doctrines 12.2 Cats and Watermelons 12.3 Safety Management System: The Babushka Edit 12.4 Rituals and Routines 12.5 The Quantum Safety Roadmap References Index
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