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blame the system, not the slip, unless you meant it.

means a workplace accountability model that distinguishes honest mistakes from reckless or malicious ones, so people report errors instead of hiding them.

from emerged from aviation and healthcare safety research in the 1990s and 2000s, especially the work of psychologist sidney dekker, who argued that punishing every mistake just teaches people to stop reporting them.

for instance

nhs just culture guideuk health service built a formal decision tree in 2018

aviation safety reportingfaa lets pilots self report errors without automatic punishment

nasa asrs programsince 1976, confidential reports have shaped safety fixes

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