The Fundamental Attribution Error We address the Fundamental Attribution Error in most of our workshops, particularly our Feedback ones, because it’s such a common bias and it causes so many problems. Essentially, the Fundamental Attribution Error occurs when we attribute […]
Human Organisational Performance (HOP)
Human and Organisational Performance (or Potential) is based on five principles that shape and influence the way organisations think, act, view success and respond to failure. These five principles are integrative and work together to change the way we think about work and how to improve it.
1. People make mistakes
2. Blame fixes nothing
3. Context drives behaviour
4. Learning is vital
5. Response matters
By Jade Garratt When was the last time someone told you something you already knew? How did it make you feel? Edgar Schein opens his book “Humble Inquiry” with a story about his own experiences of this while out walking. […]
Ten Ways to Foster Psychological Safety in the Workplace We’ve been reflecting on our last few years of experience delivering psychological safety workshops, training and consultancy in organisations around the world. Based on all those wonderful experiences, working with industries […]
Non-Violent Communication (or “Giraffe Language”) I saw this great post by Robin Weinick on LinkedIn about her bowl of tiny giraffes, and it reminded me to share a photo of our own “Speak Up Giraffe”! This giraffe is passed around […]
Types of Silence The authors of this literature review “Silence in organizations and psychological safety” from 2015, describe a number of group dynamics that can lead to silence, and more interestingly, describe a few different types of silence, drawn from […]
Psychological safety is about creating a climate in which we feel able to take interpersonal risks in order to communicate our ideas, concerns and issues – and we want to be able to speak up in a way that we […]
How psychological safety captured the world’s attention Project Aristotle was a project undertaken by Google to understand what makes teams successful. The project aimed to identify patterns and behaviours within teams that led to high performance. Starting in 2012, Google […]
Introduction As a result of the ever-increasing scale and complexity of healthcare systems, hierarchies and layers of management have become increasingly necessary (Kumar, 2021). These facilitate operational capability, both in terms of scale and complexity, but also lead to sometimes […]
A few issues ago, we covered various kinds of retrospective – the practice of looking back and learning from work, as well as some of the conditions and requirements for effective retrospectives. One of those points was about the “weak […]
John Boyd and The OODA Loop John Boyd’s OODA loops are more than just an esoteric strategic concept; they’ve earned a huge following online and around the world. In this article, I highlight key points about OODA loops along with a glimpse into […]
The Theory of Constraints (ToC) A long time ago, I read a book that profoundly changed the way I think about work. That book was The Goal, written by Eli Goldratt in 1984, The story revolves around Alex Rogo, a […]
Learning From Work In the spirit of looking back and learning, I thought it’d be nice to dive into a few different practices of learning from the work we do. In this issue, we’re going to have a look at […]
The Normalisation of Deviance In previous articles we’ve differentiated error into three types: slips and lapses, mistakes, and violations. This time, we’re exploring a certain type of violation called the “normalisation of deviance”, a term coined by Diane Vaughan. We […]
The Whitehall Studies and The Social Gradient of Health The relationship between seniority/status and psychological safety is strong. In general, we know that people holding more senior and higher status roles often feel safer speaking up in groups, and those […]
We cannot adequately respond to changes, incidents or threats if we’re operating at capacity. And it applies to people, machines, computers, traffic and more – whether you’re running a factory floor, a busy kitchen, a software development team, or a hospital ER, percentage utilisation is impacting how well your team can adapt to a changing environment.
15/5 Reports To manage teams in a way that fosters psychological safety requires clear communication and feedback channels. Team members should have well-defined platforms to share achievements, voice concerns, and seek assistance. Ideally, these feedback mechanisms will be consistent, high-cadence and […]
Deming’s 14 Points of Management I’m a Deming fan, and sad that I never got to meet him or attend any of his lectures. W. E. Deming is possibly most well known for his “PDCA” (Plan-Do-Check-Act) cycle, which is actually […]
Crew Resource Management In preparing for my conference talk this week, I was reading up further on the 1977 Tenerife disaster and the history of Crew Resource Management (CRM), and came across this excellent paper: The Evolution of Crew Resource Management Training […]
Reason’s theory holds that most accidents can be traced to one or more of four levels of failure:
Organisational influences,
Unsafe supervision,
Preconditions for unsafe acts, and
The unsafe acts themselves.
Normal Accidents Charles Perrow is regarded as a pivotal figure in the theory of why and how things fail. He served as a sociology professor at Yale and Stanford and was primarily focused on the influence of large organisations on […]
Statistical Process Control and Understanding Variation In a chat with a great client this week, we got talking about different approaches to measurement and metrics. I introduced the concept of Statistical Process Control (SPC), so that’s what this week’s newsletter […]
Local Rationality “People do reasonable things given their goals, knowledge, understanding of the situation and focus of attention at a particular moment.” A fundamental premise of psychological safety is the belief that you will not be punished for making a […]
A man goes out on the beach and sees that it is covered with starfish that have washed up in the tide. A little boy is walking along, picking them up and throwing them back into the water. “What are […]
Understanding and Implementing the Patient Safety Incident Response Framework (PSIRF) This week we’re having a look at the new NHS Patient Safety Incident Response Framework (PSIRF). Whilst this is clearly relevant to our UK healthcare readers, I believe that the […]
Causes of Disaster at Chernobyl: The Absence of Psychological Safety (See below for the complete article) In 1986, the nuclear power plant at Chernobyl in the Ukrainian SSR (the territory of modern Ukraine) suffered a catastrophic failure that directly killed […]
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