Discover and read the best of Twitter Threads about #psychologicalsafety
Most recents (23)
It’s Day 2 of @LearnTechUK & my first session is about Learning Personalisation. Personalising #learning can improve retention & performance. But how do we get there? Nicola McNeillie from @AstraZeneca & David Kelly @LnDDave from @LearningGuild will tell us. #LT23UK #T4S4
Both David and Nicola are more active on LinkedIn than Twitter so I’m going to share their details. David is at linkedin.com/in/lnddave and Nicola is at linkedin.com/in/nicola-mcne…. I know, I know - I’m so helpful. #LT23UK #T4S4
David is up first! And he starts with a hilarious story. He spoke at @LearnTechUK yesterday on #EmergingTechnologies & when he was looking at his social media mentions yesterday he saw one that said “Personalised learning doesn’t exist” attributed to him. Whoops! #LT23UK #T4S4
In the final session I’m covering today at @LearnTechUK, Michael Edwards & Maya Harris from @McKinsey share their internal process to help informal #learning happen more often & more systematically. I look forward to telling you all their secrets in this thread #LT23UK #T2S3
Point 1: Wellbeing of leaders predicts wellbeing of staff. There are indices that are specific to leaders. #hapc23
Point 2. Psychological safety is critical to team wellness. (@AmyCEdmondson)
Defn: If you speak up, there is not a threat that you will be punished.
When people need help, they ask.
People can process mistakes, dissent, name problems even when hard. #hapc23
Defn: If you speak up, there is not a threat that you will be punished.
When people need help, they ask.
People can process mistakes, dissent, name problems even when hard. #hapc23
What I’ve learned from trying to build quality in rather then inspecting for it
A thread 👉🧵
#testing #testability #collaboration #automation #DEVCommunity #PsychologicalSafety
A thread 👉🧵
#testing #testability #collaboration #automation #DEVCommunity #PsychologicalSafety
1\ when I started out in testing it was all about find the bugs and find them fast. Testers where typically another department to engineering. It was pretty much they build it we destroy it.
2\ This is what inspecting for quality is. You look for the issues at the end of the development process. It worked pretty well when you had an army of testers and no way to push out bug fixes other then sending people disks with patches in the post
Avoiding the delayed, wrong or missed diagnosis. 
Oh my, sit tight & let's unpack how this case illustrates how medicine is an incredibly unsafe training environment for ppl with intersectional vulnerability. 1/9
#metoo #equity #psychologicalsafety #cardiology #MedEd
#metoo #equity #psychologicalsafety #cardiology #MedEd
1) The power gradient creates no ability for learners to speak up against a preceptor. Trainees in specialty programs want to get hired & can't risk pushing back, esp if you are equity deserving. 2/9
2) The culture forces trainees to be submissive to preceptors in clinical settings, you have to follow their lead. If you can't challenge or speak up, you have a psychologically unsafe space & abuse will happen. 3/9
A common misperception about #psychologicalsafety is that it means lowering standards, giving up on #accountability, or "everyone being wrapped in cotton wool."
I love a good 2 x 2 matrix... so here's mine, brought to life by @tnvora, #sketchnote artist supreme.
I love a good 2 x 2 matrix... so here's mine, brought to life by @tnvora, #sketchnote artist supreme.
Clearly, the place to be is the upper right quadrant, where people are not afraid to have the #difficultconversations that bring real progress.
Those conversations flow upward as well as downward, in an atmosphere of respect that ALSO goes both ways.
Those conversations flow upward as well as downward, in an atmosphere of respect that ALSO goes both ways.
This has been my periodic reminder re: what #psychologicalsafetyisnot. I've spilled a lot of ink on that subject; there are some sticky misperceptions there that are probably not going away.
But I hope this helps. And it does have an impressive ink-to-insight ratio :)
But I hope this helps. And it does have an impressive ink-to-insight ratio :)
So, I promised a thread about my unease with misunderstandings/misinterpretations I notice as the term #psychologicalsafety becomes part of the leadership discourse. Just my own wonderings, as a practitioner immersed in PhD research rn, nothing more or less. Not right or wrong 1/
This thread is not a critique of current research (that might be another one!). It's more about leadership practice implications, & it addresses team PS as the level at which it's understood to be most significant (though more research is now happening at indiv. & org. levels) 2/
The dominant narrative sees leadership as being abt individuals who possess special traits/competencies/behaviours that inspire others to action. It's role-oriented. So we're primed to think about any workplace phenomenon as being under the control of individual leaders 3/
Recently I was honoured to give my talk, "The Important of ... Empathy (in #chaosengineering)" to the wonderful audience at @chaoscarnivalio. I decided to make the talk a ... talk, rather than a slideshow, and I promised I'd share the major points ... so here they are, a thread.
I started with a confession, that the success of the #chaosengineering initiative in your company has less to do with the tools you pick than you may realise... And as the co-founder of the @chaostoolkit, that's quite the hard confession to make!
What helps your #chaosengineering succeed isn't just the tools, it isn't the types of failure you can inject, it isn't even how #cloudnative, or not, your system is, or how wonderful your #observability is set up ...
Thanks to the work of the SROs and others in our community, we are fortunate that our children are physically safe at school.
And, as seen in Maslow’s Hierarchy of Needs, our students’ basic needs for shelter and food are well met along with their need to feel physically safe. However, safety is more than just physical.
According to Harvard Professor Amy Edmondson, “Psychological safety is the belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns or mistakes."
Spending my morning in lockdown with @AdamMGrant @growthfaculty on learning to rethink. Think like a scientist - surround yourself with those who challenge our thought processes and continue to examine your hypotheses based on evidence. Follow this 🧵 for some key learnings!
Create a #challengenetwork of disagreeable givers - tough love that leads us to question ourselves and think again. It’s not enough to ask people for criticism. We need to create #psychologicalsafety for others to challenge you by showing you are open to feedback.
Encourage people to raise problems even if they don’t know solutions. Praise the canary in the coal mine. “Kill the company” or “problem box” exercise needs to be built into the workplace culture. It overcomes our solution aversion.
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!
Today we will be summarizing what we have learned throughout the #EffectiveQuestions series.
Thanks for joining us, #MedTwitter, #MedEd, #Tweetatrician, & #MedStudentTwitter Friends!
Today we will be summarizing what we have learned throughout the #EffectiveQuestions series.
Thanks for joining us, #MedTwitter, #MedEd, #Tweetatrician, & #MedStudentTwitter Friends!
2/ I have had an excellent time sharing with you all my approach to #EffectiveQuestions in the clinical setting.
Here is where we have been during this journey.
Here is where we have been during this journey.
3/ In the intro we talked about ”pimping” and the psychologically dangerous environment it creates, as illustrated by these drawings in this fascinating study:
pubmed.ncbi.nlm.nih.gov/31084222/
pubmed.ncbi.nlm.nih.gov/31084222/
#NoEstimates, un mouvement hétérogène et controversé lancé en 2012 sur Twitter 🔮
Le sujet vu par @ddreptate dans un meetup organisé par @ByondSM 🧶
Le sujet vu par @ddreptate dans un meetup organisé par @ByondSM 🧶
—On est mauvais à estimer (+ c’est gros — on est précis)
—Processus fastidieux
—Détourne de la création de valeur (focus coût vs. valeur)
—Celle-ci vient de l’implication des personnes et de la capacité à apprendre rapidement dans un monde VUCA (rien de mécanique ou identique)
—Processus fastidieux
—Détourne de la création de valeur (focus coût vs. valeur)
—Celle-ci vient de l’implication des personnes et de la capacité à apprendre rapidement dans un monde VUCA (rien de mécanique ou identique)
BIAIS COGNITIFS, une des raisons principales pour mal estimer
—Biais d’ancrage: on va tjrs rester figés sur une 1ere info, on sera influencés par ça
—Biais de confirmation: on donne + d’importance aux infos qui vont venir confirmer nos croyances
—...
#neuroscience #NoEstimates
—Biais d’ancrage: on va tjrs rester figés sur une 1ere info, on sera influencés par ça
—Biais de confirmation: on donne + d’importance aux infos qui vont venir confirmer nos croyances
—...
#neuroscience #NoEstimates
I am a regular listener of @Royal_College #KeyLimePodcast. I love the quick reviews of high impact, current #MedEd literature. This recent episode stirred up a lot of thoughts, enough for me to listen 3 times, and thought I would share in a thread. 1/
keylimepodcast.libsyn.com/301-waiting-fo…
keylimepodcast.libsyn.com/301-waiting-fo…
On this episode, @LaraVarpio @drjfrank @sherbino and @LindaSMedEd review a 2020 conceptual paper by @APSawatskyMD et al: Coaching versus competency to facilitate professional identity formation.
journals.lww.com/academicmedici…
journals.lww.com/academicmedici…
The authors use a case scenario to demonstrate the tension between a learner who embodies a #growthmindset by demonstrating #vulnerability, which in turn negatively influences her career development.
1/ Hey #MedTwitter & #MedEd Friends!
I welcomed a new little lady into my life in Sept & spent 3 months getting to know her. #TheBest
But…We have missed you!!! And we are so pumped that #TwagTeamBackAgain
Follow: @GStetsonMD, @JenniferSpicer4, & @MedEdTwagTeam to stay #UTD
I welcomed a new little lady into my life in Sept & spent 3 months getting to know her. #TheBest
But…We have missed you!!! And we are so pumped that #TwagTeamBackAgain
Follow: @GStetsonMD, @JenniferSpicer4, & @MedEdTwagTeam to stay #UTD
2/ When we paused, we had just finished the foundation of the #HierarchyOfTeachingSkills.
This first level of skills is all about creating #PsychologicalSafety.
If you want to see any of our previous threads, 👀 the @MedEdTwagTeam account.
Today we are moving onto Feedback.
This first level of skills is all about creating #PsychologicalSafety.
If you want to see any of our previous threads, 👀 the @MedEdTwagTeam account.
Today we are moving onto Feedback.
3/ We think this topic is SOOO important, we are going to spend 10 #TweetorialTuesdays on it. Today is the intro.
Often, we separate feedback from teaching. But...
FEEDBACK = TEACHING!!!
Often, we separate feedback from teaching. But...
FEEDBACK = TEACHING!!!
This is how organisational culture works. Something underneath the surface (not explicit or visible to individual actors) quietly amplifies conformity and dampens outliers:
This is of course, a paradox.
It’s a good thing when it comes to mission, vision, and rejecting toxic behaviour.
It’s a bad thing if it means conforming thinking, seeking “cultural fit” and making it unsafe to challenge the status quo or hierarchy.
It’s a good thing when it comes to mission, vision, and rejecting toxic behaviour.
It’s a bad thing if it means conforming thinking, seeking “cultural fit” and making it unsafe to challenge the status quo or hierarchy.
Amplifying conformity can be downright dangerous if it means risks are dampened or rejected/hidden. Being able to sense and consider how things could go wrong is crucial to survival.
1/ 💭 Did I check the labs? I know they were fine yesterday. What should I say? 💭
As a supervisor, you need to make clear to your learners (1) the right answer is: “I forgot to check them”
And (2) your reaction will be: “No problem. Let’s check them now.”
#MedEd #MedTwitter
As a supervisor, you need to make clear to your learners (1) the right answer is: “I forgot to check them”
And (2) your reaction will be: “No problem. Let’s check them now.”
#MedEd #MedTwitter
2/ Here is where we are in our journey through the #HierarchyOfTeachingSkills.
Remember that this first level of skills is all about #PsychologicalSafety.
Not judging your learners is key to this.
Find our previous threads @MedEdTwagTeam.
Remember that this first level of skills is all about #PsychologicalSafety.
Not judging your learners is key to this.
Find our previous threads @MedEdTwagTeam.
3/ I make sure I never judge my learners. But I DO evaluate them and hold them accountable.
To me, these are three different things.
Here is how I define these concepts 👇
To me, these are three different things.
Here is how I define these concepts 👇
1/ 💭 When should I show up? What if I answer a question wrong? Is my presentation too long? Where’s the bathroom? 💭
Sounds like a case of “New Rotation Jitters”
The Cure - Setting Expectations!
Literally, one of my favorite things 🤓
#MedEd #MedTwitter #MedEdTwagTeam
Sounds like a case of “New Rotation Jitters”
The Cure - Setting Expectations!
Literally, one of my favorite things 🤓
#MedEd #MedTwitter #MedEdTwagTeam
2/ Here is where we are in our journey through the #HierarchyOfTeachingSkills.
Remember that this first level of skills is all about creating #PsychologicalSafety.
If you want to see any of our previous threads, check out the @MedEdTwagTeam account.
Remember that this first level of skills is all about creating #PsychologicalSafety.
If you want to see any of our previous threads, check out the @MedEdTwagTeam account.
3/ Setting clear and explicit expectations is a key teaching skill that will pay numerous dividends.
And like much of teaching, there is an art and a science.
And like much of teaching, there is an art and a science.
Let’s talk #safetyculture
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
This framework has been applied to reducing harm, mostly through medication error (though intended to achieve population health)
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
What has not been clearly stated in any of these #safety framework is disparities, structural inequity, or racism
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
Earlier today, Medical Director and Physician Quality Officer @kylejrehder delivered @Duke_Childrens Grand Rounds on #PsychologicalSafety. Check out this thread for some highlights:
Speaking up improves #teamwork and patient outcomes. Dr. Rehder showed a long list of publications backing up this statement and also highlighted efforts like @WHO's first ever World Patient Safety Day and the TeamSPEAK program our friends @dukenus @SingHealthSG have launched.
One definition of #PsychologicalSafety: being able to show and employ one's self without fear of negative consequences for self-image, status or career @elliesmd @ELM_Eckert
@WorkFearlessly Why is so much of the writing on #PsychologicalSafety just a re-hash of Google’s research and of the works of @AmyCEdmondson? We need more original research. Here’s my small contribution. 1/
“To build #PsychologicalSafety, try #Trust.” @AmyCEdmondson. I’m working on a meta-analysis on #Trust and #PsychologicalSafety, aimed at potentially finding a theoretical model for the development of #PsychologicalSafety in a group. 2/
Even though #Trust != #Psychologicalsafety, it is a necessary but not sufficient pre-condition for it, and looking at the scientific research into #Trust gives us many useful insights into #PsychologicalSafety 3/
A thread on #psychological safety at #aamc19
Not surprised 2hear that @AmyCEdmondson “stumbled into psychological safety while studying learning organizations.”
Perhaps that’s b/c psychosocial safety is a basic human need that must be satisfied to fully engage w/ learning
Not surprised 2hear that @AmyCEdmondson “stumbled into psychological safety while studying learning organizations.”
Perhaps that’s b/c psychosocial safety is a basic human need that must be satisfied to fully engage w/ learning
“I found that better teams were making more mistakes. Or maybe they were just better at talking about them” @AmyCEdmondson
But there are numerous barriers to doing so, which are called intrapersonal risks. These risks keep us quiet and disengaged and drive impression management
But there are numerous barriers to doing so, which are called intrapersonal risks. These risks keep us quiet and disengaged and drive impression management
“We choose self-protection over growth.”
In medicine, why do we feel such pressure to protect our egos? B/c they are constantly under duress?
#aamc19
In medicine, why do we feel such pressure to protect our egos? B/c they are constantly under duress?
#aamc19
Sharing #MyStory as an #international #immigrant a part of @IWS_Network #Voices without #Frontiers initiative! As a #scientist and an advocate for #workplaceequality, I believe in the power of stories. #IWS #VoicesIWS #SayItForward #WomenInspire #WomeninScience #WomenInSTEM
As a child, how would you have liked moving schools in new cities with different cultures every 2-4 years?
Growing up in the #IndianArmy, I absolutely loved it! By the time I was 18, we had moved over 9 times across 9 states! #Diversity #India #TravelTuesday #IWS #VoicesIWS
Growing up in the #IndianArmy, I absolutely loved it! By the time I was 18, we had moved over 9 times across 9 states! #Diversity #India #TravelTuesday #IWS #VoicesIWS
My #memories of #India include sunny days, welcoming people, rich heritage, vibrant colors, abundant fruits and mouth-watering street food! #IWS #VoicesIWS
