Tuesday, May 14, 2013

"Mistake Bank" book tidbit - Chapter 4, "Creating the Culture"

This is from the opening to Chapter 4 of "The Mistake Bank":

In a company, school, government entity, or charitable group, learning from mistakes is more than a personal matter; it’s crucial for the success of the organization itself.

The effect of mistakes is multiplied in an organizational setting, where many people collaborate to achieve an outcome such
as a healthy patient, a completed product, or a resolved complaint. A chain of mistakes can result in disasters, and the communication that is essential for recognizing and interrupting such a chain is more difficult the larger the workgroup is.

So the leader has a crucial responsibility: creating and nurturing a culture where mistakes are acknowledged, shared, and learned from. This means creating a safe environment, encouraging reporting, holding review sessions, and putting learning into practice. It sounds simple but is infrequently done. Leaders make the difference.


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