Tag psychological safety

Why Didn’t Anyone Tell Me? — Humble Inquiry, Part 1

Humble Inquiry leads to open communication

Once, when a Chief Medical Officer, I rolled out a night call schedule that failed three weeks in. The team had seen what was coming; they just didn't tell me. The reason wasn't a communication failure — it was an asking failure. Drawing on Ed and Peter Schein's Humble Inquiry, this post explores why physicians, trained to be the person in the room with the answer, struggle to ask real questions when they move into leadership. It introduces the Scheins' four types of inquiry — humble, diagnostic, confrontive, and process-oriented — and shows how most physician leaders unknowingly default to confrontive questions that teach their teams to confirm a hypothesis rather than share what they actually see.

Why Psychological Safety Is Not About Being Nice

which kind of open door do you have

A nurse once told me the truth only when the doctor in charge was away. That is what a lack of psychological safety looks like in healthcare: not loud fear, but quiet calculation. When people cannot say what needs to be said in the room, truth starts traveling through hallways and whispers. And when that happens, leaders are not hearing reality. They are hearing what feels safe.