The question that started it all
In the early 1990s, Amy Edmondson was researching why some hospital nursing teams made more medication errors than others. The expectation was simple: the best-managed teams would make fewer mistakes.
The result was a surprise. The teams with the best performance ratings reported more errors than the worst ones. At first glance, it looked like the good teams made more mistakes.
Looking closer, she realized the opposite was true: those teams didn't make more errors, they reported more, because they felt safe admitting a mistake without fear of punishment or humiliation. In the weaker teams, errors happened too, they just stayed hidden.
That finding became the starting point of decades of research that led to the concept of psychological safety, the central theme of The Fearless Organization.
