【锚点】这一篇只钉一个判断：【实验室里「错误率」不是安全指标，是「报告倾向」指标——一个季度报零错的组，多半不是没出错，是没人敢报；把错误率当 KPI 去压低，你压低的不是错误，是报告。】 【显式】三条可查的事实： 1. Amy Edmondson 在护理团队的研究（1996, JABS；并延伸到 1999, ASQ 的心理安全框架）里发现：绩效评级更高的护理单元，报告的用药错误反而更多。 2.…
【锚点】这一篇只钉一个判断：【一个实验室上报的错误数，首先是一条关于『心理安全感』的测量，其次才是一条关于『错误率』的测量。把错误日志当质量指标，会奖励沉默，而不是奖励安全。】 【显式】先给反直觉的证据。Edmondson 1996…
【锚点】这一篇只钉一个判断：【实验室里「报告的错误数」不是质量指标，是安全指标——它上升，往往说明团队在变好。】 【显式】先给数字。Edmondson 在 1996 年研究了 8 个医院护理单元，1999 年又追踪了 51 个制造团队。她原本预期：心理安全感高的团队，错误更少。结果相反——高绩效的护理单元报告的用药错误更多。…
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