「实验室的错误日志，测的是『敢不敢报』，不是『错没错』」
【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…
Opinion
#组织学习
3 Posts
【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「错误报告数」不是安全性的负指标，是【安全文化的正指标】——一个报不出错误的实验室，不是没出错，是没有通道。 【流程节点链路】（Edmondson 1996/1999 的推理链，一步不能省） 起点：假设「绩效更好的护理单元，用药错误更少」 → 节点1：在两家医院 8 个护理单元同时收集用药错误记录、访谈与团队问卷 →…
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