Do Nosotros Actually Larn From Our Mistakes?

Over ii years ago, the folks over at the athenahealth kindly invited me to submit columns to their Health Leadership Forum, as well as I withdraw maintain done thus on an occasional ground since them. As I latterly reviewed the columns, I realized that my ain thoughts on the topics of leadership as well as coaching withdraw maintain evolved a bit, as well as I idea my readers over hither at Not Running A Hospital mightiness savor witnessing the transition. So for the final several days, I withdraw maintain reprinted the posts from the Forum over here. Comments are welcome at the master copy site as well as here. Today's reprint, alongside added photos, is the final of this serial as well as is from a postal service dated July xx 2015, "Do We Really Learn From Our Mistakes?"

It’s ofttimes said that nosotros larn from our mistakes. Indeed, many a work concern course of study inward leadership offers that premise every bit a given. I’ve glibly repeated this ofttimes inward my classes, speeches, as well as advisory work.
“You don’t larn from your successes,” I betoken out, “but rather from your errors.”

But produce nosotros actually larn from our mistakes every bit a thing of course?

My friend as well as colleague Michael Wheeler, inward his wonderful mass The Art of Negotiation, warns us that it is:
all to tardily to hold upward overconfident close our powerfulness to discovery as well as learn. A leader who ruled his Blue Planet for to a greater extent than than xl years pose it well: “The really foreign thing inward your lives is that you lot non alone fail, but you lot neglect to larn your lesson . . . No thing how much your beliefs betray you, this is never accepted yesteryear you. You are distinguished yesteryear your inability to recognize the truth, no thing how irrefutable.”
Wheeler continues:
It 1 thing to recognize this truth inward the abstract, but it’s some other to alive yesteryear it. The author was the Libyan leader Mu’ammar Gaddafi, who several years after refused political asylum fifty-fifty every bit his government was collapsing unopen to him. Gaddafi was captured, beaten, as well as killed yesteryear rebel forces.
Sometimes our inability to hold upward reflective practitioners derives from cognitive errors as well as biases. Because these failures are cognitive, it is almost impossible to run across them happening or, afterwards, to realize that they withdraw maintain occurred.

Cognitive errors demo upward inward many forms. Of the most mutual are:
  • Anchoring: the style for your get-go observation to send disproportionate weight inward your decision-making.
  • Confirmation bias: ofttimes accompanied alongside anchoring, our confirmation bias values evidence that seems to back upward our thought spell discounting evidence that is opposite to your view.
  • Recent experience: Even statistically irrelevant recent events send to a greater extent than powerfulness precisely because of their placement inward time.
  • Patterning: We are prone, too, to run across patterns that don’t exist. Our minds similar order, as well as nosotros volition assert the being of dispositive parameters—even when the actual designing of events is totally random.
We learn doctors close these cognitive weaknesses — anchoring, confirmation bias, as well as patterning — but nosotros tell them that they are unlikely to recognize that they are happening. Instead, nosotros ask them to purchase into systems of grouping conduct that protect them from themselves.

An illustrative illustration comes from Joris Lemson, MD PH.D., medical manager of the pediatric intensive aid unit of measurement at Radboud University Nijmegen Medical Centre inward the Netherlands. One day, he ordered a dose of potent medicine for a pocket-size boy. The nurse obeyed the order, as well as the man child almost died from the selection of medication.

Later, when the MD confessed his distress to the nurse, she said, “I wondered close the selection of drugs. If you lot had been an inexperienced doctor, I would withdraw maintain questioned the order. But I figured, alongside your experience, you lot would know what you lot were doing, as well as thus I didn’t nation anything.”

In relating the flush to me, he said, “It was at that minute that I realized that I needed to hold upward protected from my ain mistakes.” He as well as thus instituted a potent preparation plan inward Crew Resource Management (CRM). This ready of techniques, derived from nation of war machine aircraft cockpits, offers detail assist inward hierarchical situations. It empowers subordinate members of the squad to interrupt a pilot, doctor, or other primary as well as assist that individual from making a serious error.

Joris is honest close the progress of this endeavor inward his PICU. He notes improvement as well as full general compliance alongside the approach as well as procedures, but he also notes lapses. For instance, sometimes he every bit leader volition forget to conduct the debriefing. That’s all right, but non if the other crew members forget to remind him when it happens. A tenet of CRM is mutual responsibleness as well as authority: If the primary forgets to send out component subdivision of the protocol, the others are required to betoken this out.

Oddly, those of us inward to a greater extent than office-based leadership positions produce non protect ourselves from this variety of error. We mightiness tell people that nosotros desire to listen when nosotros are going wrong, but produce nosotros conduct inward such a agency that those call-outs are encouraged? Do nosotros greet an pause or criticism alongside a gracious grinning as well as a thank-you? Or is our (perhaps unconscious) scowl of displeasure plenty to learn subordinates that they are proceeding at their ain withdraw a opportunity yesteryear doing what nosotros intend nosotros told them to do?

We ask to sympathize that at that topographic point is an uneven designing of powerfulness inward the boss-subordinate relationship. Our reports, for proficient reason, withdraw maintain learned over the years that the individual who points out that the Rex has no vesture ofttimes ends upward on the street or left behind when it comes to promotions or other career advancement. With the scowl, nosotros cement that fright into people’s everyday lives.

Michael Wheeler summarizes the number yesteryear saying, “You withdraw maintain to monitor your ain conduct to brand certain it aligns alongside your intentions.”

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