Psychological Safety (for Surgical Safety
During surgery, anyone (nurses, techs, other doctors) should be able to say stop to the surgeon and he/she would stop to hear what they had to say. This is concept of psychological safety. In the past, one of my responsibilities as one of the quality officer at Dartmouth, was to develop a program in surgical safety. We focused on communication, and developing psychological safety-this is a cultural push and change.
Most staff members don’t feel comfortable stopping the surgeon -this is the same issue with a lot of other leadership dynamics. Surgeons have to reinforce to EVERYONE in the team to please speak up if they are concerned. This was part of our training. This is cultural/environment empowerment that the surgeon has to consciously and actively develop and encourage.