Disrupted Routines: Team Learning and New Technology Implementation in Hospitals

Edmondson, Bohmer & Pisano · Team Learning, Safety & Error · Administrative Science Quarterly · 2001 · Paywalled

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Field study of cardiac surgery teams implementing a radical new technology. Found that psychological safety enabled non-surgeons to speak up across steep status hierarchies, renegotiating ingrained roles to make the technology work. Teams that established PS were significantly more successful implementers — one of the most cited empirical demonstrations of PS in high-stakes settings.

Edmondson, A.C., Bohmer, R.M. and Pisano, G.P. (2001) 'Disrupted routines: Team learning and new technology implementation in hospitals', Administrative Science Quarterly, 46(4), pp. 685–716.

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