The team also found four other factors that helped explain team performance – clear goals, dependable colleagues, personally meaningful work, and a belief that the work has impact.

...the authors showed that trust in top management led to psychological safety, which in turn promoted work engagement.

Like Volkswagen, Wells Fargo's avoidable failure was not the result of one bad apple but of a system that demanded hitting targets so ambitious they could only be met by deceit. Employees operated in a culture of fear that brooked no dissent. Rather than manifesting interest in salespeople's experiences while executing the cross-selling strategy and using what was being learned in the field to shift or sharpen the company's strategy, managers sent a clear message: produce – or else.

Today, Eileen Fisher, the company, operates nearly 70 retail stores, which generated between $400 and $500 million in revenue in 2016. 31 It's a supplier to many other clothing retailers and has consistently been recognized as one of the best companies to work for. Unlike the businesses featured in Chapter 3 that faced enormous failures, the company has enjoyed continuous growth and thoughtful, productive change, unblemished by financial, legal, or safety failures. Its management practices and governance structures have created a showcase for psychological safety.

In other words, clinic staff who themselves feel supported by high levels of psychological safety are able to support and bond with patients, which contributes to positive clinical outcomes.