Embracing the Possibility of Failure to Reduce the Occurrence of Failure
My decades-long fascination with error, harm, and failure has left me humble about the complexity of these topics. The mix of factorsâtechnology, psychology, management, systemsâmeans none of us can master every aspect of the relevant knowledge to feel âweâve got this.â But a few simple practices have emerged from my work that can help prevent complex failures. With these, we all have the power to make that kind of differenceâin our own lives and in the organizations we care about.
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Note that healthy attributions about failure not only stay balanced and rational, they also take account of the waysâsmall or largeâthat you may have contributed to what happened. Maybe you didnât prepare sufficiently for the interview. This is not to beat yourself up or wallow in shame. Quite the contrary; itâs about developing the self-awareness and confidence to keep learning, making whatever changes you need so as to do better next time. Each of us is a fallible human being, living and working with other fallible human beings. Even if we work to overcome our emotional aversion to failure, failing effectively isnât automatic. We also need help to reduce the confusion created by the glib talk about failure that is especially rampant in conversations on entrepreneurship.
The instinct to exhort people to do their best work in challenging times is understandable. Itâs tempting to believe that if we just hunker down, we can avoid failure altogether. Itâs also wrong. The relationship between effort and success is imperfect. The world around us changes constantly and keeps presenting us with new situations. The best-laid plans encounter problems in an uncertain context. Even when people work hard and are committed to doing the right thing, failure is always possible in a new situation. Sure, sometimes failures are caused by people who are careless or donât work hard, but even hard work can end in failure when a situation is new and different or some unexpected event happens. Finally, and most perversely, sometimes sheer luck allows you to mail it in and succeed anyway.
Practices for Learning from Failure
To Avoid
Donât Say
Try
Skipping the analysis
I'll try harder next time.
Thinking carefully about what went wrong and what factors might have caused it.
Superficial analysis
It didnât work. I'll just try something else
Analyzing what the different causes of the failure suggest about what to try next.
Self-serving analysis
I was right, but someone or something else messed it up.
Digging in to understandâ
and acceptâyour own
contribution (small or large)
to the failure.
Owning our errors becomes easier when we accept human fallibility as a fact and put that acceptance to use in learning and improving. In the most successful teams in my research, people, especially team leaders, talk about the ever-present chance that things will go wrong. They are honest and good-humored about mistakes, which nurtures the psychological safety you need for people to speak up quickly about them. This is a best practiceâin families, too, not just work teamsâif you want to reduce basic failures.
âUse Systems Thinking to Change How We Think about Error âŚ
Rely on inquiry
So Morath faced a challenge: How to help people to see and accept their hospitalâs failures? Rather than doubling down on her logicâYou work in a complex error-prone system, donât you see? Things will go wrong!âshe instead invited clinicians to reflect on their experiences that week with their patients, then prompted, âWas everything as safe as you would have liked it to have been?â Her aspirational question opened the floodgates. Most people had been in what Morath called âa health-care situation where something did not go well,â and
once they reflected on the many problems they had noticed, they became eager to talk about what had happened and how they might improveâŚ
New language
Another element of the patient safety system was what Morath called Words to Work Byâa roster of suggested terms designed to help shift mindsets from blaming to learning. Morath substituted neutral-sounding words such as study for the more threatening word investigation, which put people on the defensiveâŚ
SynergyâŚ
As with the system at 3M that supported peopleâs intelligent failures in ways that encouraged product innovation, and the system at Toyota that made quality improvement second nature, Childrenâs Minnesota built a robust learning system that turned everyone into an active participant in patient safety. Morathâs approach reminds us that system design is more than simply coming into an organization and flipping a single switch. Itâs flipping multiple switches understanding how they work as a system.