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            Your weekly dose of Insight &amp; Inspiration for purposeful leadership.   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏   ͏
        
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    <td valign="top" class="section-text-area section-content-cell padding-mobile-both" style="padding-top:8px;padding-right:66px;padding-bottom:8px;padding-left:66px;color:#907505;background-color:#f0f3f8;">
      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em>Policy tells you what happened. Curiosity tells you why. Leading well requires both.</em></p>
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<table role="presentation" width="100%" cellpadding="0" cellspacing="0" border="0" bgcolor="#FFFFFF" class="text-section section-content">
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    <td valign="top" class="section-text-area section-content-cell padding-mobile-both" style="padding-top:0px;padding-right:66px;padding-bottom:8px;padding-left:66px;color:#12133e;background-color:#fff;">
      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">A few years ago, we had a nurse that started showing up on our medication diversion alert reports. Initially, it was for doses documented on the wrong patient. Eventually, there were several medications each shift that just couldn’t be accounted for. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">Any hospital leader knows what this pattern usually suggests and what types of conversations typically follow. The mishandling of medications is an issue that typically results in termination and a report filed with the Nursing Board, especially if controlled substances are involved. The policies that govern medication management are clear, and for good reason. The safety of our patient’s (and a nurse’s license) depends on them. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">This nurse’s manager could have walked into the meeting with him, with HR in tow, the reports in one hand and termination paperwork in the other. No one would have given it a second thought if she had terminated him that day. The evidence and the policy were both clear in black and white. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">Instead, the manager chose to start somewhere else. She sat down with him, laid out exactly what the reports showed and plainly asked, “what’s going on?” Not as an accusation. As a genuine question.</p>
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<div id="text-text-section-15">



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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.40625em;mso-line-height-alt:1.40625em;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:.02em;">Why We Jump Straight to the Verdict</h4>
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<div id="text-text-section-17">



<table role="presentation" width="100%" cellpadding="0" cellspacing="0" border="0" bgcolor="#FFFFFF" class="text-section section-content">
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    <td valign="top" class="section-text-area section-content-cell padding-mobile-both" style="padding-top:8px;padding-right:66px;padding-bottom:8px;padding-left:66px;color:#12133e;background-color:#fff;">
      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">Most leaders that rush to judgement don’t do so because they don’t care or are unkind. They do it because the system rewards speed, the policy feels black and white and the pattern is familiar. Experienced leaders are good at pattern recognition. We’ve seen the behaviors and we know what they usually mean.</p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">That experience is a strength, right up until it becomes a shortcut. The moment we decide we already know the story, we stop asking questions. When we stop asking questions, we stop seeing the person. Instead, we see a policy violation, a risk to manage, a problem to remove. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">There’s also a quieter pressure at play - the fear of looking soft. Many leaders worry that showing too much compassion during an investigation will signal that the rules don’t really matter. So instead, they overcorrect, leading with the hammer to prove they are serious. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">The irony is that leading with the hammer rarely makes anyone safer. When condemnation is the default, people learn to hide. Near misses go unreported. A struggling nurse keeps quiet until something goes terribly wrong. Amy Edmondson, the researcher who put psychological safety on the map, found that hospitals with stronger leadership and teamwork reported more errors. The fact is, they weren’t making more mistakes, they simply felt safe enough to say so. Errors don’t disappear in a culture of fear. They go underground where no one can learn from them. </p>
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<div id="text-text-section-18">



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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.40625em;mso-line-height-alt:1.40625em;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:.02em;">Curiosity Does Not Lower the Bar</h4>
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<div id="text-text-section-20">



<table role="presentation" width="100%" cellpadding="0" cellspacing="0" border="0" bgcolor="#FFFFFF" class="text-section section-content">
  <tbody><tr>
    <td valign="top" class="section-text-area section-content-cell padding-mobile-both" style="padding-top:8px;padding-right:66px;padding-bottom:8px;padding-left:66px;color:#12133e;background-color:#fff;">
      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">Let’s be clear about what asking thoughtful questions or “coming from curious” does not mean. It does not mean excusing the behavior. It does not mean bending a policy for anyone. It does not mean skipping the reporting obligations that protect patients. Every staff member lives by the same policies, and accountability must be held every time. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">What curiosity changes is not the standard. It changes how we arrive at the truth and how we treat the person while we get there. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">This is also where psychological safety gets misunderstood. It isn’t about comfort and it isn’t absence of consequences. The strongest teams are cultivated when high psychological safety is paired with high standards. Safety without accountability drifts into complacency. Accountability without safety breeds anxiety, fear and silence. Put the two together and you get a team that speaks up, learns from mistakes and continually improves the environment, for patients AND for staff. </p>
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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.40625em;mso-line-height-alt:1.40625em;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:.02em;">What Curious Questioning Sounds Like</h4>
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<table role="presentation" width="100%" cellpadding="0" cellspacing="0" border="0" bgcolor="transparent" class="text-section section-content">
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    <td valign="top" class="section-text-area section-content-cell padding-mobile-both" style="padding-top:5px;padding-right:66px;padding-bottom:8px;padding-left:66px;color:#12133e;background-color:transparent;">
      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">The difference often lives in the first sentence of a conversation. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">“I am concerned with what I am seeing in our reports. I want to understand what is going on. Can you help me?” opens with the facts and an invitation. It still names the problem clearly and signals the seriousness of the incident but instead of putting the other person on the defensive it leaves room for the answer you may not see coming. It also signals to the person that the truth is welcome, which is exactly what you need most in that moment. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">Then you listen. Past the first answer, past any defensiveness that may come up. You listen as one human genuinely curious and concerned about what might be going on with another human. When the conversation is over, you follow up on both the support the person needs as well as the accountability the situation requires. </p>
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<div id="text-text-section-24">



<table role="presentation" width="100%" cellpadding="0" cellspacing="0" border="0" bgcolor="#12133E" class="text-section section-content">
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    <td valign="top" class="section-text-area section-content-cell padding-mobile-both" style="padding-top:8px;padding-right:66px;padding-bottom:8px;padding-left:66px;color:#e5e8ee;background-color:#12133e;">
      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">3 PRACTICES FOR LEADING WITH COMPASSIONATE ACCOUNTABILITY</p><ol data-rte-list="default" style="padding-left:25px;"><li style="font-weight:normal;margin-top:0px;margin-bottom:0px;margin-left:15px;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em><strong>Lead with the facts, not the verdict. </strong></em>State clearly what you have observed then ask open ended questions before you draw a conclusion. You can always deliver consequences after you understand. You can’t take back a judgement made prior. </p></li><li style="font-weight:normal;margin-top:0px;margin-bottom:0px;margin-left:15px;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em><strong>Treat a sudden change as a signal.</strong></em> When one of your staff begin to struggle, that is information. Something is different in their life, their health or their environment. Find out what before you decide what it means. </p></li><li style="font-weight:normal;margin-top:0px;margin-bottom:0px;margin-left:15px;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em><strong>Hold both lines out loud.</strong></em> Ensure a clear understanding about what is happening and that it cannot continue but you want to understand <em>why</em> it is happening. When your team sees you hold both, they learn two things: the standard matters and it’s safe to tell the truth.</p></li></ol>
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<div id="text-text-section-25">



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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.40625em;mso-line-height-alt:1.40625em;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:.02em;">What You May Not Have Seen Coming</h4>
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<div id="text-text-section-27">



<table role="presentation" width="100%" cellpadding="0" cellspacing="0" border="0" bgcolor="transparent" class="text-section section-content">
  <tbody><tr>
    <td valign="top" class="section-text-area section-content-cell padding-mobile-both" style="padding-top:5px;padding-right:66px;padding-bottom:8px;padding-left:66px;color:#12133e;background-color:transparent;">
      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">Once his manager sat with him and shared the medication reports, expressed her concern and gave him an opportunity to fill in the gaps he admitted to her that he had been recently having some trouble with memory. Tasks that were normally second nature were suddenly hard to remember. They both agreed that it was safest for him and our patients to take some time off. His manager also encouraged him to visit with his doctor about his difficulty with memory. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">The following week he was diagnosed with an advanced brain tumor and lost his battle just four months later.</p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">I think about him and that conversation often. The errors were real. The risk to his patients and his license were real. And so was the man sitting across the table from his manager. If she had led with condemnation instead of curiosity he would have been terminated and reported to the board. Instead, his manager’s willingness to prioritize the human and ask curious questions meant he got answers and his final months were not defined by a disgrace he never earned. </p>
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<div id="text-text-section-29">



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      <h4 style="color:inherit;margin:1.414em 0 .5em;font-weight:400;line-height:1.25em;font-size:1.40625em;mso-line-height-alt:1.40625em;margin-top:0;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;letter-spacing:.02em;">A Final Thought</h4>
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<div id="text-text-section-31">



<table role="presentation" width="100%" cellpadding="0" cellspacing="0" border="0" bgcolor="#FFFFFF" class="text-section section-content">
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    <td valign="top" class="section-text-area section-content-cell padding-mobile-both" style="padding-top:8px;padding-right:66px;padding-bottom:8px;padding-left:66px;color:#12133e;background-color:#fff;">
      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;">Policies protect our patients. Curiosity protects our people. The best leaders refuse to choose between the two. </p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><strong>Come from curious. Hold the line. And never forget there’s a human being on the other side of the table</strong></p>
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      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><strong>____________________</strong></p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em>This week think of one person whose performance or behavior is not what it should be. Before you draw a conclusion, have one conversation that starts with a question, and then listen to the whole answer.</em></p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em>———————————</em></p>
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      <p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-top:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em>I’d love to hear from you. Please reach out and share if you found this insight helpful, if you’d like to talk about it more, or if there’s a topic you’d like to see in a future Humpday. Stacie@LumisLeadership.com</em></p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em>~ Stacie</em></p><p class="" style="color:inherit;font-size:.9375em;line-height:1.618em;margin:0 0 1.25em 0;font-weight:normal;margin-bottom:0;font-family:'Liberation Serif', 'Nimbus Roman No9 L Regular', Times, 'Times New Roman', serif;"><em>Previous Humpday’s can be found in the Newsletter Library at www.LumisLeadership.com</em></p>
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