Safety – Time for a new direction.
Many organisations are on a journey where it becomes willing to accept that errors do happen: practice is not perfect, risks have to be taken. This obviously clashes with a vision of zero-harm (which indeed is more of a vision than a realistic goal). A couple of things happen with a slavish commitment to zero-vision and the idea that errors do not happen, like people will be motivated or incentivized to hide errors and their consequences. This creates shame and guilt and stigmatizes both error and those involved.