Hi @matthewploszajski,
I’m so glad you liked it. One regional healthcare leader said her Zoom video call “was incredible to participate in!” 🙂

When I decided to try to invite her to speak with a Q SIG I was particularly involved with, I never really thought she’d say yes, to be honest!

I think Mary’s actually getting at quite an epochal shift towards a more complexity-aware way of working in healthcare. And the ‘adaptive leadership’ that some people now do, in this vein, is probably far more psychology-aware than what is the norm now (?).
But she pointed out that such leadership is currently largely unrecognised, leading to burnout.
A blistering challenge on this exact same topic of complexity, burnout (and the shift from Safety I to Safety II) comes from Andrew Smaggus in his recent article in BMJ Qual & Saf ‘Safety-I, Safety-II and burnout: how complexity science can help clinician wellness’.
He seems to be arguing that QI is largely reflective of a mindset of ‘authoritarian high modernism’ – with a (technocratic?) focus on planning, design, error, variation, blame rather than learning from what goes well etc. The crucial day to day adaptive activities that clinicians do – which help the NHS actually function and evolve – is largely seen as negative variation etc and not supported or learned from. Hence… burnout!
I’d share it if I had a PDF, only currently have a hard copy.
BTW, Mary Uhl-Bien is likely to do another Zoom call for Q – what should we be asking her? We need to get more into the nitty-gritty of how to shift the way we do things…