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July 17, 2025 16 mins

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Leverage the leadership practice of rounding to strengthen psychological safety, just culture, and high reliability.

In this episode, Sue Tetzlaff discusses the importance of high reliability, just culture, and psychological safety in healthcare leadership. She emphasizes the significance of strengthening relationships through rounding, effective questioning, and the need for follow-up to build trust within teams. The conversation highlights practical options for leaders to engage with their employees in conversations about the culture of safety and high reliability.

Access the resource document (3 Options for Psychological-Safety related Rounding Questions) referenced in this episode.


  • Rounding is a proactive approach to leadership.
  • Effective rounding can elevate psychological safety.
  • Local leadership significantly impacts organizational culture.
  • One option for rounding questions: Use employee surveys to inform rounding discussions.
  • Another option for rounding questions: Amy Edmondson’s psychological safety assessment questions are adapted into a set of seven possible rounding questions.
  • A third option for rounding questions:  When the environment and/or relationship warrants it, specific “low-trust” rounding questions will be more appropriate for leaders to ask.
  • Follow-up is key to building trust in relationships.


Need help improving the culture, performance, and results of your healthcare organization? If so, let’s talk.

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Capstone helps rural hospitals be the provider- and employer-of-choice to keep care local and margins strong. Learn more via a complimentary consultation call. Schedule at:  CapstoneLeadership.net/Contact-Us

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