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Culture Bytes: Ready to Lead a Safer, Stronger Team?

Author
Sue Tetzlaff
Published
Thu 17 Jul 2025
Episode Link
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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

Hi! I’m Sue Tetzlaff. I’m a culture and execution strategist for small and rural healthcare organizations - helping them to be the provider and employer-of-choice so they can keep care local and margins strong.

For decades, I’ve worked with healthcare organizations to navigate the people-side of healthcare, the part that can make or break your results. What I’ve learned is this: culture is not a soft thing. It’s the hardest thing, and it determines everything.

When you’re ready to take your culture to the next level, here are three ways I can help you:

1. Listen to the Culture Change RX Podcast
Every week, I share conversations with leaders who are transforming healthcare workplaces and strategies for keeping teams engaged, patients loyal, and margins healthy.

2. Subscribe to our Email Newsletter
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3. Break through to the next level of greatness in your organization with help from my team and me.
When you’re ready to be the provider and employer-of-choice, we’ll help you implement proven frameworks that strengthen culture, improve experience and ensure your organization thrives.
You can email me at [email protected] and put “BREAKTHROUGH” in the subject line and I’ll get you all the details.

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