Site icon Crucial Dimensions

The Consequences of Staying Silent

Speaking up and confronting people in crucial situations is difficult and for some, maybe impossible. But, is avoiding a certain conversation or staying silent an effective solution?

It only takes a moment to change the way we think.

For me, that moment happened just a few years ago when we received a call from a hospital we were working within the southwestern United States.

A young woman had just undergone a flawless amputation at their facility. Everything had gone perfectly in surgery as they removed part of her right foot.

But as she came out of anesthesia, the post-op nurses noticed that she seemed agitated. In their concern, they reviewed her chart. What they found horrified them.

That young woman had been scheduled for a tonsillectomy.

Can you imagine the gravity of this mistake?  Because of their oversight, this woman’s life was forever changed.

How did this happen in a hospital staffed with well-intentioned, well-educated, good people and experts in their areas – who had systems, processes, and checks in place to make sure this very thing never happened.

What went wrong?

We had to get to the root of the problem. In our search, we found seven people had been uncertain that morning before the surgery. Seven individuals suspected something was a little “off” and heard that voice in the back of their minds saying, “I’m not sure about this…”

And what did they do?


These seven well-educated, well-intentioned, good people said absolutely nothing about their apprehensions. Even one voiced concern could’ve stopped the process long enough for someone to figure out that the woman was not admitted for an amputation. Just one conversation may have saved her from a lifetime of disability.

But the crucial conversation never happened.

Have you noticed crucial conversations happening at your workplace?

Ask yourself

How do we bring tough issues to the surface?

How do we hold each other accountable when the stakes are high?

How do we handle crucial conversations?

According to a survey conducted by Crucial Learning, the most common reasons why people do not confront and remain silent during crucial situations were:

“There wasn’t a time or opportunity”,

“It’s not my role”

“I’ve seen them get angry”, and

“I thought they would retaliate”.

People often tend to stay silent at work as they do not want to make others angry, tamper their working relationships, and leave difficult conversations to others or for another time.

At Crucial Dimensions, we research moments of disproportionate influence. We study the times when what you do and what you say have the most impact on patient harm, teaming, and accountability.

Of course, we know the value of systems, processes, and evidence-based leadership. But to leverage these assets, we need to equip our well-educated, good-intentioned healthcare workers with the skills, ability, and desire to speak up when they’re concerned.

It only takes one mistake to change someone’s life forever. Crucial Conversations intervenes so we can speak up, surface the tough issues, and hold one another accountable.

Exit mobile version