Real teams are the antidote to the chaos of modern medicine. “Real teams know each other, feel loyalty to one another, trust one another, and would not want to disappoint one another” (Tom Lee, NEJM Catalyst 2016). Practicing are conversations between real team members about why the work matters. Our goal is to preserve and share the stories of the teams at University of Utah Healthcare.

Chief Pharmacy Officer Linda Tyler thinks broadly about the leadership skills needed to deliver reliably safe care. Here, she shares an article about the importance of psychological safety—the #1 success factor identified by Google’s Project Aristotle, which studied hundreds of Google’s teams to figure out why some stumbled and some soared.

Lawrence Marsco, Director of Inpatient Nursing at Huntsman Cancer Hospital, shares this candid reflection about his tumultuous journey in health care. Today, he relies on shared governance, transparency and shared decision making to lead others through their journey.

Not even the most gifted leader can lead change alone. No one person can come up with the strategy, communicate across the organization, eliminate all the barriers, and manage dozens of change initiatives. In order for transformation to succeed, you need a guiding coalition.

Practicing are recorded conversations with a colleague that are shared with the organization. They are conversations between real team members about why the work matters.