top of page

By:

Rahul Kulkarni

30 March 2025 at 3:32:54 pm

Psychological Safety, The Prerequisite for Modernisation

If people can’t tell you the truth, your dashboards will lie for them. So now you finally have what most leaders think they need: a system. And yet… the system still doesn’t show the truth. Numbers look “clean”. Reports look “reasonable”. Problems show up late. Bad news arrives only when it becomes a fire. This is where many leaders get fooled. They look at the dashboard and think, “Great, we’re improving.” And then reality punches them. A shipment fails. A customer escalates. A vendor...

Psychological Safety, The Prerequisite for Modernisation

If people can’t tell you the truth, your dashboards will lie for them. So now you finally have what most leaders think they need: a system. And yet… the system still doesn’t show the truth. Numbers look “clean”. Reports look “reasonable”. Problems show up late. Bad news arrives only when it becomes a fire. This is where many leaders get fooled. They look at the dashboard and think, “Great, we’re improving.” And then reality punches them. A shipment fails. A customer escalates. A vendor refuses. Cash gets stuck. Quality blows up. The issue is not your tool. The issue is fear. Which Seat? Inherited seat: people fear disappointing you, so they hide issues until they’re unavoidable. Hired seat: people fear you’ll judge them, so they show you what looks good. Promoted seat: people fear the relationship has changed, so they become careful and political. Different seats. Same outcome: silence. Doctor-Patient Problem Think about a doctor. The doctor can be brilliant. The hospital can be world-class. The tests can be advanced. But if the patient hides symptoms, the diagnosis will be wrong. Not because the doctor is bad. Because the input is false. That’s what modernisation looks like without psychological safety. You can buy software. You can design processes. You can set up dashboards. But if people can’t tell you the truth, your “data” will become polite fiction. And you’ll make confident decisions on top of fiction. What Is Safety? People hear “psychological safety” and imagine a soft HR concept. It’s not soft. It’s operational. Amy Edmondson, who researched this deeply, describes it simply: a climate where people feel safe to speak up, admit mistakes, ask questions, and raise bad news without being punished or humiliated. In MSME language, it means: “If I report a problem, I won’t be insulted.” “If I admit a mistake, I won’t be made a permanent example.” “If I raise a risk early, I won’t be told I’m negative.” “If I tell the truth, I won’t lose my standing.” If those beliefs don’t exist, people will still “cooperate” but it will be theatre. Hidden Blocker Low-data firms don’t naturally produce truth. They produce stories. Why? Because stories protect people. A late dispatch becomes: “customer changed plan”A defect becomes: “labour issue”A missed purchase becomes: “vendor problem”A cash delay becomes: “accounts is slow” Each story may contain some truth. But the function of the story is usually protection. So when you introduce digitisation, something changes: Now the story has to match a number. And if the number can expose someone, the system will do the only thing it knows: It will manage the number. That’s how dashboards become lies. Not because people are dishonest by nature.Because honesty has become unsafe. The Signs Bad news comes late, always. Meetings are full of explanations, not facts. “No issues” is the most common update. Problems are discovered by customers, not internally. People speak more in corridors than in review meetings. Everyone looks busy, but nothing is owned. If you see these signs, your modernisation effort is at risk. Because the system will look healthy until it breaks. Most leaders don’t wake up and say, “Let me create fear.” They kill safety through small habits: Sarcasm in meetings Public scolding Reacting emotionally to bad news Asking “who did this?” before asking “why did this happen?” Using pilot data for appraisal Praising only “good numbers” and punishing messy truths One harsh moment teaches the room a long lesson. After that, people stop volunteering reality. They start managing perception. Field Test Pick one recent failure. Not the biggest scandal. A real, medium-sized problem. Gather the involved people for 30–45 minutes. Then follow three rules: Start with the line: “This is not a blame meeting. This is a learning meeting.” And mean it. Ask only these questions: What happened, in sequence? Where did the handoff break? What made the wrong action feel reasonable at the time? What one change reduces the chance of repeat? No names, no insults, no ‘how can you’ If someone makes it personal, you bring it back to the process and the moment. Now the most important part: Track whether people volunteer issues unprompted in the next two weeks. That is the real signal. If people start bringing small problems early, safety is rising. If they stay silent and “all good”, your system is still running on fear. (The writer is a Chartered Accountant based in Thane. Views personal.)

Lung health awareness should be prioritised

Ustad Zakir Hussain

Zakir Hussain Succumbs to Rare Lung Disease Idiopathic Pulmonary Fibrosis (IPF): A Wake-Up Call for Lung Health Awareness Renowned pulmonologist Dr. Abhijit Ahuja from Saifee Hospital underscores the importance of early diagnosis and public awareness.


Zakir Hussain’s untimely demise has highlighted the devastating impact of Idiopathic Pulmonary Fibrosis (IPF), a rare and chronic lung disease often overlooked due to its silent progression. This condition leads to irreversible thickening and scarring of the lung tissues (fibrosis), impairing the lungs’ ability to function. The exact cause of this life-threatening condition remains unknown, which is why it is termed “idiopathic.”


According to Dr. Abhijit Ahuja, a leading pulmonologist at Saifee Hospital, there is an urgent need for public education regarding IPF. “Many people are unaware of IPF, and its symptoms are often dismissed as minor or age-related. Tragically, most diagnoses occur at advanced stages when treatment options are limited. Early detection is crucial for improving patient outcomes and quality of life,” stated Dr. Ahuja.


Recognizing the Symptoms of IPF

IPF begins with subtle symptoms, making it challenging to diagnose early. Patients and healthcare providers must be vigilant about the following signs:

• Persistent shortness of breath (dyspnea), especially during physical activity

• Chronic dry cough that does not improve over time

• Unexplained fatigue and general weakness

• Sudden, unintended weight loss


“Many patients with IPF misinterpret their symptoms as signs of aging or other common respiratory problems. Unfortunately, this leads to delayed diagnosis,” Dr. Ahuja explained. Diagnosis involves a detailed review of the patient’s medical history, high-resolution CT scans, and lung function tests to confirm the presence of fibrosis.


Treatment and Management Options

While there is no cure for IPF, recent advancements in medicine offer hope by slowing the disease’s progression and managing symptoms effectively. Treatments used at institutions like Saifee Hospital include:

1. Antifibrotic Drugs: Medications like pirfenidone and nintedanib significantly reduce the progression of scarring in the lungs.

2. Oxygen Therapy: Providing supplemental oxygen helps manage breathlessness and improves patients’ energy levels.

3. Pulmonary Rehabilitation: Structured programs of breathing exercises and physical training enhance lung capacity, stamina, and quality of life.

4. Lung Transplantation: For severe cases, lung transplantation may be considered a life-saving option.


Dr. Ahuja emphasized, “The combination of antifibrotic drugs, oxygen therapy, and pulmonary rehabilitation can slow disease progression and improve patients’ lives. However, the success of these treatments hinges on early detection.”


Prognosis and Early Detection

IPF is a rapidly progressing disease with a poor prognosis. The average life expectancy following diagnosis is 3 to 5 years. However, early diagnosis and timely intervention can extend survival and significantly enhance quality of life.


Dr. Ahuja added, “Regular health check-ups and vigilance about respiratory health are vital. Early intervention is the only way to ensure a better prognosis for IPF patients.”


A Call for Greater Awareness

The tragic passing of Zakir Hussain has underscored the importance of raising awareness about rare diseases like IPF. Many people remain unaware of IPF’s early symptoms, leading to delayed diagnosis and limited treatment options.


Dr. Ahuja stated, “Awareness campaigns should emphasize that persistent shortness of breath and a chronic cough should never be ignored. Early referral to pulmonologists and tests like CT scans are crucial for identifying this disease at its initial stages.”


Saifee Hospital is actively involved in spreading awareness about lung diseases, offering cutting-edge diagnostic tools, and providing comprehensive care for patients with IPF and other respiratory conditions.


Supporting IPF Patients and Families

IPF is not just physically debilitating—it also takes a severe mental and emotional toll on patients. Family members and caregivers play an integral role in helping patients cope with the challenges of daily life.


Dr. Ahuja added, “While medical care is critical, psychological support for patients and their families is equally important. Addressing the emotional and mental strain can significantly improve the overall well-being of those living with IPF.”


Zakir Hussain’s Passing: A Lesson for All

Zakir Hussain’s untimely demise is a somber reminder of the need to prioritize lung health. It urges individuals to seek medical attention for unexplained breathlessness or persistent coughing and emphasizes the importance of early intervention in preventing severe outcomes.


Dr. Abhijit Ahuja of Saifee Hospital concluded, “Every individual experiencing symptoms like breathlessness or an unrelenting dry cough should consult a pulmonologist promptly. Early diagnosis can make all the difference.”


Let us honor Zakir Hussain’s legacy by spreading awareness about IPF and supporting those battling this rare and life-altering condition.


(The author is a leading pulmonologist at Saifee Hospital, Mumbai. Views personal.)

Comments

bottom of page