Surgeons must act fast and be good at multitasking. I bet they are not in a forum discussing if those traits make them vulnerable to hasty decisions and to loss of concentration on the task at hand.
Competent developers, on the other hand, have extreme trust on the judgment of their peers. They know they won't break the production build at will; if they ever do, they will use all information gathered to improve the team's infrastructure and their own development process. They are not afraid of using the term, because breaking things is the most valuable thing that you can do for your learning, but, most importantly, they realize that other people's lives and goods are potentially at stake, and act with due diligence.
So, "break things" is not an excuse to break the production build at will and move on to the next task. If competent developers ever find themselves in a team that does so, they try to educate the team and, if that does not work, GTFO.
Just to make things clearer, I am a programmer myself, and have never been in a management position before. My overall impression is that I learn faster when I make mistakes and need to fix them. Expecting otherwise would contradict most of the experts on human learning.