Healthcare Sector

Should we be worried about the end of the National Confidential Inquiry into Suicide and Homicide?

Jonathan Zito and Christopher Clunis? Mary Povey and Raymond Sinclair? Lin and Megan Russell and Michael Stone? I wouldn’t be surprised if these names didn’t mean anything to you. Why should they? Well, Jonathan, Mary, Lin and Megan were all victims of homicides committed by patients in the care of NHS mental health services during

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Making healthcare the high reliability service it should be

“Making improvements to patient safety comes second place to sorting out problems with the investigative process” A director of nursing of a large teaching trust told me this late last year. The CCG and her own governance team were weighed down with questions about the quality of internal investigations and matters of deadline breaches. No

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Black Box Thinking for the Healthcare Sector

A few months back I wrote a blog that touched upon Mathew Syed’s book – ‘Black Box Thinking’. It discusses the “willingness and tenacity to investigate thelessons that often exist when we fail, but which we rarely exploit.” Furthermore, “It is about creatingsystems and cultures that enable organizations to learn from errors, ratherthan being threatened

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