“We are not here to curse the darkness, but to light the candle that can guide us through that darkness to a safe and sane future.” (John F Kennedy, 1960) At its heart patient safety is all about making sure we are continuously learning - not...
“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...
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...