“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 quality...
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...