Martin is right. We have created a new 'investigative' industry in healthcare with limited/poor outcomes/data. The message from many healthcare organisations is that the 'same things happen again'. That suggests that we haven't understood the underlying problem(s), let alone fixed it/them.
Chris Brougham & I would be happy to discuss our experience building some new technology to support incident investigation.
Registered address:
Patient Safety Learning, China Works SB203, 100 Black Prince Road Vauxhall, London, SE1 7SJ
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