David Grant
@davidjgrant.bsky.social
Paediatric Critical Care, Patient Safety, Systems Thinking, FOAMed, Bristol Medical School Simulation & Interprofessional Education Lead, Programme Director MSc Healthcare Management, Father, husband, cyclist, sports fan Views own
Pinned
David Grant
@davidjgrant.bsky.social
· Jan 11
MSc Healthcare Management (Online) | Study at Bristol | University of Bristol
www.bristol.ac.uk
Masters level online programmes for those with interest in management/managerial responsibilities in healthcare & integrated care. Provides understanding of leadership, management, innovation, quality, safety, risk management, human factors & systems thinking.
👀👇🏽
www.bristol.ac.uk/study/postgr...
👀👇🏽
www.bristol.ac.uk/study/postgr...
1/3 Reflections on relation of philosophical concepts to #Risk & #Patient #Safety.
Ylönen, M., & Aven, T. (2023). A framework for understanding risk based on the concepts of ontology and epistemology. Journal of Risk Research, 26(6), 581–593. doi.org/10.1080/1366...
Ylönen, M., & Aven, T. (2023). A framework for understanding risk based on the concepts of ontology and epistemology. Journal of Risk Research, 26(6), 581–593. doi.org/10.1080/1366...
A framework for understanding risk based on the concepts of ontology and epistemology
Two fundamental philosophical concepts of social science are ontology (idealism and realism), relating to what reality is, and epistemology (epistemological realism, epistemological idealism), rela...
doi.org
May 22, 2025 at 3:36 PM
1/3 Reflections on relation of philosophical concepts to #Risk & #Patient #Safety.
Ylönen, M., & Aven, T. (2023). A framework for understanding risk based on the concepts of ontology and epistemology. Journal of Risk Research, 26(6), 581–593. doi.org/10.1080/1366...
Ylönen, M., & Aven, T. (2023). A framework for understanding risk based on the concepts of ontology and epistemology. Journal of Risk Research, 26(6), 581–593. doi.org/10.1080/1366...
I have seen ➕impact of #LearningFromExcellence but am stuck by work of Staat & Gino showing that individual learning ⬆️ from own successes rather than failures, but we learn more from failures of others than their successes. Thoughts? psycnet.apa.org/record/2013-...
APA PsycNet
psycnet.apa.org
April 14, 2025 at 10:28 AM
I have seen ➕impact of #LearningFromExcellence but am stuck by work of Staat & Gino showing that individual learning ⬆️ from own successes rather than failures, but we learn more from failures of others than their successes. Thoughts? psycnet.apa.org/record/2013-...
It strikes me that the number of narcissistic leaders in the world has been increasing. This is deeply concerning as the literature tells us they are likely to be led by their ego rather than rational logical thinking that remains sensitive to the adverse impacts of their actions.
April 8, 2025 at 7:50 PM
It strikes me that the number of narcissistic leaders in the world has been increasing. This is deeply concerning as the literature tells us they are likely to be led by their ego rather than rational logical thinking that remains sensitive to the adverse impacts of their actions.
SAVE 2025, virtual event 13/3/25
🎟 Registration Details:
✅ FREE for SESAM Members (Use code SESAM25Comp)
✅ FREE for attendees from LMICs (Use code SAVE25Comp)
💶 €7 all other non-members
🚀 Register now! www.trybooking.com/CZFIT
📩 For more info: secretary@sesamsociety.org | 🌍 www.sesamsociety.org
🎟 Registration Details:
✅ FREE for SESAM Members (Use code SESAM25Comp)
✅ FREE for attendees from LMICs (Use code SAVE25Comp)
💶 €7 all other non-members
🚀 Register now! www.trybooking.com/CZFIT
📩 For more info: secretary@sesamsociety.org | 🌍 www.sesamsociety.org
SAVE2025: Learning from Low and Middle Income Countries
We’re thrilled to introduce SAVE 2025 – the SESAM Annual Virtual Event, a brand-new initiative designed to foster global knowledge sharing and...
www.trybooking.com
February 18, 2025 at 10:21 PM
SAVE 2025, virtual event 13/3/25
🎟 Registration Details:
✅ FREE for SESAM Members (Use code SESAM25Comp)
✅ FREE for attendees from LMICs (Use code SAVE25Comp)
💶 €7 all other non-members
🚀 Register now! www.trybooking.com/CZFIT
📩 For more info: secretary@sesamsociety.org | 🌍 www.sesamsociety.org
🎟 Registration Details:
✅ FREE for SESAM Members (Use code SESAM25Comp)
✅ FREE for attendees from LMICs (Use code SAVE25Comp)
💶 €7 all other non-members
🚀 Register now! www.trybooking.com/CZFIT
📩 For more info: secretary@sesamsociety.org | 🌍 www.sesamsociety.org
Privilege to deliver introductory lecture of Bristol Med School integrated SafeTI Systems Curriculum in such a beautiful setting this morning. Arming these students over their first 3 years with knowledge and tools to deliver #Safe healthcare within a complex adaptive #Systems
#preperationiskey
#preperationiskey
February 12, 2025 at 1:59 PM
Privilege to deliver introductory lecture of Bristol Med School integrated SafeTI Systems Curriculum in such a beautiful setting this morning. Arming these students over their first 3 years with knowledge and tools to deliver #Safe healthcare within a complex adaptive #Systems
#preperationiskey
#preperationiskey
Her actions were the embodiment of integrity and courage - gray example for all
“When we know what is true, it’s incumbent upon us to speak the truth even when, especially when, it costs us”
Rt Rev Mariann Budde
@carlhorsley.bsky.social @kencatchpole.bsky.social @davidjgrant.bsky.social @janekohara.bsky.social @siriwiig.bsky.social @trishgreenhalgh.bsky.social
Rt Rev Mariann Budde
@carlhorsley.bsky.social @kencatchpole.bsky.social @davidjgrant.bsky.social @janekohara.bsky.social @siriwiig.bsky.social @trishgreenhalgh.bsky.social
January 23, 2025 at 7:27 PM
Her actions were the embodiment of integrity and courage - gray example for all
Reposted by David Grant
“When we know what is true, it’s incumbent upon us to speak the truth even when, especially when, it costs us”
Rt Rev Mariann Budde
@carlhorsley.bsky.social @kencatchpole.bsky.social @davidjgrant.bsky.social @janekohara.bsky.social @siriwiig.bsky.social @trishgreenhalgh.bsky.social
Rt Rev Mariann Budde
@carlhorsley.bsky.social @kencatchpole.bsky.social @davidjgrant.bsky.social @janekohara.bsky.social @siriwiig.bsky.social @trishgreenhalgh.bsky.social
January 23, 2025 at 7:13 PM
“When we know what is true, it’s incumbent upon us to speak the truth even when, especially when, it costs us”
Rt Rev Mariann Budde
@carlhorsley.bsky.social @kencatchpole.bsky.social @davidjgrant.bsky.social @janekohara.bsky.social @siriwiig.bsky.social @trishgreenhalgh.bsky.social
Rt Rev Mariann Budde
@carlhorsley.bsky.social @kencatchpole.bsky.social @davidjgrant.bsky.social @janekohara.bsky.social @siriwiig.bsky.social @trishgreenhalgh.bsky.social
Reposted by David Grant
🎉 Join SESAM at #IMSH2025!
We’re having a social gathering for all SESAM members and the wider simulation community who are in Orlando.
📅 Monday, 13th January
⏰ Starting at 9 PM
📍 Mia’s Italian Kitchen, 8717 International Drive, Orlando
#SESAM #HealthcareSimulation
We’re having a social gathering for all SESAM members and the wider simulation community who are in Orlando.
📅 Monday, 13th January
⏰ Starting at 9 PM
📍 Mia’s Italian Kitchen, 8717 International Drive, Orlando
#SESAM #HealthcareSimulation
January 12, 2025 at 11:06 PM
🎉 Join SESAM at #IMSH2025!
We’re having a social gathering for all SESAM members and the wider simulation community who are in Orlando.
📅 Monday, 13th January
⏰ Starting at 9 PM
📍 Mia’s Italian Kitchen, 8717 International Drive, Orlando
#SESAM #HealthcareSimulation
We’re having a social gathering for all SESAM members and the wider simulation community who are in Orlando.
📅 Monday, 13th January
⏰ Starting at 9 PM
📍 Mia’s Italian Kitchen, 8717 International Drive, Orlando
#SESAM #HealthcareSimulation
Reposted by David Grant
Masters level online programmes for those with interest in management/managerial responsibilities in healthcare & integrated care. Provides understanding of leadership, management, innovation, quality, safety, risk management, human factors & systems thinking.
👀👇🏽
www.bristol.ac.uk/study/postgr...
👀👇🏽
www.bristol.ac.uk/study/postgr...
MSc Healthcare Management (Online) | Study at Bristol | University of Bristol
www.bristol.ac.uk
January 11, 2025 at 10:15 AM
Masters level online programmes for those with interest in management/managerial responsibilities in healthcare & integrated care. Provides understanding of leadership, management, innovation, quality, safety, risk management, human factors & systems thinking.
👀👇🏽
www.bristol.ac.uk/study/postgr...
👀👇🏽
www.bristol.ac.uk/study/postgr...
🧵1/8 Reflections on impact of listening to understand during conversations based on Difficult conversations by Stone et al & past experiences:
Meaningful conversations require us to build rapport or a relationship with each other
It is a fundamental human need to feel heard, understood & validated
Meaningful conversations require us to build rapport or a relationship with each other
It is a fundamental human need to feel heard, understood & validated
January 11, 2025 at 10:09 AM
🧵1/8 Reflections on impact of listening to understand during conversations based on Difficult conversations by Stone et al & past experiences:
Meaningful conversations require us to build rapport or a relationship with each other
It is a fundamental human need to feel heard, understood & validated
Meaningful conversations require us to build rapport or a relationship with each other
It is a fundamental human need to feel heard, understood & validated
Educational Research 🧵
1/3
Starting Ed Research journey?
Love clarity of Maj-Britt Råholm statement:
"Abduction is the first stage of inquiry within which hypotheses are invented; analysed and developed through deduction and verified through induction."
👇🏽
onlinelibrary.wiley.com/doi/10.1111/...
1/3
Starting Ed Research journey?
Love clarity of Maj-Britt Råholm statement:
"Abduction is the first stage of inquiry within which hypotheses are invented; analysed and developed through deduction and verified through induction."
👇🏽
onlinelibrary.wiley.com/doi/10.1111/...
Abductive reasoning and the formation of scientific knowledge within nursing research
Peirce's notion of abductive reasoning and the way this reasoning can enhance forming of scientific knowledge within nursing research is of great importance. Abduction is the first stage of inquiry w...
onlinelibrary.wiley.com
January 11, 2025 at 9:48 AM
Educational Research 🧵
1/3
Starting Ed Research journey?
Love clarity of Maj-Britt Råholm statement:
"Abduction is the first stage of inquiry within which hypotheses are invented; analysed and developed through deduction and verified through induction."
👇🏽
onlinelibrary.wiley.com/doi/10.1111/...
1/3
Starting Ed Research journey?
Love clarity of Maj-Britt Råholm statement:
"Abduction is the first stage of inquiry within which hypotheses are invented; analysed and developed through deduction and verified through induction."
👇🏽
onlinelibrary.wiley.com/doi/10.1111/...
🧵1/5 Common misconception about Safety II:
1. It seeks to replace safety I.
2. Its focus is solely situations where things go right
Though Safety II differs in that it seeks to understand both situations where things go right and wrong.
Summary of key differences below👇🏼👇🏼👇🏼
1. It seeks to replace safety I.
2. Its focus is solely situations where things go right
Though Safety II differs in that it seeks to understand both situations where things go right and wrong.
Summary of key differences below👇🏼👇🏼👇🏼
January 11, 2025 at 9:39 AM
🧵1/5 Common misconception about Safety II:
1. It seeks to replace safety I.
2. Its focus is solely situations where things go right
Though Safety II differs in that it seeks to understand both situations where things go right and wrong.
Summary of key differences below👇🏼👇🏼👇🏼
1. It seeks to replace safety I.
2. Its focus is solely situations where things go right
Though Safety II differs in that it seeks to understand both situations where things go right and wrong.
Summary of key differences below👇🏼👇🏼👇🏼
🧵 1/4
Managing #change in the complex adaptive healthcare systems we work in can be challenging. As healthcare professionals we are trained to anticipate monitor and intuitively respond to a problem as soon as it is identified. - a "find & fix it" culture prevails
Managing #change in the complex adaptive healthcare systems we work in can be challenging. As healthcare professionals we are trained to anticipate monitor and intuitively respond to a problem as soon as it is identified. - a "find & fix it" culture prevails
January 10, 2025 at 4:18 PM
🧵 1/4
Managing #change in the complex adaptive healthcare systems we work in can be challenging. As healthcare professionals we are trained to anticipate monitor and intuitively respond to a problem as soon as it is identified. - a "find & fix it" culture prevails
Managing #change in the complex adaptive healthcare systems we work in can be challenging. As healthcare professionals we are trained to anticipate monitor and intuitively respond to a problem as soon as it is identified. - a "find & fix it" culture prevails
1/2
When attempting to analyse or make sense of events, most healthcare professionals choose the tools they use to do so based on organisational or personal preferences rather than having a framework in mind of the different components that may have contributed to the event.
When attempting to analyse or make sense of events, most healthcare professionals choose the tools they use to do so based on organisational or personal preferences rather than having a framework in mind of the different components that may have contributed to the event.
January 10, 2025 at 4:14 PM
1/2
When attempting to analyse or make sense of events, most healthcare professionals choose the tools they use to do so based on organisational or personal preferences rather than having a framework in mind of the different components that may have contributed to the event.
When attempting to analyse or make sense of events, most healthcare professionals choose the tools they use to do so based on organisational or personal preferences rather than having a framework in mind of the different components that may have contributed to the event.
🧵 1/2
The false belief that safety exists because “things have been done in a certain way” and it has not lead to a safety event in combination with the absence of trying to understanding why things went "right" leads to failure to identify adaptive actions that has maintained safety
The false belief that safety exists because “things have been done in a certain way” and it has not lead to a safety event in combination with the absence of trying to understanding why things went "right" leads to failure to identify adaptive actions that has maintained safety
January 10, 2025 at 4:12 PM
🧵 1/2
The false belief that safety exists because “things have been done in a certain way” and it has not lead to a safety event in combination with the absence of trying to understanding why things went "right" leads to failure to identify adaptive actions that has maintained safety
The false belief that safety exists because “things have been done in a certain way” and it has not lead to a safety event in combination with the absence of trying to understanding why things went "right" leads to failure to identify adaptive actions that has maintained safety
In a world designed to grab our attention and overload us with information this is refreshing perspective by Maura Thomas
“Your attention determines experiences you have & they in turn determine life you live. - control your attention to control your life”
hbr.org/2018/03/to-c...
“Your attention determines experiences you have & they in turn determine life you live. - control your attention to control your life”
hbr.org/2018/03/to-c...
To Control Your Life, Control What You Pay Attention To
Your attention determines the experiences you have, and the experiences you have determine the life you live. Rather than allowing distractions to derail you, choose where you direct your attention at...
hbr.org
January 10, 2025 at 4:09 PM
In a world designed to grab our attention and overload us with information this is refreshing perspective by Maura Thomas
“Your attention determines experiences you have & they in turn determine life you live. - control your attention to control your life”
hbr.org/2018/03/to-c...
“Your attention determines experiences you have & they in turn determine life you live. - control your attention to control your life”
hbr.org/2018/03/to-c...
🧵 1/2
Ever wondered why people add emoji’s to their emails? Not surprising when we remember that large proportion of F2F verbal communication is in fact non verbal. The emoji’s are just attempt to add that element of communication to the serial monologue that is an email conversation.
Ever wondered why people add emoji’s to their emails? Not surprising when we remember that large proportion of F2F verbal communication is in fact non verbal. The emoji’s are just attempt to add that element of communication to the serial monologue that is an email conversation.
January 10, 2025 at 4:06 PM
🧵 1/2
Ever wondered why people add emoji’s to their emails? Not surprising when we remember that large proportion of F2F verbal communication is in fact non verbal. The emoji’s are just attempt to add that element of communication to the serial monologue that is an email conversation.
Ever wondered why people add emoji’s to their emails? Not surprising when we remember that large proportion of F2F verbal communication is in fact non verbal. The emoji’s are just attempt to add that element of communication to the serial monologue that is an email conversation.
🧵1/3
#Communication failures @❤️ of most healthcare adverse events Multiple structured communication tools have been developed to support communicator 2 communicate more effectively, but little time is spent teaching communicators to vary communication based on analysis of receiver.
#Communication failures @❤️ of most healthcare adverse events Multiple structured communication tools have been developed to support communicator 2 communicate more effectively, but little time is spent teaching communicators to vary communication based on analysis of receiver.
January 10, 2025 at 4:00 PM
🧵1/3
#Communication failures @❤️ of most healthcare adverse events Multiple structured communication tools have been developed to support communicator 2 communicate more effectively, but little time is spent teaching communicators to vary communication based on analysis of receiver.
#Communication failures @❤️ of most healthcare adverse events Multiple structured communication tools have been developed to support communicator 2 communicate more effectively, but little time is spent teaching communicators to vary communication based on analysis of receiver.
🧵1/3
Complex systems are almost as fascinating as the human brain. A complex system’s resilience is determined by how effectively it recognises & processes information in order to reconfigure itself to accommodate change.
#Systemsthinking #Safety
Complex systems are almost as fascinating as the human brain. A complex system’s resilience is determined by how effectively it recognises & processes information in order to reconfigure itself to accommodate change.
#Systemsthinking #Safety
January 10, 2025 at 3:58 PM
🧵1/3
Complex systems are almost as fascinating as the human brain. A complex system’s resilience is determined by how effectively it recognises & processes information in order to reconfigure itself to accommodate change.
#Systemsthinking #Safety
Complex systems are almost as fascinating as the human brain. A complex system’s resilience is determined by how effectively it recognises & processes information in order to reconfigure itself to accommodate change.
#Systemsthinking #Safety
Great read highlighting risks of "Audit for Audits sake"
#patientsafety
Audit masquerade: How audits provide comfort rather than treatment for serious safety problems
www.sciencedirect.com/science/arti...
#patientsafety
Audit masquerade: How audits provide comfort rather than treatment for serious safety problems
www.sciencedirect.com/science/arti...
Audit masquerade: How audits provide comfort rather than treatment for serious safety problems
Investigations following major accidents sometimes find that auditing failed to identify critical deficiencies. Such findings assume that the deficien…
www.sciencedirect.com
January 10, 2025 at 3:55 PM
Great read highlighting risks of "Audit for Audits sake"
#patientsafety
Audit masquerade: How audits provide comfort rather than treatment for serious safety problems
www.sciencedirect.com/science/arti...
#patientsafety
Audit masquerade: How audits provide comfort rather than treatment for serious safety problems
www.sciencedirect.com/science/arti...
“Psychologically safe environments help teams ⬇️ preventable mistakes & take on challenges without fear so they either succeed or walk away wiser when they don’t” A Edmondson
January 10, 2025 at 3:49 PM
“Psychologically safe environments help teams ⬇️ preventable mistakes & take on challenges without fear so they either succeed or walk away wiser when they don’t” A Edmondson
Great privilege to have contributed to this paper that is testament of evolution of #simulation from tool applied for education to organisational integration of tool that supports org learning & change focussed on the cont strive to deliver pt centred, high quality & safe care
#simulation #safety
#simulation #safety
Improving quality through simulation; developing guidance to design simulation interventions following key events in healthcare - Advances in Simulation
Simulation educators are often requested to provide multidisciplinary and/or interprofessional simulation training in response to critical incidents. Current perspectives on patient safety focus on le...
advancesinsimulation.biomedcentral.com
January 10, 2025 at 3:48 PM
Great privilege to have contributed to this paper that is testament of evolution of #simulation from tool applied for education to organisational integration of tool that supports org learning & change focussed on the cont strive to deliver pt centred, high quality & safe care
#simulation #safety
#simulation #safety
1/2
Love this Heraclitus quote:
“No person ever steps in the same river twice. For it’s not the same river and they are not the same person.”
Great metaphor for #resultant #outcomes in #complex #adaptive #systems
#patientsafety #resilience
Love this Heraclitus quote:
“No person ever steps in the same river twice. For it’s not the same river and they are not the same person.”
Great metaphor for #resultant #outcomes in #complex #adaptive #systems
#patientsafety #resilience
January 10, 2025 at 3:34 PM
1/2
Love this Heraclitus quote:
“No person ever steps in the same river twice. For it’s not the same river and they are not the same person.”
Great metaphor for #resultant #outcomes in #complex #adaptive #systems
#patientsafety #resilience
Love this Heraclitus quote:
“No person ever steps in the same river twice. For it’s not the same river and they are not the same person.”
Great metaphor for #resultant #outcomes in #complex #adaptive #systems
#patientsafety #resilience
Resilience 🧵
I frequently see & hear reference to resilient systems so I thought I would summarise a core facts from Erik Hollnagel's work as a reminder for us all:
1. Resilience is functional not structural:
A system cannot be resilient, but it has the potential for resilient performance.
I frequently see & hear reference to resilient systems so I thought I would summarise a core facts from Erik Hollnagel's work as a reminder for us all:
1. Resilience is functional not structural:
A system cannot be resilient, but it has the potential for resilient performance.
January 3, 2025 at 4:37 PM
Resilience 🧵
I frequently see & hear reference to resilient systems so I thought I would summarise a core facts from Erik Hollnagel's work as a reminder for us all:
1. Resilience is functional not structural:
A system cannot be resilient, but it has the potential for resilient performance.
I frequently see & hear reference to resilient systems so I thought I would summarise a core facts from Erik Hollnagel's work as a reminder for us all:
1. Resilience is functional not structural:
A system cannot be resilient, but it has the potential for resilient performance.