David Grant
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davidjgrant.bsky.social
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
3/3
Then applied to safety:
Ontology = work as done
epistemology = accident models
phenomenology = safety climate or safety culture of an organisation.

Thoughts
@siriwiig.bsky.social @carlhorsley.bsky.social ley.bsky.social @davidjvaughan.bsky.social
May 22, 2025 at 3:36 PM
2/3
If we accept that ontology describes what reality exists, epistemology describes how we can obtain knowledge of that reality and phenomenology describes the nature of our experience of that reality (how we perceive or understand it).
May 22, 2025 at 3:36 PM
Expanding from this. Potential for learning is increased if we frame events as successes (a good catch) rather than near misses! Yet in healthcare we perpetually use term near miss.
April 14, 2025 at 10:36 AM
It appears some lessons have to be learnt again. It’s just a shame decisions are made for those those who are most at risk before they have chance to decide for themselves.
February 23, 2025 at 8:59 PM
😂😂😂
February 12, 2025 at 7:04 PM
Wow beautiful. Is that from today? If so your weather is much better than ours here in Bristol! 😂
February 11, 2025 at 7:04 PM
Nope
January 29, 2025 at 10:55 PM
This platform needs a giggle response in addition to like. Thank you for making me smile on a morning my alarm failed to go off.
January 29, 2025 at 8:28 AM
Agreed. Approach described in direct contrast to all widening participation efforts we implement to diversify students we recruiting to our medical school. To minimise potential for this bias we did away with personal statements and focussed on personal development and growth through interviews.
January 27, 2025 at 11:55 PM
Oh dear that should have read *great example……
January 23, 2025 at 7:53 PM
Agree. Photo below is me in my slippers and shorts delivering keynote at international conference during COVID. 😂
January 17, 2025 at 7:16 PM
Sounds like a good recipe to encourage cognitive dissonance where desire to act morally is balanced with desire to succeed. Eventually resulting in rationalisation of behaviours to resolve dissonance in favour of mental wellbeing. A sort of efficiency thoroughness trade off.
January 15, 2025 at 9:51 PM
8/8 The Do Not's:
- Mask statements as questions
- Use questions to cross examine
January 11, 2025 at 10:09 AM
7/8 The how to:
- Move from i understand to help me understand
- Ask questions to learn not contradict
- Parafrase to reach clarity
- Acknowledging views does not = agreement
- when seemingly disagree ➡️ seek to understand the reasoning that underpins the other persons statement first.
January 11, 2025 at 10:09 AM
6/8
Be authentic - be truly curious and caring.
Listening is only powerful and effective if it is authentic.
January 11, 2025 at 10:09 AM