John Sutton
johnsutton.bsky.social
John Sutton
@johnsutton.bsky.social
Patient Safety. Why do we not learn? #TMNHA Student @PDHealthBath. Eternal Pragmatist!

Animal lover/owner 🫏🐏 🦙and 🐝 keeper
Such a valid close. If ever ‘this must never happen again’ should be quoted… it’s at the start of this restructure.

Single/double loop learning theories are great but I think there is sadly I feel there often ease of un-learning too in memory.
April 4, 2025 at 7:24 PM
I think a PSII is just an RCA done well… with more knowledge of system factors??
December 5, 2024 at 1:10 PM
Think I’d add the need to consider organisational and individual un-learning theories here… it’s the layering of add ons (sticky plaster) without striping back and giving permission to forget (safely) and rebuild - with rationale embedded. Idealistic maybe!
November 21, 2024 at 8:27 PM
Thanks for this! Made my life easy with one click!
November 16, 2024 at 4:46 PM