by Linda Jamieson | Jan 5, 2023 | Learning Lessons, NHS, Patient Safety, Uncategorized
I’ve recently read “Unnatural Causes” by Dr Richard Shepherd in which he shares a large repertoire of first-hand accounts of his work as a forensic pathologist. It’s a thoroughly absorbing book containing many standout stories, but one of the most striking things I...
by Linda Jamieson | Oct 24, 2022 | Blame Culture, Culture change, Inclusion, Leadership, Learning Lessons, Uncategorized
Learning Response Tools (LRTs) are exactly what they say they are: tools that are designed to facilitate learning in response to an event, most often an adverse one. With the recent publication by NHS England of the new Patient Safety Incident Response Framework...
by Linda Jamieson | Aug 8, 2022 | Learning Lessons, Uncategorized
As organisations continue to adapt to a faster pace of change and seek to achieve their organisational purpose, it’s essential that the resources and time needed to change are minimised. Improving performance by learning effectively from mistakes is a vital part of...
by Linda Jamieson | May 17, 2022 | Learning Lessons, NHS, Uncategorized
Those of us who are comfortable with speaking at conferences and giving presentations tend to find the experience quite energising and rewarding at several levels. Not only do we have the gratifying boost to our egos when people turn up to listen to us, we have the...
by Linda Jamieson | Feb 9, 2022 | Learning Lessons, NHS, Patient Safety, Uncategorized
NHS England’s Patient Safety Team will be launching the new Patient Safety Incident Response Framework (PSIRF) this spring, heralding a significant opportunity to improve patient safety, in part because it will recommend the use of After Action Review (AAR). This...
by Linda Jamieson | Jan 11, 2022 | Learning Lessons, System Learning, Uncategorized
The start of the new year is a perfect time to learn from the experiences of the previous twelve months and in this article, I share some of the lessons that came out of After Action Reviews (AARs) we conducted for clients who had experienced significant supply chain...
