Thomas John Rose's activity
-
Thomas John Rose posted an update in the group Philosophy and ethics for health care improvement 5 months, 3 weeks ago
I read a lot about a ‘Learning Health System’ but what is it? I think that two aspects of healthcare should be equally represented in such a system. These two aspect are: 1. Clinical and 2. Operational. The output from a Quality Management System would add Learning to both aspects.
The only way that you learn from error is by changing what you do. First you have to know and understand what you do. How do you do that?
Hello, Thomas. I am not sure I understand or accept as true “The only way that you learn from error is by changing what you do”. Is ‘error’ being used in a narrower and/or more technical sense than we might reasonably interpret ‘mistake’. Can I not learn that something I did was a mistake, and learn from it, and then try to change what I do if a similar circumstance arises (rather than have to do something differently to learn from my mistake)? Is there a specific context in which the statement (and our subsequent question) is intended to apply?
Vikki, Thanks foe your comment. I guess so. I think that. although I’m not sure, I’m referring to what action we take after the publication of a report fallowing a major enquiry into an issue in a trust. But – it should be so after any recorded mistake – that if is of there was a no blame culture and. pipe dream, some form of standard work in the NHS so these things could actually be recorded instead if being swept under the carpet. Just have a look at the health and safety triangle.