Although my experience is limited I also found the ‘ritualisation’ paper (Facey et al 2023) fascinating and relatable; our situation is perhaps at one remove from the surgical intervention scenario. However in our extended quality control I have wondered about checklists as hints. Our team aims to engage with (measurement) results and assess “plausibility” on recording.   I’m only now reading about the HSSIB Safety management systems (hssib.org.uk) and referring from their recent report https://www.hssib.org.uk/patient-safety-investigations/safety-management-systems/investigation-report/#33-safety-recommendations-and-safety-observation 

into Macrae, Carl, Systematizing Safety: The Urgent Need for Integrated Safety Management Systems in Healthcare (December 13, 2022). Available at SSRN: https://ssrn.com/abstract=4296644 or http://dx.doi.org/10.2139/ssrn.4296644

via the CQC Single Assessment Framework.
a lot of material to traverse, but mixing “people” and “systems” is never simple. We have to, and it’s worth it.