Excellent insight into how we "make mistakes" and how to rectify them. Remember the NYT expose on Radiation Oncology and how the daily quality assurances were skipped? It was damning, but then screwups do happen. I'll delve into it sometime later, but we need to institutionalise the culture of safety (and rigorous assessments). It sends … Continue reading Mistakes happen, it’s how we deal with them that matters →