Learning from mortality and harm reviews

Grant Robinson

‘Would you be happy if this happened to you?’ – If the answer is ‘No’, then it’s likely there was harm. This guideline from the Institute for Healthcare Improvement (IHI) about conducting a ‘mor...

Spreading innovation in healthcare

Stephen Thornton

This week I attended the Reform conference on health innovation, which got me thinking about the different ways that people interpret ‘innovation’. At the Health Foundation, the innovation we promo...

Learning from failure

Simon Mackenzie

‘The strength of an organization is measured not by counting the number of successes, but by its response to failure.’ Patient safety requires transparency, accountability and leadership, not ga...