An interesting article - it is maybe slightly too self agrandising, but I think overall it is a valuable piece of content.

I think in medicine there is far too little “post mortems” or “pre-mortems”.

I have never seen a unit compile a list of common errors new residents make, and the process of entering information for near-misses is so long and complicated that almost no doctors complete them regularly.

The problem with these forms is that they’re intended to make the admin team’s life easy - rather than provide a useful set of frameworks for you to reflect on the issue, make suggestions if relevant, and for proper analysis of common errors to occur