Despite every effort, mistakes still happen in the complex system that is surgical care. When errors do occur, it is vital that they are properly investigated, that all involved, including patients and their families alongside the surgical team, are supported and that lessons are learnt to help reduce the risk of a similar event happening again.

In this session:

Manoj will advocate for a better understanding of safety science and a system wide approach: discerning the causes; maximising the learning.

David will explore the impact of mistakes on the whole team, highlighting the need for more open and nuanced discussion – within the professions, amongst the public, and, critically, between the two.

Clare will share her story of the aftermath of the death of her daughter Beth during routine surgery. She will explain the need for openness, transparency and a greater appreciation of Human Factors in healthcare.