'Do you know what you don't know?'
The Framework for Measurement and Monitoring of Safety can help us to broaden our perspective of patient safety beyond looking primarily at past harm, by directing us to consider the conditions that give rise to harm, or allow harm to prevail. It can help us to move from being ‘wise after the event’ to being ‘wise before the event’.
The challenge in the melee of frontline operations is how to develop the ‘capability’ to plan ahead. The conundrum familiar to many is how to get past dealing with today’s crisis in order that we prevent tomorrow’s.