As my very first book review, I’ve been reading Black Box Thinking: Marginal Gains and the Secrets of High Performance by Matthew Syad.
Skipping any introduction this goes straight into a true story of a healthy mother of two who has a routine operation but, as a result of mistakes made, dies. As a father of two myself it’s quite a traumatic start to the book but is here to demonstrate the initial discussion point – mistakes and how they’re dealt with. It starkly contrasts the aviation industry with healthcare (specifically hospitals). Whereas the first learn from mistakes, sharing that knowledge more broadly, healthcare does otherwise – with Doctors and Surgeons wishing to protect their reputation they will not admit to failings, hence, nobody learns and the mistakes continue. Some states in the US do have an open policy in Hospitals, allowing any noticed problems to be reported (and some hospitals have thousands of things reported every month as a result) – even Doctors reporting themselves – leading to great understanding and learning. And, guess what? Less insurance too as people are less likely to sue if they are told the truth – more often than not suing someone only occurs so that they can get at the truth.