Recent events both locally and in the UK
Such as the Inquiry into Hyponatraemia-related Deaths and the Bawa-Garba case – have the potential to be the turning point which our health service has been waiting for and the catalyst for long-awaited change. Do we want to keep blaming healthcare professionals for human error and demanding retribution without looking at the broader human factors picture of the environment they function in when we analyse why events happen? Niall Downey FRCSI sheds some light.