cross-posted from: https://lemmy.blahaj.zone/post/22606663

If we can’t learn from errors, families relive tragedy for nothing

“The inquest into my daughter’s death showed me that the system is almost entirely broken

…

“What is the point of investigating avoidable deaths — of making bereaved families relive their trauma, of spending millions of public pounds — unless we are prepared to learn how to avoid similar fatal errors?

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