iiinova — where your digital self keeps evolving

David Grant @davidjgrant.bsky.social · 11/06/2026

On 15 June I'll be at WHO Academy in Lyon for the "Simulation for global health: from innovation to implementation" event, bringing evidence-based simulation into health workforce training Organized with @SESAMSimulation Join us: Simulation for global health: from innovation to implementation #SESAM

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David Grant @davidjgrant.bsky.social · 22/05/2025

1/3 Reflections on relation of philosophical concepts to #Risk & #Patient #Safety. Ylönen, M., & Aven, T. (2023). A framework for understanding risk based on the concepts of ontology and epistemology. Journal of Risk Research, 26(6), 581–593. doi.org/10.1080/1366...

doi.org

A framework for understanding risk based on the concepts of ontology and epistemology

Two fundamental philosophical concepts of social science are ontology (idealism and realism), relating to what reality is, and epistemology (epistemological realism, epistemological idealism), rela...

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David Grant @davidjgrant.bsky.social · 14/04/2025

I have seen ➕impact of #LearningFromExcellence but am stuck by work of Staat & Gino showing that individual learning ⬆️ from own successes rather than failures, but we learn more from failures of others than their successes. Thoughts? psycnet.apa.org/record/2013-...

psycnet.apa.org

APA PsycNet

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David Grant @davidjgrant.bsky.social · 08/04/2025

It strikes me that the number of narcissistic leaders in the world has been increasing. This is deeply concerning as the literature tells us they are likely to be led by their ego rather than rational logical thinking that remains sensitive to the adverse impacts of their actions.

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David Grant @davidjgrant.bsky.social · 18/02/2025

SAVE 2025, virtual event 13/3/25 🎟 Registration Details: ✅ FREE for SESAM Members (Use code SESAM25Comp) ✅ FREE for attendees from LMICs (Use code SAVE25Comp) 💶 €7 all other non-members 🚀 Register now! www.trybooking.com/CZFIT 📩 For more info: secretary@sesamsociety.org | 🌍 www.sesamsociety.org

trybooking.com

SAVE2025: Learning from Low and Middle Income Countries

We’re thrilled to introduce SAVE 2025 – the SESAM Annual Virtual Event, a brand-new initiative designed to foster global knowledge sharing and...

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David Grant @davidjgrant.bsky.social · 12/02/2025

Privilege to deliver introductory lecture of Bristol Med School integrated SafeTI Systems Curriculum in such a beautiful setting this morning. Arming these students over their first 3 years with knowledge and tools to deliver #Safe healthcare within a complex adaptive #Systems #preperationiskey

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David Grant @davidjgrant.bsky.social · 23/01/2025

Her actions were the embodiment of integrity and courage - gray example for all

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Reposted by David Grant

David Vaughan @davidjvaughan.bsky.social · 23/01/2025

“When we know what is true, it’s incumbent upon us to speak the truth even when, especially when, it costs us” Rt Rev Mariann Budde @carlhorsley.bsky.social @kencatchpole.bsky.social @davidjgrant.bsky.social @janekohara.bsky.social @siriwiig.bsky.social @trishgreenhalgh.bsky.social

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Reposted by David Grant

Kirsty Freeman @kirstyfreeman.bsky.social · 12/01/2025

🎉 Join SESAM at #IMSH2025! We’re having a social gathering for all SESAM members and the wider simulation community who are in Orlando. 📅 Monday, 13th January ⏰ Starting at 9 PM 📍 Mia’s Italian Kitchen, 8717 International Drive, Orlando #SESAM #HealthcareSimulation

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David Grant @davidjgrant.bsky.social · 11/01/2025

🧵1/8 Reflections on impact of listening to understand during conversations based on Difficult conversations by Stone et al & past experiences: Meaningful conversations require us to build rapport or a relationship with each other It is a fundamental human need to feel heard, understood & validated

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David Grant @davidjgrant.bsky.social · 11/01/2025

Educational Research 🧵 1/3 Starting Ed Research journey? Love clarity of Maj-Britt Råholm statement: "Abduction is the first stage of inquiry within which hypotheses are invented; analysed and developed through deduction and verified through induction." 👇🏽 onlinelibrary.wiley.com/doi/10.1111/...

onlinelibrary.wiley.com

Abductive reasoning and the formation of scientific knowledge within nursing research

Peirce's notion of abductive reasoning and the way this reasoning can enhance forming of scientific knowledge within nursing research is of great importance. Abduction is the first stage of inquiry w...

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David Grant @davidjgrant.bsky.social · 11/01/2025

🧵1/5 Common misconception about Safety II: 1. It seeks to replace safety I. 2. Its focus is solely situations where things go right Though Safety II differs in that it seeks to understand both situations where things go right and wrong. Summary of key differences below👇🏼👇🏼👇🏼

Image depict the key differences between Safety I and II approaches. Firstly: Safety one almost exclusively focusses on situations where errors have occurred whereas safety two aims to learn from both situations where things have not gone to plan and where things have gone well.
Secondly: Safety one promotes belief that all adverse events are preventable and "cause" can be found through review of events, whereas safety two believes that adverse events are inevitable and has emergent outcomes through combination of of factors at the time of event and that change is not permanent and therefore may not be found when reviewed retrospectively.
Thirdly: Safety one proposed that adverse events always happen due to omissions or mistakes, whereas safety two proposes that the nature of the outcome relates to the resilience functionality of the system and the adaptive capacity of those within it. Safety two believes that things go well when system and those within it are able to adapt to the variance in the system to maintain functional resonance whereas things go wrong when the system loses control due to it and those within it being unable to compensate or adapt to the variance in it, thus allowing resonance to exceed its threshold.
Fourthly: Safety one predominantly uses linear and complex linear accident models whereas safety two uses complex non-linear accident models.

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David Grant @davidjgrant.bsky.social · 10/01/2025

🧵 1/4 Managing #change in the complex adaptive healthcare systems we work in can be challenging. As healthcare professionals we are trained to anticipate monitor and intuitively respond to a problem as soon as it is identified. - a "find & fix it" culture prevails

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David Grant @davidjgrant.bsky.social · 10/01/2025

1/2 When attempting to analyse or make sense of events, most healthcare professionals choose the tools they use to do so based on organisational or personal preferences rather than having a framework in mind of the different components that may have contributed to the event.

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David Grant @davidjgrant.bsky.social · 10/01/2025

🧵 1/2 The false belief that safety exists because “things have been done in a certain way” and it has not lead to a safety event in combination with the absence of trying to understanding why things went "right" leads to failure to identify adaptive actions that has maintained safety

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David Grant @davidjgrant.bsky.social · 10/01/2025

In a world designed to grab our attention and overload us with information this is refreshing perspective by Maura Thomas “Your attention determines experiences you have & they in turn determine life you live. - control your attention to control your life” hbr.org/2018/03/to-c...

hbr.org

To Control Your Life, Control What You Pay Attention To

Your attention determines the experiences you have, and the experiences you have determine the life you live. Rather than allowing distractions to derail you, choose where you direct your attention at...

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David Grant @davidjgrant.bsky.social · 10/01/2025

🧵 1/2 Ever wondered why people add emoji’s to their emails? Not surprising when we remember that large proportion of F2F verbal communication is in fact non verbal. The emoji’s are just attempt to add that element of communication to the serial monologue that is an email conversation.

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David Grant @davidjgrant.bsky.social · 10/01/2025

🧵1/3 #Communication failures @❤️ of most healthcare adverse events Multiple structured communication tools have been developed to support communicator 2 communicate more effectively, but little time is spent teaching communicators to vary communication based on analysis of receiver.

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David Grant @davidjgrant.bsky.social · 10/01/2025

🧵1/3 Complex systems are almost as fascinating as the human brain. A complex system’s resilience is determined by how effectively it recognises & processes information in order to reconfigure itself to accommodate change. #Systemsthinking #Safety

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David Grant @davidjgrant.bsky.social · 10/01/2025

“Psychologically safe environments help teams ⬇️ preventable mistakes & take on challenges without fear so they either succeed or walk away wiser when they don’t” A Edmondson

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David Grant @davidjgrant.bsky.social · 10/01/2025

1/2 Love this Heraclitus quote: “No person ever steps in the same river twice. For it’s not the same river and they are not the same person.” Great metaphor for #resultant #outcomes in #complex #adaptive #systems #patientsafety #resilience

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David Grant @davidjgrant.bsky.social · 03/01/2025

Resilience 🧵 I frequently see & hear reference to resilient systems so I thought I would summarise a core facts from Erik Hollnagel's work as a reminder for us all: 1. Resilience is functional not structural: A system cannot be resilient, but it has the potential for resilient performance.

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