24. This Century Thinking Webcast - Value The Mess

Any idea of finding solutions for systemic issues is misleading. Systemic issues lose traceability between causes and effects – so, approaching them with a solution mindset is itself a problem.

What’s needed is an intervention mindset and approach. Dame Maggie Smith once put it, “there’s no beginning and no end, only points where you enter and leave the story.” [1]

22. Safety Culture

Intensive care specialist, Peter Roberts, told me “bad health policy is more dangerous to my patients than the flesh-eating bug.”

That notion struck accord for every organisation I’ve worked with.

Peter realised his qualifications were not enough to assure a culture of safety, that enables working to do no harm. So, he studied the systemic issues in health care exploring the inadequacies of dominant paradigms. [1]