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Author Paul Davison |
| Abstract Learning Reviews (LRs) are one of the most powerful organisational levers for improving safety, culture and performance. They recognise that adverse events are temporal and often traumatic experiences, shaped by conditions and sense-making that unfold long before the final moment. When used proactively and compassionately, LRs help leaders understand why actions made sense at the time, identify upstream influences and address the open-ended challenge, the wicked problem, of safety. A temporal and trauma-informed LR approach provides the psychological safety people need to speak openly, enabling deeper insight, richer organisational learning and more durable system improvements. In doing so, LRs strengthen trust, support recovery and create the conditions for safer and more humane performance. |
