Meanwhile we have to build a system in which doctors and others are able safely toadmit their errors, to recognise near-misses, to talk about them and be open about them and in that way to enhance the idea of a safe system of care in a hospital.
When this occurs, the auditor is faced with the never-welcome responsibility toadmit the prior errors, which may also require acknowledging human biases.
The current senior management of NI are having toadmitto post-crime "errors of judgement" revolving around their attempts to pay hush-money to the perpetrators and failure to investigate.