"Insights that I gained are twofold. First, patient safety is always a top priority. No small issue needs to be left unattended or ignored as it has the potential to cause a fatality. Two, there is a need for a multidisciplinary collaboration The institutional and systems thinking approaches are critical in health care. Good procedures, communication, accountability and sharing of information are critical to avoiding mistakes and medical errors."

Data collection, timely analysis and reporting back to the health sector in a transparent manner is fundamental to improving quality and safety and to identify system failures when it occurs.