| 1. Learning from patient harm |
0:00–1:00 |
Military after-action-learning analogy and international question |
Review rationale |
| 2. Evidence source |
1:00–2:00 |
One-sentence explanation of PFD reports, mapped to mortality and sentinel-event review |
Source register and review protocol |
| 3. Information present is not information acted upon |
2:00–4:00 |
Stephen Rhodes and Eric Thompson anchors |
PFD 2026-0083; 2024-0323 |
| 4. Recurring sociotechnical hazards |
4:00–6:00 |
Bounded mechanism findings and non-exclusive counts |
Case–mechanism map and included-case dataset |
| 5. Why military pathways amplify them |
6:00–8:00 |
Movement, civil-military care, multinational exchange, austere and disconnected operation |
Analytical translation |
| 6. From concern to requirement |
8:00–10:30 |
Three claim → mechanism → candidate requirement → assurance-test examples |
REQ- register and AST- catalogue |
| 7. Transferable framework |
10:30–11:30 |
Source → report → claim → mechanism → requirement → test |
Evidence-to-action framework |
| 8. Conclusion |
11:30–12:00 |
Known pathways to harm should be harder to repeat |
Synthesis |