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Towards an open and learning safety culture

Editor – We read the study by Varjavand et al., entitled ‘Changes in intern attitudes toward medical error and disclosure’, and the associated commentary with great interest. It is indeed heartening to find that attitudes in relation to patient safety have improved somewhat amongst interns. We agree that reflection on personal errors rather than on hypothetical scenarios or on the mistakes of others is essential to ensure deep learning and to promote positive behavioural change.