Why so gloomy? I could only find a summary of some 2023 results. Some 2023 findings might reflect that safety is really hard. Safety appears simple and obvious, but in practice it's not. Maybe people are feeling that.
In healthcare, safety became a policy priority following the 1999 US report 'To Err is Human,' but 20 years later (despite many small localized successes) there is not much evidence of widespread improvement. There is tension between clinicians, administrators and regulators. The work is intensely pressured and complex - more pressured and more complex all the time - such that harm is inevitable. But it should not be as bad as it is. In the early days patient safety was acknowledged to be hard, but it was also assumed there would be significant progress with the right effort. The outlook now is gloomier.
Politically, we've gone from a government that lost the plot to one that never had much of a plot. That has an affect. Policies are short-sighted and destructive and the leader isn't inspiring.
The ongoing SARS-CoV-2 pandemic isn't helping. People are more sick more often. I haven't seen NZ data, but last year German workers took 20 sick days each on average (breaking the record set the year before). In the UK, since the beginning of the pandemic, 1.5% of the entire workforce has become newly economically dependent because of long-term sickness (workforce non-participation due to long term sickness was previously steadily decreasing for two whole decades). In the US 6.8% of all adults currently have Long-Covid, and 31% of them claim it significantly impairs their capacity to perform daily activities. Since Omicron was let loose in NZ school absences due to illness/medical have increased by 50%. There's an obvious health and safety problem here that is getting very little attention beyond demands for people to toughen up. The long-term outlook in terms of unwellness and things like brain injury from SARS-CoV-2 (a safety and a competency issue) is very bad because people are losing IQ points and visuo-constructive capacity.