Agree. One of the most important issues in paediatrics and we don't have any comprehensive review event to truly learn from it. I've read a refacted serious incident report from Leicester Royal Infirmary and in my opinion it does a poor job of addressing systemic factors
Appreciated. Unity hasn't been so hard to come by in finding support against #BawaGarba's erasure tho. Inappropriately, imho.
But in doing so, clinicians have demonstrated they have the power to provoke review as a group. How that power is/isn't utilised in future will be telling
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Yes Hadiza got practical crowdfunding with a great deal of help of whistleblowers
@54kdoctors and others. IMO Hadiza's case is related to whistleblowing, in the sense that this is what could happen when you obediently try and work through a dangerous system -
Related to whistleblowing how? I'm not sure I follow your thinking. I'm afraid patients are not viewing this from the same angle. We just see a profession appealing a convicted criminal's erasure & blaming the 'system', despite the court's words. Smacks of self-serving I'm afraidpic.twitter.com/ccaVI4y6A6
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In an airplane crash it would be system failure medicine has much to learn from the Swiss Cheese model used in Aviation
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I agree we should learn all we can from all sources. But this crash would never have happened - the pilots wouldn't have remained silent or accepted inaction so the system would've been fixed. Self preservation is best served by speaking up in aviation, but silence in healthcare.
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Raised with senior staff, management, staffing reported as clinical incidents... for years
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Thank you for doing so. But the inaction remained? Who holds them to account for that? Do I recall reading the police were also starting to look at the trust?
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And there is the small matter Gosport
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Indeed. Still so much to be answered there. And a lack of convictions would be inconceivable - even if they are nearly 20yrs too late. Makes Shipman look small scale...https://twitter.com/c7rky/status/1023009341266452480?s=21 …
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