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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Cathy Welch‏ @Cjw450Cathy Aug 6
      Replying to @dr_shibley @C7RKY

      Even that close to CCT, or even as a consultant, thrown in at deep end, no induction in unfamiliar place, unfamiliar team, unfamiliar systems after prolonged period off work...even a new consultant should have option of ‘phone a friend’- and when that friend isn’t there... ?

      2 replies 1 retweet 0 likes
    2. John Clarke‏ @C7RKY Aug 6
      Replying to @Cjw450Cathy @dr_shibley

      Could she not have phoned ITU? Or cardiology? Or taken the chance to ask for help from one of the consultants she did encounter? Her isolation on that day does sometimes strike me as partly self-imposed when I read the documents.

      1 reply 0 retweets 1 like
    3. Cathy Welch‏ @Cjw450Cathy Aug 6
      Replying to @C7RKY @dr_shibley

      Documents are a useful way of recording events, but can never capture the timescales accurately, especially when written in retrospect with effects of memory, filling of incomplete data, interpretation of data.

      2 replies 0 retweets 0 likes
    4. John Clarke‏ @C7RKY Aug 6
      Replying to @Cjw450Cathy @dr_shibley

      Forgive me, but ...said no NHS lawyer ever. Medical records are held in high regard as reliable evidence by courts. Many a doctor has relied upon that very principle as critical for their own successful defence. Can't have it both ways I'm afraid. They're either accurate, or not.

      3 replies 0 retweets 1 like
    5. Robert Wade‏ @rwade300 Aug 8
      Replying to @C7RKY @Cjw450Cathy @dr_shibley

      Dr BG got the benefit of the doubt in a claim in her defence:pic.twitter.com/TLLDeJKS9I

      1 reply 1 retweet 0 likes
      John Clarke‏ @C7RKY Aug 8
      Replying to @rwade300 @Cjw450Cathy @dr_shibley

      So much for the 'if it isn't written down, it didn't happen' thinking, eh? I wonder how any such claims from the family would be treated if it didn't appear in the notes? Not that I don't already know the answer to that one...

      12:17 PM - 8 Aug 2018
      • 2 Likes
      • noreen boland Robert Wade
      1 reply 0 retweets 2 likes
        1. New conversation
        2. Cathy Welch‏ @Cjw450Cathy Aug 8
          Replying to @C7RKY @rwade300 @dr_shibley

          We all (or mostly) try to live by that code of documenting everything, but try it just for one day, in your normal job, documenting every discussion, decision or action taken at time of doing so- then you will see the reality of just how difficult a task it is to keep up with.

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY Aug 8
          Replying to @Cjw450Cathy @rwade300 @dr_shibley

          Spent my whole life working in another regulated environment where that very principle applied. I know exactly how hard it is, because I & everyone who worked with me had to do it every day too. And if we didn't, we automatically lost any claim. Every time. No excuses accepted.

          1 reply 0 retweets 3 likes
        4. Cathy Welch‏ @Cjw450Cathy Aug 8
          Replying to @C7RKY @rwade300 @dr_shibley

          How steady was the environment you worked in? Were you subject to large variations in volume or complexity of tasks, or access to supporting services (IT and human), or wild variations in types of tasks required of each of you?

          1 reply 0 retweets 0 likes
        5. Cathy Welch‏ @Cjw450Cathy Aug 8
          Replying to @Cjw450Cathy @C7RKY and

          Or lots of incidents where the policies/protocols/guideline didn’t actually fit the circumstance, so you had to fill the gaps yourself, or go ‘Off-piste’?

          1 reply 0 retweets 0 likes
        6. Cathy Welch‏ @Cjw450Cathy Aug 8
          Replying to @Cjw450Cathy @C7RKY and

          Healthcare probably isn’t the only such industry with such variability and strains, but it is one of the most heavily scrutinised and criticised, just because of the fact that it affects virtually everyone at some time in their life, and we all pay for it in our taxes

          2 replies 0 retweets 0 likes
        7. John Clarke‏ @C7RKY Aug 8
          Replying to @Cjw450Cathy @rwade300 @dr_shibley

          Healthcare is the one industry that you can't easily walk away from and choose not to engage. It's not a choice. But I still think any exceptionalism arguments should be avoided at all costs. History teaches us that such thinking rarely ends well for the rest of society.

          2 replies 2 retweets 3 likes
        8. Cathy Welch‏ @Cjw450Cathy Aug 8
          Replying to @C7RKY @rwade300 @dr_shibley

          It’s not exceptional it’s, its realist. And I agree it should not be that way. For now we are stuck with these realities, and in many ways getting worse. Personally, I think continuing efforts to try to ‘improve’ but using same limited methods is adding to problems.

          1 reply 0 retweets 0 likes
        9. John Clarke‏ @C7RKY Aug 8
          Replying to @Cjw450Cathy @rwade300 @dr_shibley

          With respect, you started out suggesting the need to document everything accurately was exceptional. When I pointed out it wasn't, you've looked to try & identify another distinction instead. I don't doubt your world is a challenging one, but we expect health records to be right.

          1 reply 0 retweets 1 like
        10. 13 more replies

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