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.
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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.
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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.
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I think you mistake me, John. I agree, accurate, contemporary notes are extremely important. My point was that the ‘ideal’ and the ‘real do not always match, for a multitude of reasons...
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I’m not excusing it, but acknowledging that the ideal ‘work-as-imagined’ is faced with challenges+++ in the messy reality of real life as a Dr/nurse, made all the worse with increasing, unchecked complexity and workload.
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I must say, I think
@Jeremy_Hunt ducking the widespread calls from all sides to set#safestaffing levels is a legacy that will haunt him no matter where he goes in life, or how many trees he hides behind. -
#SafeStaffing,#RealisticMedicine,#SafetyCulture,#HumanFactors... all needed to revolutionise Healthcare, and prepare/acknowledge exponentially increasing complexity. -
You can add individual statutory duty of candour to that list for me. Another thing which Hunt fudged during his tenure to ensure it didn't happen. Without true candour, no other measures work. Crap in, crap out and all that...
#RobbiesLaw -
It is in Scotland. And corporate Duty of Candour- equally important to address
#hyponatraemia and#gosport and many other episodes - 7 more replies
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If don’t confront reasons why things don’t happen as expect, & don’t understand factors that make go right (including good notes) situation/quality unlikely to improve. end up w eg nurses away from pts for longer to write notes++to cover rears (rather than improving care)
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You've provoked a thought with this tweet actually. Experience tells me that incriminating medical records have a habit of getting weeded/seeded in most cases. I wonder why the trust didn't do that in this case? Instead they called the police, I gather. Hen's teeth spring to mind
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