Well, there you have it. Discuss...
#NHS #DutyOfCandour #RobbiesLawpic.twitter.com/A1KU7QWL52
Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.
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Well, there you have it. Discuss...
#NHS #DutyOfCandour #RobbiesLawpic.twitter.com/A1KU7QWL52
Re: 3 points for transparency after errors, thoughts: most errors are results of failed systems, many small, unintentional acts = catastrophe. Recognizing these small failures, in real time, is difficult. More reporting of unexpected outcomes (regardless of cause) would help.
John Clarke Retweeted John Clarke
First of all, it's an honour to hear from you. I've been a big fan of your TedX talk for some time and can't thank you enough for such an important contribution to the debate.https://twitter.com/c7rky/status/957751680518512640?s=21 …
John Clarke added,
We do have a system of reporting on 'Serious Untoward Incidents' here, but many a doctor will tell you trusts have a habit of downgrading events to ensure they don't qualify/avoid scrutiny. It's another challenge on the list. Appreciate your point re real-time understanding tho.
We consider a significant, unexpected, adverse event to be anything the results in short or long term disability, or death. A few extra days in the hospital= short term disability. It takes a lot of time, energy and expenses to get a full understanding of these events.
Indeed. It also takes candour, of course. Even the most robust procedures & policies can be rendered impotent where honest input is lacking. Transparency is a hard nut to crack in healthcare - not that I need to tell you that! :)
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