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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. Marcus‏ @Testing_1212 Oct 13
      Replying to @DanielBayley80 @CarrieMaisie and

      Daniel you're selling aviation as the perfect organisation yet we all know they aren't. The level of employee error accidents in your industry is well documented, from drunken pilots to poor quality maintenance. The reason we know is because staff come forward after the event.

      2 replies 0 retweets 3 likes
    2. Daniel Bayley‏ @DanielBayley80 Oct 13
      Replying to @Testing_1212 @CarrieMaisie and

      I'm selling aviation as something which came from a very worrying place to 1 of the safest. It is not perfect by any stretch, but the journey they went on, the systems, processes, etc they put in place have had a huge impact. Healthcare lags some 10-20 years behind this journey.

      3 replies 0 retweets 5 likes
    3. Daniel Bayley‏ @DanielBayley80 Oct 13
      Replying to @DanielBayley80 @Testing_1212 and

      And the important point you make is about staff coming forward. the willingness to investigate and learn. the spread of those lessons throughout the industry. They try to avoid the same mistakes. The NHS fails to learn lessons locally nevermind nationally.

      3 replies 5 retweets 9 likes
    4. Marcus‏ @Testing_1212 Oct 13
      Replying to @DanielBayley80 @CarrieMaisie and

      As does aviation that leads to the death of innocent people just like the NHS

      1 reply 0 retweets 2 likes
    5. Daniel Bayley‏ @DanielBayley80 Oct 13
      Replying to @Testing_1212 @CarrieMaisie and

      Follow the path of an air crash investigation. they seek to design the risks out the system post event. the NHS just dusts itself off and caries doing the same. There just isn't the same culture of continuous quality improvement.

      4 replies 10 retweets 10 likes
    6. Adrienne Cullen‏ @AdrienneCullen Oct 13
      Replying to @DanielBayley80 @Testing_1212 and

      Killing paying passengers would bring down the airline industry. Killing patients will never bringdown the health system.

      2 replies 3 retweets 6 likes
    7. DocXology‏ @dymonite69 Oct 13
      Replying to @AdrienneCullen @DanielBayley80 and

      There is an inevitable baseline mortality rate ie 100% of everyone dies. We are trying to identify the deaths which are preventable or premature versus one that is expected. This is not always easy when the patient is already unwell or frail. How do we benchmark this?

      3 replies 1 retweet 2 likes
    8. Dr Gordon Caldwell‏ @doctorcaldwell Oct 13
      Replying to @dymonite69 @AdrienneCullen and

      Most Unavoidable Deaths should be Anticipated and provision made for Calm End of Life. So maybe more rewarding to investigate Unanticipated Deaths & those with poor End of Life Care? @JanMDavies @SafetyCarm

      2 replies 4 retweets 8 likes
    9. John Clarke‏ @C7RKY Oct 16
      Replying to @doctorcaldwell @dymonite69 and

      On a first read, this made sense. But as I pondered, I couldn't help but be reminded of the gaming of stats that went on at Mid Staffs. I'm always v nervous about who gets to decide what is an avoidable/unavoidable death & what is 'anticipated'. Needs regular scrutiny there too.

      2 replies 1 retweet 3 likes
    10. Fraser Morton‏ @frasermorton07 Oct 16
      Replying to @C7RKY @doctorcaldwell and

      This gaming still occurs in Scotland with adverse event figures. Can you believe that one health board recorded ZERO adverse events after being previously investigated and told that 19 per year was artificially low. This went undiscovered as there's no independant regulator!

      3 replies 6 retweets 6 likes
      John Clarke‏ @C7RKY Oct 16
      Replying to @frasermorton07 @doctorcaldwell and

      'Inspect what you expect'. It's a simple rule. Easy to grasp and applies to all walks of life, but a compulsory component for any profession that wants to refer to itself as 'regulated' with a straight face.

      4:40 AM - 16 Oct 2018
      • 2 Likes
      • Lynn Laidlaw Carrie #FBPE #MHAP
      0 replies 0 retweets 2 likes

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