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.
-
-
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 -
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 -
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 -
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 -
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 -
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 -
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@SafetyCarm2 replies 4 retweets 8 likes -
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 -
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
'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.
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.