ZHH It’s deeply disturbing to me as a patient + member of the public!!
It could be argued that by doing so, you merely serve to reinforce another bias though - the bias of a doctor. It must be ok, because I wouldn't have noticed it either? Air crash investigations may seek to understand why a mistake was made via that route, but doesn't dismiss it.
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I think Gordon’s point is to limit the bias at 1st steps. He would still need to see outcome before writing response, but it means he can objectively assess situation before adding influence of emotional response
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I disagree. I think that's arse about face. The most important thing in all this is to learn every possible lesson. If you approach as suggested, then even if later shown the outcome, a pure human reluctance to think ourselves wrong may lead to important issues being dismissed.
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Perhaps both right, both wrong. But can spend all efforts trying to fix ‘wrongs’, while missing opportunities to understand why things go right much more often- I would rather spend time doing both, in balance, to maximise opportunities to get it right more often
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And in reality, things sometimes have to go wrong to learn them. ‘Failure’ comes from inability to accept/acknowledge when things don’t work.
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What has hurt far more people is not acknowledging things didn’t work as planned/expected, then making excuses to cover rather than facing up to reality
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We live in a culture where error/failure is frowned upon, ridiculed. No wonder nobody wants to accept or openly acknowledge when something has gone wrong, when our society builds its image of respect and status on ‘success’ as defined by absence of failure.
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I don't know of a single complainant who has, or had, a belief that doctors should act with an 'absence of failure'. We're all human. We get that mistakes happen. But the cover ups are a different matter. You'll find a patient tolerance level of zero is pretty universal for that.
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I can't speak for anyone else, but what I admire is not success as an absence of error, but those who demonstrate honest endeavour. With the emphasis on honest - at all times in a dr/pt (/relative) relationship. Respect is a futile expectation when candour is lacking, imho.
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