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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. Ken Lownds‏ @KenZeroHarm Oct 21
      Replying to @AlisonSJones5 @adrianplunkett

      ZHH Alison, I’m afraid you’re on a completely different track. Zero Avoidable Deaths + Zero Avoidable Harm are not a dream, they are part of the Critical Moral Imperative of healthcare delivery. The acceptance of avoidability is a fundamental part of #patientsafety

      3 replies 0 retweets 1 like
    2. Cathy Welch‏ @Cjw450Cathy Oct 21
      Replying to @KenZeroHarm @AlisonSJones5 @adrianplunkett

      Yes they are, Ken. And there is more than sufficient evidence to say so. As well as evidence (and ongoing problems) that over-standardising reduces system resilience and individual ability to adapt to the real variation that is inherent in human health and illness.

      1 reply 2 retweets 0 likes
    3. Ken Lownds‏ @KenZeroHarm Oct 22
      Replying to @Cjw450Cathy @AlisonSJones5 @adrianplunkett

      ZHH Are you still saying Zero Avoidable Deaths + Zero Avoidable Harm are a dream?

      2 replies 0 retweets 0 likes
    4. AlisonSJones‏ @AlisonSJones5 Oct 22
      Replying to @KenZeroHarm @Cjw450Cathy @adrianplunkett

      Yes Ken - an important aspiration or vision - of the Martin Luther King variety 👍🏼

      2 replies 1 retweet 0 likes
    5. Ken Lownds‏ @KenZeroHarm Oct 22
      Replying to @AlisonSJones5 @Cjw450Cathy @adrianplunkett

      ZHH Dreadfully disturbing attitudes! So what about the victims of the Avoidable Deaths + Avoidable Harm? What about their loved ones? I’m horrified! @doctorcaldwell @TheDA_UK @C7RKY @ObsGynKenobi

      1 reply 0 retweets 0 likes
    6. Cathy Welch‏ @Cjw450Cathy Oct 22
      Replying to @KenZeroHarm @AlisonSJones5 and

      Not disturbing at all. The term ‘avoidable’ is horrendously subjective, prone to misinterpretation and is inherently judgemental of past episodes from the perspective of the ‘Retrospectoscope’.

      3 replies 1 retweet 1 like
    7. Ken Lownds‏ @KenZeroHarm Oct 22
      Replying to @Cjw450Cathy @AlisonSJones5 and

      ZHH You’re not familiar with the Structured Judgement Review?

      1 reply 0 retweets 0 likes
    8. Cathy Welch‏ @Cjw450Cathy Oct 22
      Replying to @KenZeroHarm @AlisonSJones5 and

      More judgement made on ‘restrospective knowledge’, another tool to point fingers whilst missing deeper systemic issues. These reviews have a place, but have very limited value akone without balancing in-depth understanding of how work really done at time of events.

      1 reply 1 retweet 0 likes
    9. Ken Lownds‏ @KenZeroHarm Oct 22
      Replying to @Cjw450Cathy @AlisonSJones5 and

      ZHH Sorry, Cathy, but I really understand none of this stuff; are you criticising the Structured Judgement Tool? In Mortality+Morbidity Reviews you never judge any Death Avoidable? @Improve_Academy

      1 reply 0 retweets 0 likes
    10. Dr Gordon Caldwell‏ @doctorcaldwell Oct 22
      Replying to @KenZeroHarm @Cjw450Cathy and

      I’ve looked at over 400 deaths under my care without believing one of them was Avoidable. I’ve seen plenty of weaknesses & errors and passed on all the ones I’ve worried about for investigation. After investigators have looked none were judged Avoidable...

      3 replies 2 retweets 3 likes
      John Clarke‏ @C7RKY Oct 23
      Replying to @doctorcaldwell @KenZeroHarm and

      You said elsewhere that you hadn't acquired a definition of an 'avoidable death' from anyone, so what definition did the investigators use when they made their determinations here?

      1:38 AM - 23 Oct 2018
      • 1 Like
      • Kara
      0 replies 0 retweets 1 like

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