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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. John Clarke‏ @C7RKY Oct 23
      Replying to @doctorcaldwell @Cjw450Cathy and

      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.

      1 reply 0 retweets 0 likes
    2. Cathy Welch‏ @Cjw450Cathy Oct 23
      Replying to @C7RKY @doctorcaldwell and

      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

      1 reply 0 retweets 0 likes
    3. John Clarke‏ @C7RKY Oct 23
      Replying to @Cjw450Cathy @doctorcaldwell and

      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.

      2 replies 1 retweet 1 like
    4. Cathy Welch‏ @Cjw450Cathy Oct 23
      Replying to @C7RKY @doctorcaldwell and

      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

      1 reply 0 retweets 0 likes
    5. Cathy Welch‏ @Cjw450Cathy Oct 23
      Replying to @Cjw450Cathy @C7RKY and

      And in reality, things sometimes have to go wrong to learn them. ‘Failure’ comes from inability to accept/acknowledge when things don’t work.

      2 replies 1 retweet 0 likes
    6. Cathy Welch‏ @Cjw450Cathy Oct 23
      Replying to @Cjw450Cathy @C7RKY and

      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

      1 reply 0 retweets 2 likes
    7. Cathy Welch‏ @Cjw450Cathy Oct 23
      Replying to @Cjw450Cathy @C7RKY and

      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.

      1 reply 0 retweets 0 likes
    8. John Clarke‏ @C7RKY Oct 23
      Replying to @Cjw450Cathy @doctorcaldwell and

      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.

      2 replies 4 retweets 4 likes
    9. John Clarke‏ @C7RKY Oct 23
      Replying to @C7RKY @Cjw450Cathy and

      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.

      1 reply 3 retweets 2 likes
    10. John Clarke‏ @C7RKY Oct 23
      Replying to @C7RKY @Cjw450Cathy and

      This isn't about 'fixing wrongs' for me. Some errors may be able to be corrected/minimised if honestly disclosed early on, (how I wish!), but so often medical harm is irreversible and beyond fixing. Particularly if the patient dies. This is about preventing reoccurrence.

      1 reply 1 retweet 0 likes
      John Clarke‏ @C7RKY Oct 23
      Replying to @C7RKY @Cjw450Cathy and

      And in that regard, learning from what works should be a Janet & John management activity for me. (Showing my age). It's right that failures attract the greatest attention, as they do in any regulated environment, but there needs to be a clear picture of what 'right' looks like.

      6:11 AM - 23 Oct 2018
      • 2 Retweets
      • 2 Likes
      • Cathy Welch Adrian Plunkett Ken Lownds
      2 replies 2 retweets 2 likes
        1. New conversation
        2. Cathy Welch‏ @Cjw450Cathy Oct 23
          Replying to @C7RKY @doctorcaldwell and

          And how ‘right’ usually happens (more often than ‘wrong’), including all the adjustments, connections, adaptations that people make with moment-moment variation to keep in the right direction towards success

          1 reply 0 retweets 1 like
        3. John Clarke‏ @C7RKY Oct 24
          Replying to @Cjw450Cathy @doctorcaldwell and

          We could get lost down the rabbit hole of all that makes up what's 'right'. Key thing is to model the behaviour of the most effective staff. By external observers. Often the best people are unconscious competents. Meaning they don't always know why they're as good as they are.

          1 reply 0 retweets 1 like
        4. Cathy Welch‏ @Cjw450Cathy Oct 24
          Replying to @C7RKY @doctorcaldwell and

          But we don’t explore that well, we don’t spend any energy trying to understand that, or actively promote that. We don’t invest in time, energy, resource to understand the subtleties of ‘good’, we just assume it’s there and look at the ‘bad’, with angry hearts and blinkered eyes

          0 replies 0 retweets 0 likes
        5. End of conversation
        1. New conversation
        2. Cathy Welch‏ @Cjw450Cathy Oct 23
          Replying to @C7RKY @doctorcaldwell and

          Exactly, but the Taylorist approaches of Scientific Management have become so entrenched in industries and society that overly focus on what goes (occasionally) wrong, and assume what goes (most often) right will just continue.

          1 reply 0 retweets 0 likes
        3. Cathy Welch‏ @Cjw450Cathy Oct 23
          Replying to @Cjw450Cathy @C7RKY and

          We spend far too little time exploring WHY things go right, what keeps on track to get good outcomes because far harder to measure that the smaller numbers that go wrong

          0 replies 0 retweets 0 likes
        4. End of conversation

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