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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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
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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.
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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
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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.
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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.
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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.
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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.
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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.
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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
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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.
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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
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