It is possible to identify care that could have been better (although with hindsight bias) - but this can only be confidently seen as an association. Causation is very difficult to attribute in most cases. Learning comes from how we can improve care & not from definition IMV.
But take something like a surgical safety checklist, akin to a pre-flight checklist. If conducting those checks are designed to prevent wrong site surgery for example, surely it's right to regard someone who fails to complete one as having bypassed a known safety measure? No?
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No. Trying to find the latest article that explains why that is not always a valid argument...saw it a few days ago so hopefully can find it again quickly
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By following standards/policies/guidelines people think doing right things, but concentrate on beating the numbers or following the processes, stop thinking for themselves, and lose sight of the intended outcome- Liverpool Care Pathway one example, 4hr A&E targets another
End of conversation
New conversation -
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