Covering up a medical error should be a never event. The harm is compounded many, many times.
@l_j0204 @drkimholt @drphilhammond Serious medical errors, which if all existing safety procedures followed, wouldn't occur. But do...a LOT!
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@C7RKY@l_j0204@drkimholt@drphilhammond Dear Jon not all serious harm can be avoided. Most can and we should with good governance. -
@DrUmeshPrabhu@l_j0204@drkimholt@drphilhammond Agreed, not all serious harm can be avoided Umesh. Just the Never Events. Hence the name. -
@C7RKY@DrUmeshPrabhu@l_j0204@drphilhammond they are not 100 per cent avoidable but the aim is to try to get there by continual learning. -
@drkimholt@DrUmeshPrabhu@l_j0204@drphilhammond If not 100%, then well-known safety procedures weren't followed though. The ultimate sin? -
@c7rky@drkimholt@drphilhammond@l_j0204 Nothing is 100% in life except 100% men never get pregnant. -
@DrUmeshPrabhu@drkimholt@l_j0204 Perhaps not, but on@drphilhammond's point, Never events are bad. Covering up harm is bad. Covering up > -
@DrUmeshPrabhu@drkimholt@l_j0204@drphilhammond never events is unforgivable. The excuses run out then - 100% of the time. -
@c7rky@drkimholt@drphilhammond@l_j0204 I agree Never event should never happen but reality is they do. We got to keep on learning - 1 more reply
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@C7RKY@l_j0204@drkimholt@drphilhammond amazing how many 'never events' we see as lawyers. Wrong site + retained swabs in particular -
@GuyWForster@l_j0204@drkimholt@drphilhammond And that's just the ones we get to find out about. I could tell you of at least 1 unreported -
@C7RKY@l_j0204@drkimholt@drphilhammond frightening thought. Hospital acquired pressure sores ought to be on that list too -
@GuyWForster Among others. V scary thought, yes. Esp when it's not always obvious to the pt...why tell? Some don't, if they don't have to.
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@l_j0204@drkimholt@drphilhammond Started out as a small list & continues to grow > https://www.gov.uk/government/news/never-events-list-update-for-2012-13 … Wrong site surgery always no.1!Thanks. Twitter will use this to make your timeline better. UndoUndo
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@C7RKY@drkimholt@drphilhammond oh I see.Thanks. Twitter will use this to make your timeline better. UndoUndo
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