@drkimholt @drphilhammond what are never events? Presumably something that should never haopen???
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Replying to @l_j0204
@l_j0204@drkimholt@drphilhammond Serious medical errors, which if all existing safety procedures followed, wouldn't occur. But do...a LOT!4 replies 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@l_j0204@drkimholt@drphilhammond Dear Jon not all serious harm can be avoided. Most can and we should with good governance.2 replies 0 retweets 0 likes -
Replying to @DrUmeshPrabhu
@DrUmeshPrabhu@l_j0204@drkimholt@drphilhammond Agreed, not all serious harm can be avoided Umesh. Just the Never Events. Hence the name.1 reply 0 retweets 0 likes -
Replying to @C7RKY
@C7RKY@DrUmeshPrabhu@l_j0204@drphilhammond they are not 100 per cent avoidable but the aim is to try to get there by continual learning.2 replies 0 retweets 0 likes -
Replying to @drkimholt
@drkimholt@DrUmeshPrabhu@l_j0204@drphilhammond If not 100%, then well-known safety procedures weren't followed though. The ultimate sin?1 reply 0 retweets 0 likes -
Replying to @C7RKY
@c7rky@drkimholt@drphilhammond@l_j0204 Nothing is 100% in life except 100% men never get pregnant.1 reply 0 retweets 1 like -
Replying to @DrUmeshPrabhu
@DrUmeshPrabhu@drkimholt@l_j0204 Perhaps not, but on@drphilhammond's point, Never events are bad. Covering up harm is bad. Covering up >1 reply 0 retweets 0 likes -
Replying to @C7RKY
@DrUmeshPrabhu@drkimholt@l_j0204@drphilhammond never events is unforgivable. The excuses run out then - 100% of the time.1 reply 0 retweets 0 likes -
Replying to @C7RKY
@c7rky@drkimholt@drphilhammond@l_j0204 I agree Never event should never happen but reality is they do. We got to keep on learning1 reply 0 retweets 0 likes
@DrUmeshPrabhu @drkimholt @drphilhammond @l_j0204 The whole point of a never event is that we've already learned. Applying it is lacking.
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