And from @jhcoakley that Never Events have become a stick to beat trusts & so increase risk of cover ups @ShaunLintern #homsim13
@BurnageBard @ShaunLintern @MsNaughtyCheese @jhcoakley But you managed to stop them, I hope? I know more about them than I wish I did too.
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@C7RKY@BurnageBard@ShaunLintern@jhcoakley you cannot doubt their severity however there is about 1 "never" event every day & the 1/2 -
@C7RKY@BurnageBard@ShaunLintern@jhcoakley risk I worry about is the risk poor trusts will cover them up rather then admitting & learning? -
@MsNaughtyCheese
@BurnageBard@ShaunLintern@jhcoakley They already cover them up, because of how damning they are. They know there's no > -
@MsNaughtyCheese
@BurnageBard@ShaunLintern@jhcoakley excuse for a NE. "Lessons will be learned" bull doesn't work: they already have been. -
@C7RKY@BurnageBard@ShaunLintern@jhcoakley yes otherwise something would not be called a "never event" however if trusts are covering 1/2 -
@C7RKY@BurnageBard@ShaunLintern@jhcoakley them up then our current strategy isn't working? -
@MsNaughtyCheese
@BurnageBard@ShaunLintern@jhcoakley Exactly. Currently there's greater fear of telling the truth, than there is of lying. -
@C7RKY@BurnageBard@ShaunLintern@jhcoakley like Berwick said fear is toxic to patient safety, don't disagree with never events only 1/2 - 1 more reply
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@C7RKY@ShaunLintern @MsNaughtyCheese@jhcoakley yes stopped the Consultant from doing Op & got him disciplined & have no problem with that -
@BurnageBard@C7RKY@ShaunLintern@jhcoakley one of our speakers stressed the importance of involving patients in their own safety
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