@Jarmann should CNST be replaced with truly risk adjusted insurance scheme? Trusts would have financial incentive to become safer.
@mellojonny @Jarmann @HughRisebrow Quite. I hear plenty of pleas for a no blame culture, but that only works if hand-in-hand with honesty.
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@C7RKY@Jarmann@HughRisebrow Evidence strongly suggests you need no blame culture first -
@mellojonny@Jarmann@HughRisebrow They have to be simultaneous for me. You either have both, or neither. Lying leaves one open to blame. -
@C7RKY@Jarmann@HughRisebrow same evidence strongly suggests if you don't get no blame culture first you'll fail. Evidence matters here -
@mellojonny@Jarmann@HughRisebrow Most 'evidence' I find in the medical world is v selective/subjective. I stand by my position I'm afraid. -
@C7RKY@Jarmann@HughRisebrow Evidence (should you care to check) abundant from other sectors. Google 'just culture' for a start -
@mellojonny@Jarmann@HughRisebrow I read any evidence I can find. I'm unimpressed so far. Clinicians lying will never be acceptable to me -
@C7RKY@Jarmann@HughRisebrow Just Culture asks the question "in what culture does honesty thrive?" and generally succeeds in answering it -
@mellojonny@Jarmann@HughRisebrow Sounds a sensible qn. And if no blame culture is the answer, once provided, honesty should be required. > - 28 more replies
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