@nurseboothroyd that risk/error are inherent in medicine - we're all human. Genuine errors will happen. Where we differ, is I don't accept >
@mellojonny @nurseboothroyd I'd rather be stuck in a rut of demanding honesty, than stuck in one of accepting lies as BAU - as you appear to
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@C7RKY@mellojonny it's not accepting lies, it's accepting that they happen, so what can we do? Just demanding honesty doesn't work. -
@nurseboothroyd@mellojonny They happen because individuals *choose* to lie. Individual conscience plays a part in here somewhere. -
@C7RKY individuals work within a system and culture. We can see who gets pass for errors, and who doesn't. Management favouritism+Corruption -
@nurseboothroyd And that's what must be stood up against. Whatever the consequences of being honest for the clinician, I promise you that > -
@nurseboothroyd they pale into insignificance compared to the consequences of the lies to pts/relatives. That should be the focus here.
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@C7RKY@nurseboothroyd not in the slightest, I'm interested in why it happens and what can be done about it. It's a big part of my research -
@mellojonny@nurseboothroyd It happens because there's no consequence to lying. By contrast, whistleblowers risk all. It's failure by design -
@C7RKY you need to look at hierarchy and power relations, and the way whistleblowers are targeted for exposing corruption or systemic issues -
@nurseboothroyd On that, we agree. Spoken with many WBs. I see the devastating consequences. But if everyone did it, they can't sack you all -
@C7RKY that requires organisation and politicization. Doesn't exist at present, and unions either to conservative, corrupt or unwilling. -
@nurseboothroyd See...after reading your blog before replying to you, I knew there'd be plenty we'd agree on. :) The honest must organise..
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@C7RKY@mellojonny it's complex, and there is no magic fix. Your solution may sound good, but in practice won't work. -
@nurseboothroyd@mellojonny And yet you offer no reasons as to why it won't work? An acceptance that lies happen, just isn't good enough.
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