NHS watchdog to probe complaints- needless deaths as it warns of 'appalling' failures to investigate | via @Telegraph http://fw.to/cKumpWK
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@C7RKY@JoinedU1@Telegraph and NEVER occur more than once but preferably not at all -
@Cleverestcookie@C7RKY@Telegraph Never Events are Sometimes Events! -
@JoinedU1@Cleverestcookie@Telegraph Yep. And that's just sometimes reported/sometimes not - as I found out to my horror. :-/ -
@C7RKY@Cleverestcookie@Telegraph Think you may have just found real meaning of "Never"
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@C7RKY@JoinedU1@Telegraph there will be unavoidable harms but no excuse for ANY avoidable ones. Robust procedures support that -
@Cleverestcookie@C7RKY@Telegraph If "robust procedures" are fully implemented there wouldnt be ANY avoidable deaths. -
@JoinedU1@C7RKY@Telegraph and followed. Frontline staff need to be co-designing procedures to ensure workable and deliver outcomes. -
@Cleverestcookie@C7RKY@Telegraph Only way "Lessons can be learned" is if identified failures are aligned to care pathways & NICE guidance! -
@JoinedU1@C7RKY@Telegraph agreed but the never events are really just basic risk management issues. Not complex clinical decision-making
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