Without laws it is meaningless. They will never do it voluntarily. Professionals are not voluntarily becoming honest.
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Agreed. That's where the statutory individual duty comes in. Currently, clinicians are more afraid of the consequences of telling the truth, than of lying. Could this reverse that position - if lying/withholding info might mean a personal criminal conviction? But truth won't.
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I know what you mean Anne. I just think we somehow have to avoid criminalising honest error, in exchange for the honest disclosure we all craved from the start. This is my best stab at a debate about it, is all. Far from a closed subject tho...
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And that, we've been looking at for a while. Let's hope the upcoming report makes the point clear for all to see.
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There are elements of your tale which have a horribly familiar feel for me too Wayne! Between 'weeding/seeding' (which David Behan is familiar with, btw) and police inaction, we all hit the same brick wall generally.
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2. Is a no for me. Dad was the victim of a medical accident - added when he should have subtracted and then destroyed the wrong part of his brain. Medical errors are not acceptable and things need straightening up
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I hear you Lorraine. I'm no stranger to the feelings you're expresssing there. But I'd ask you to consider a couple of thoughts here: Firstly, what you describe sounds like it may be 'wrong site surgery'? That being consistently no. 1 on the well-named list of 'Never Events'. >>
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>> If so, as Never Events are regarded as entirely avoidable accidents when safety procedures are followed, I'd consider that to be reckless and would argue it should not attract immunity. Never event list may need trimming for this to work mind you. >>
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>> Final point is that I can't see criminalising doctors' mistakes as a healthy solution. Who would want to be a doctor if any given day you could be arrested for screwing up? Punish reckless behaviour and lock up anyone who covers up. But not for honest errors. Any thoughts..?
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People carry workmates who they know are not up to the job and cover up in all walks of life. I am currently having issue with NHS as so far no treatment of my husband's cancer (Aug referral) So no, don't make anything looser than it is all ready
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Fair enough. I can understand your feelings and I'm so sorry to hear about what your husband's going through. Let me assure you though, making things easy for them to cover for each other will never be acceptable to me.https://twitter.com/shaunlintern/status/600735704101031936 …
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Re: 3 points for transparency after errors, thoughts: most errors are results of failed systems, many small, unintentional acts = catastrophe. Recognizing these small failures, in real time, is difficult. More reporting of unexpected outcomes (regardless of cause) would help.
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First of all, it's an honour to hear from you. I've been a big fan of your TedX talk for some time and can't thank you enough for such an important contribution to the debate.https://twitter.com/c7rky/status/957751680518512640?s=21 …
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We do have a system of reporting on 'Serious Untoward Incidents' here, but many a doctor will tell you trusts have a habit of downgrading events to ensure they don't qualify/avoid scrutiny. It's another challenge on the list. Appreciate your point re real-time understanding tho.
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We consider a significant, unexpected, adverse event to be anything the results in short or long term disability, or death. A few extra days in the hospital= short term disability. It takes a lot of time, energy and expenses to get a full understanding of these events.
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Indeed. It also takes candour, of course. Even the most robust procedures & policies can be rendered impotent where honest input is lacking. Transparency is a hard nut to crack in healthcare - not that I need to tell you that! :)
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