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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. Dr Ben White‏Verified account @drbenwhite 5 Dec 2017
      Replying to @drbenwhite @juniordrblog and

      Wigan introduced Consultant case note review of all 'unexpected deaths' also, which is a good thing. Unsure if this is wildly different from other DGHs.

      1 reply 3 retweets 3 likes
    2. Dr Umesh Prabhu‏ @DrUmeshPrabhu 5 Dec 2017
      Replying to @drbenwhite @juniordrblog and

      Also introduced 300 patient safety champions and 50 Dementia champions and weekly #Governance meeting where MD Chairs and discusses openly complaints, litigation SUI, clinical incidents anyone raising concerns openly learns lessons. Removed culture of naming, shaming bullying

      2 replies 2 retweets 2 likes
    3. John Clarke‏ @C7RKY 6 Dec 2017
      Replying to @DrUmeshPrabhu @drbenwhite and

      After years of studying every CQC board meeting, I stopped watching just a few months before that one. Decided I'd suffered enough! But it was worth enduring another to watch that - compelling viewing and the headline figures appear hard to ignore. Impressive at first glance. >>

      1 reply 0 retweets 1 like
    4. John Clarke‏ @C7RKY 6 Dec 2017
      Replying to @C7RKY @DrUmeshPrabhu and

      May I ask a couple of question on the weekly death reports please? (Are you still doing them btw?) You exclude from investigation: > Pts admitted to die > Pts admitted to ITU > Pts put on the dying pathway Why this last group? How many are excluded because of that factor alone?

      3 replies 2 retweets 3 likes
    5. Martin Farrier‏ @martinfarrier 8 Dec 2017
      Replying to @C7RKY @DrUmeshPrabhu and

      We exclude patients on “anticipatory care” or on ICU. that’s about half the patients. We review the other half - the high risk half

      1 reply 3 retweets 2 likes
    6. David Love‏ @ribtickler1 8 Dec 2017
      Replying to @martinfarrier @DrUmeshPrabhu and

      With respect, but depends on definition of risk. Reviewing care of dying patients also offers much system learning. Harm here is no less important and lessons can apply to all care

      2 replies 2 retweets 2 likes
    7. Dr Umesh Prabhu‏ @DrUmeshPrabhu 8 Dec 2017
      Replying to @ribtickler1 @martinfarrier and

      Well said but with 20 to 30 deaths a week in hospitals and nearly 90% expected to die and #doctors and #nurses who are already working hard they have to prioritize where they get maximum learning form.

      2 replies 0 retweets 0 likes
    8. David Love‏ @ribtickler1 9 Dec 2017
      Replying to @DrUmeshPrabhu @martinfarrier and

      If really 90% expected to die (?) then that's probably where focus of learning should be

      2 replies 1 retweet 0 likes
    9. Dr Umesh Prabhu‏ @DrUmeshPrabhu 9 Dec 2017
      Replying to @ribtickler1 @martinfarrier and

      I am a simple man and this is too complicated. What can we learn from someone expected to die? Please educate me

      2 replies 0 retweets 1 like
    10. David Love‏ @ribtickler1 9 Dec 2017
      Replying to @DrUmeshPrabhu @martinfarrier and

      Surely people expected to die and who trust us to manage a good quality death for them are as important as those who live. Reviewing that process brings either assurance or learning for improvement. You say 90% of your business is in managing death

      2 replies 0 retweets 0 likes
      John Clarke‏ @C7RKY 9 Dec 2017
      Replying to @ribtickler1 @DrUmeshPrabhu and

      I read that as being 90% of the 20-30 deaths per week were 'expected'. That would be some way removed from '90% of Unesh's business being 'managing death' though, no?

      3:07 AM - 9 Dec 2017
      1 reply 0 retweets 0 likes
        1. New conversation
        2. David Love‏ @ribtickler1 9 Dec 2017
          Replying to @C7RKY @DrUmeshPrabhu and

          Apologies if I mis-read. In which case its similar to many organisations if we go by HSMR. We converted from 100% mortality review to about 20% random selection with no change/loss in learning themes. More manageable?

          1 reply 0 retweets 1 like
        3. Martin Farrier‏ @martinfarrier 9 Dec 2017
          Replying to @ribtickler1 @C7RKY and

          Random selection is a valid option. It doesnt maximise learning but does produce data that is easier to compare

          1 reply 0 retweets 0 likes
        4. David Love‏ @ribtickler1 9 Dec 2017
          Replying to @martinfarrier @C7RKY and

          Effective if used with snapshot 100% review for special cause mortality variation or spikes. About improvement principle of good enough vs perfect

          0 replies 0 retweets 1 like
        5. End of conversation

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