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.
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?
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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?
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Random selection is a valid option. It doesnt maximise learning but does produce data that is easier to compare
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Effective if used with snapshot 100% review for special cause mortality variation or spikes. About improvement principle of good enough vs perfect
End of conversation
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