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
Interesting, thanks. What kind of volume of pts did this specific category involve? I can't imagine there should be too many who having not been admitted to die, or admitted to ICU, then subsequently find themselves on the death pathway?
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Then you imagine wrong. Many ICU patients die on a pathway. There are plenty of the remaining group, not admitted to due, but path appr.
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Really? So there's a notable volume of pts who don't arrive in hospital in a condition which would indicate that their death is imminent, but who then subsequently find themselves on the death pathway anyway? You're right, I did imagine wrong. I'm quite surprised by that.
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Yes, though if we sat and discussed case, you would say events were predictable. Dementia and frailty dominates. Final wks unpredictable
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Fair enough. I can see that. So out of interest, how do you ensure pt's deterioration onto a death pathway has not resulted from some unseen, underlying problem with the care they received?
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Perhaps the most difficult bit. Need to take broad view and look back.
End of conversation
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