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?
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.
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In our
#NHS please do not be surprised by anything! I have seen it all. Doctors who promote#patientsafety many of them bully staff and bully their colleagues and many do not mean to do so, Not@martinfarrier but many others -
Sorry, but I have to ask... how does one go about bullying one's staff/colleagues 'without meaning to'? Whether flying the patient safety flag whilst doing so, or not. Sounds quite the cognitive dissonance case, the way that reads.
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