Absolutely. I appreciate that. My question is more to do which cases you include for review - and specifically why you choose to exclude those placed on the death pathway.
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Replying to @C7RKY @drbenwhite and
1 Unexpected death 2 Family unhappy or has concerns 3 Death which should be referred to
#Coroner and any one has any concerns This is my personal view@martinfarrier is an expert1 reply 1 retweet 1 like -
Replying to @DrUmeshPrabhu @drbenwhite and
Ok, thanks Umesh. Wonder if
@martinfarrier will have any thoughts on this question? The point was discussed at CQC's board meeting just 10m15s into the video >https://m.youtube.com/watch?v=fxh95M_85PM …4 replies 1 retweet 1 like -
Replying to @C7RKY @DrUmeshPrabhu and
Unexpected death should = a death where anticipatory care is not given. That’s really the deaths we review.
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Replying to @martinfarrier @DrUmeshPrabhu and
Appreciated. My concern was the inclusion of those put on the death pathway as a separate category. If they were not admitted to die & not admitted to ICU, I just thought any such pt then put on the death pathway would be reason to investigate death, not exclude. Is it just me..?
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Replying to @C7RKY @DrUmeshPrabhu and
We did multiple months of “death pathway” reviews and found fewer errors. These deaths turned out to be the low risk deaths.
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Replying to @martinfarrier @DrUmeshPrabhu and
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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Replying to @C7RKY @DrUmeshPrabhu and
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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Replying to @martinfarrier @DrUmeshPrabhu and
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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Replying to @C7RKY @DrUmeshPrabhu and
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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Replying to @C7RKY @DrUmeshPrabhu and
Perhaps the most difficult bit. Need to take broad view and look back.
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