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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. John Clarke‏ @C7RKY 8 Dec 2017
      Replying to @DrUmeshPrabhu @drbenwhite and

      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.

      1 reply 0 retweets 0 likes
    2. Dr Umesh Prabhu‏ @DrUmeshPrabhu 8 Dec 2017
      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 expert

      1 reply 1 retweet 1 like
    3. John Clarke‏ @C7RKY 8 Dec 2017
      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
    4. Martin Farrier‏ @martinfarrier 8 Dec 2017
      Replying to @C7RKY @DrUmeshPrabhu and

      Unexpected death should = a death where anticipatory care is not given. That’s really the deaths we review.

      1 reply 1 retweet 1 like
    5. John Clarke‏ @C7RKY 8 Dec 2017
      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..?

      1 reply 0 retweets 1 like
    6. Martin Farrier‏ @martinfarrier 9 Dec 2017
      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.

      1 reply 0 retweets 0 likes
    7. John Clarke‏ @C7RKY 9 Dec 2017
      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?

      1 reply 0 retweets 0 likes
    8. Martin Farrier‏ @martinfarrier 9 Dec 2017
      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.

      1 reply 1 retweet 2 likes
    9. John Clarke‏ @C7RKY 9 Dec 2017
      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.

      2 replies 0 retweets 0 likes
    10. Martin Farrier‏ @martinfarrier 9 Dec 2017
      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

      1 reply 1 retweet 2 likes
      John Clarke‏ @C7RKY 9 Dec 2017
      Replying to @martinfarrier @DrUmeshPrabhu and

      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?

      8:08 AM - 9 Dec 2017
      1 reply 0 retweets 0 likes
        1. Martin Farrier‏ @martinfarrier 9 Dec 2017
          Replying to @C7RKY @DrUmeshPrabhu and

          Perhaps the most difficult bit. Need to take broad view and look back.

          0 replies 1 retweet 3 likes
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