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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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    John Clarke‏ @C7RKY Jan 1

    John Clarke Retweeted Josh Barro

    Amazing to note the difference in safety records between healthcare, where doctors don't die alongside their patients; https://twitter.com/c7rky/status/941246786315964416 … ..and aviation, where pilots may well die alongside their passengers.https://twitter.com/jbarro/status/947868718020939776 …

    John Clarke added,

    Josh BarroVerified account @jbarro
    There were zero passenger fatalities from commercial passenger jet crashes, anywhere in the world, in 2017. http://www.independent.co.uk/travel/news-and-advice/air-safety-2017-best-year-safest-airline-passengers-worldwide-to70-civil-aviation-review-a8130796.html …
    9:56 AM - 1 Jan 2018
    • 8 Retweets
    • 10 Likes
    • Caroline Macklin Médecin Légiste Alison Barrett Mark Eltringham Dr David Nicholl Dee Brooks Dr Umesh Prabhu Maggie Brooks theveindoc
    9 replies 8 retweets 10 likes
      1. New conversation
      2. Scott Bateman‏ @jumbo747pilot Jan 1
        Replying to @C7RKY

        I don’t think that’s a fair comparison to make. Healthcare isn’t my forte now, but @MartinBromiley has made significant changes and had influence in the way the safety culture in healthcare has changed over the years.

        2 replies 1 retweet 4 likes
      3. John Clarke‏ @C7RKY Jan 1
        Replying to @jumbo747pilot @MartinBromiley

        I've no doubt Martin will have brought many positive changes to the debate. But I think the elephant in the room here is candour. What pilot would be foolish enough to cover up a potentially fatal error? The personal consequence is only too apparent. Opposite true for clinicians.

        4 replies 1 retweet 3 likes
      4. Prof Alison Leary PhD RN‏ @alisonleary1 Jan 2
        Replying to @C7RKY @jumbo747pilot @MartinBromiley

        It's also because healthcare isn't like flying a plane despite the fact we are endlessly told it is.

        4 replies 4 retweets 15 likes
      5. Mark Gaze‏ @MarkGaze Jan 2
        Replying to @alisonleary1 @C7RKY and

        And please remember that safety is relative, not absolute. Risk can be reduced, sure, but aircraft still crash. Problems will not “never happen again” in healthcare.

        4 replies 3 retweets 2 likes
      6. John Clarke‏ @C7RKY Jan 2
        Replying to @MarkGaze @alisonleary1 and

        Well.. some problems should never happen again in healthcare. Never Events. But the last full year's figures show they still do. 424 times. 424 known risks the airline industry were just better at avoiding last year? https://improvement.nhs.uk/uploads/documents/Provisional_Never_Events_April_2016_-_March_2017.pdf …pic.twitter.com/qZ51coZsXf

        1 reply 0 retweets 0 likes
      7. John Clarke‏ @C7RKY Jan 2
        Replying to @C7RKY @MarkGaze and

        And it's getting worse, it seems? https://improvement.nhs.uk/uploads/documents/Never_Events_1_April_2017_-_30_November_FINAL.pdf …pic.twitter.com/NkVSQdFUkv

        1 reply 0 retweets 0 likes
      8. Ken Spearpoint RN BSc MSc MPhil‏ @K_G_Spearpoint Jan 2
        Replying to @C7RKY @MarkGaze and

        The problem with 'never event's'https://humanisticsystems.com/2016/02/27/neverzero-thinking/ …

        1 reply 2 retweets 2 likes
      9. John Clarke‏ @C7RKY Jan 2
        Replying to @K_G_Spearpoint @MarkGaze and

        Yes... I wasn't particularly happy when they moved away from the original 8 Never Events. Given my personal interest was in wrong site surgery, it seemed in many ways to dilute the seriousness of the message, as the list got longer.

        1 reply 0 retweets 4 likes
      10. 2 more replies
      1. New conversation
      2. Doctor's Dad‏ @stevemersey Jan 2
        Replying to @C7RKY

        Flying is about controlling all the variables or it doesn't happen, whilst much of medicine assumes there is already a problem, possibly life threatening. How can you compare them?

        1 reply 0 retweets 1 like
      3. John Clarke‏ @C7RKY Jan 2
        Replying to @stevemersey

        John Clarke Retweeted John Clarke

        You've not been the first to ask me that. :) My focus was on candour, rather than overall comparison. Hope this explains more.https://twitter.com/C7RKY/status/948234272137244677 …

        John Clarke added,

        John Clarke @C7RKY
        Replying to @guyharvey70
        Appreciated - there are many fundamental differences in the 2 fields. I still find myself wondering what role candour might play in respective safety outcomes though. https://twitter.com/C7RKY/status/948173449138200576 …
        0 replies 0 retweets 1 like
      4. End of conversation
      1. New conversation
      2. Guy Harvey‏ @guyharvey70 Jan 2
        Replying to @C7RKY

        Surgical teams do not simply drive healthy people from A to B. They paralyze ill people, cut them open, sew them up, make sure they're breathing again and look after them until they go home.

        1 reply 0 retweets 1 like
      3. John Clarke‏ @C7RKY Jan 2
        Replying to @guyharvey70

        John Clarke Retweeted John Clarke

        Appreciated - there are many fundamental differences in the 2 fields. I still find myself wondering what role candour might play in respective safety outcomes though.https://twitter.com/C7RKY/status/948173449138200576 …

        John Clarke added,

        John Clarke @C7RKY
        Replying to @DrSpocter
        Could not agree more. But currently clinicians often appear more afraid of the consequences of telling the truth, (ask any whistleblower), than of lying. Question is; how do we reverse that? I've not found any real answers yet, but I'm trying... https://twitter.com/C7RKY/status/937068760502079488 …
        0 replies 0 retweets 1 like
      4. End of conversation
      1. New conversation
      2. Ken Lownds‏ @KenZeroHarm Jan 1
        Replying to @C7RKY

        ZHH Are you sure it's that which makes the difference, John? Self-interest? @jumbo747pilot

        1 reply 0 retweets 2 likes
      3. John Clarke‏ @C7RKY Jan 1
        Replying to @KenZeroHarm @jumbo747pilot

        Can't provide you with links, or claims of expertise Ken, but based upon experience of trying to influence behaviours in a corporate environment & considering what I've learned about how healthcare operates, I'd have little doubt it plays some part.

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. New conversation
      2. Dr Umesh Prabhu‏ @DrUmeshPrabhu Jan 1
        Replying to @C7RKY

        Now we are talking John. This is why I dismissed 6 doctors!

        1 reply 1 retweet 1 like
      3. John Clarke‏ @C7RKY Jan 2
        Replying to @DrUmeshPrabhu

        Not sure I understand this tweet Umesh. You dismissed 6 doctors for what reason?

        1 reply 0 retweets 0 likes
      4. Dr Umesh Prabhu‏ @DrUmeshPrabhu Jan 2
        Replying to @C7RKY

        Give me a ring John. It is always good to talk

        0 replies 0 retweets 1 like
      5. End of conversation
      1. New conversation
      2. Alexandra Thompson‏ @Alexandra_nidd Jan 2
        Replying to @C7RKY

        If there’s not enough staff the ‘plane doesn’t take off. In healthcare we cope, cover and hope. Not to say that we can’t improve though.

        1 reply 0 retweets 1 like
      3. Cathy Cooke‏ @Cleverestcookie Jan 2
        Replying to @Alexandra_nidd @C7RKY

        The problem with ‘not taking off’ in healthcare is that it isn’t a viable option. If planes don’t take off the passengers stay where they are. In healthcare, doing nothing for those who can’t self-manage is negligence.

        1 reply 0 retweets 2 likes
      4. Alexandra Thompson‏ @Alexandra_nidd Jan 2
        Replying to @Cleverestcookie @C7RKY

        Agree entirely; but I don’t think we can ever fix the problem entirely?

        1 reply 0 retweets 1 like
      5. Cathy Cooke‏ @Cleverestcookie Jan 2
        Replying to @Alexandra_nidd @C7RKY

        Agree. The problem is that in HC there are many only slightly predictable unknowns. In air passenger transportation the risks are mostly well known and predictable.

        0 replies 0 retweets 1 like
      6. End of conversation

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