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.
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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.
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It's also because healthcare isn't like flying a plane despite the fact we are endlessly told it is.
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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.
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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
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The problem with 'never event's'https://humanisticsystems.com/2016/02/27/neverzero-thinking/ …
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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.
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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?
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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 …
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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.
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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 …
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ZHH Are you sure it's that which makes the difference, John? Self-interest?
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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.
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Now we are talking John. This is why I dismissed 6 doctors!
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Not sure I understand this tweet Umesh. You dismissed 6 doctors for what reason?
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Give me a ring John. It is always good to talk
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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.
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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.
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Agree entirely; but I don’t think we can ever fix the problem entirely?
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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.
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