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 …
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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Learning without changing is pointless. Future victims queue.
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Quite.
End of conversation
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