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 …
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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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