ZHH In 1983 '88 + 2005 I saw an NHS decades behind aviation in use of IT, communication, teamwork etc etc etc. It's so hard to catch up
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Avoidable deaths: Can only be determined in retrospect
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Fair enough. But determined to be avoidable based upon what? That question still stands, no matter when the question is being answered, no?
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ZHH It has to be on the combined view of the clinical group meeting in a Mortality + Morbidity Review ...
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Is there any semblance of independence to that group? Or are accusations of marking one's own homework just waiting to be heard? Either way, I'd expect something resembling guidelines to exist for a subject as serious as categorising avoidable deaths. Is it just me?
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ZHH Not independent at all but we have to trust them, how else to do this? Zero Avoidable Harm - Right First Time
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Hmmm.. I'm afraid Hospital Trust became an oxymoron for me a while back. Absent a sudden, unexpected, spontaneous outbreak of honesty throughout the NHS, someone independent is going to have to be involved for credibility, imho.
End of conversation
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