I thought it was the safety culture that was being influenced, not transplanting aviation safety as a whole.
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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.
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Eg severely understaffed ward, RN misses peri arrest patient due to workload, patient arrests ?avoidable death
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I feel like we've come full circle here, you and I Alison. :) May be easier to identify that as avoidable if
#safestaffing levels had been agreed to? Would offer more clear mitigation for clinical defendants too, one might think? Trusts may be less comfortable with it though... -
ZHH There are underlying
#patientsafety disciplines which should have been put in place decades ago which, I feel sure, would help
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ZHH ... to be challenged by loved ones if they wish. I doubt those reviews are seen by loved ones?
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