ZHH If you're not willing to adopt from other sectors, Alison, what's your plan to eliminate the 7.5k Avoidable Deaths each year?
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Replying to @KenZeroHarm @jumbo747pilot and
Dont recall saying that Ken. You may wish to read the report I wrote on it if you are interested in my views.
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Replying to @alisonleary1 @jumbo747pilot and
ZHH Sorry, did I misunderstand? Interested in absolutely everybody's views on
#patientsafety !!1 reply 0 retweets 0 likes -
Replying to @KenZeroHarm @jumbo747pilot and
Spent early part of my career as an engineer, work in other industries now. Hence have different perspective on limitations & danger of silver bullets.
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Replying to @alisonleary1 @jumbo747pilot and
ZHH + I'm saying since the NHS doesn't even count Avoidable Deaths yet, this other safety-critical has some ideas they've used that have..
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Replying to @KenZeroHarm @jumbo747pilot and
How are avoidable deaths defined? Its hard to improve if we dont understand what we are improving
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Replying to @alisonleary1 @KenZeroHarm and
John Clarke Retweeted John Clarke
Great question. Doesn't appear that a standard definition exists?https://twitter.com/c7rky/status/941245382117548033 …
John Clarke added,
John Clarke @C7RKYNHS in England told to reveal avoidable deaths data "There is no standard definition of an avoidable death and each hospital trust makes its own judgment" >So what's the point, if they can just choose not to define a death as avoidable? http://www.bbc.co.uk/news/health-42347942 …Show this thread1 reply 1 retweet 0 likes -
Replying to @C7RKY @alisonleary1 and
Avoidable deaths: Can only be determined in retrospect
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Replying to @bill_russell3 @alisonleary1 and
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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Replying to @C7RKY @bill_russell3 and
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...
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Replying to @C7RKY @alisonleary1 and
ZHH There are underlying
#patientsafety disciplines which should have been put in place decades ago which, I feel sure, would help0 replies 2 retweets 2 likesThanks. Twitter will use this to make your timeline better. UndoUndo
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