ZHH Sorry, did I misunderstand? Interested in absolutely everybody's views on #patientsafety !!
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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
ZHH It has to be on the combined view of the clinical group meeting in a Mortality + Morbidity Review ...
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Replying to @KenZeroHarm @bill_russell3 and
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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Replying to @C7RKY @bill_russell3 and
ZHH Not independent at all but we have to trust them, how else to do this? Zero Avoidable Harm - Right First Time
1 reply 1 retweet 0 likes
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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