The probability of a never event is also approx. 3 x 10-5 (1 per 31,144 procedures; Simcock, 2018). About as reliable as you’d find in any field of work, esp. complex work. The term itself is problematic and incompatible with risk-based (ALARP) approach.https://twitter.com/c7rky/status/948169919266422784 …
-
-
One big difference could be this. Candour is much easier when no-one has been harmed or died, and your future is not on the line, and ‘just culture’ is defined in EU law (e.g., EU Reg 376/2014). E.g., in ATC candour is about mostly losses of separation between aircraft.
-
Sorry for the delay. That may be true, I agree. But I think there's a little more to the dynamic surrounding candour than just that, in the world of healthcare. It's a genuine and very serious problem. https://twitter.com/DrNHS2018/status/948209781977812994 …
This Tweet is unavailable. -
Fear is at the heart of it. Fear unfolds in many ways.
-
Indeed it is and indeed it does. Any threat to your planned career is a serious one, when you start out with a £50k+ student loan. It's not the healthiest environment for candour to thrive. Or patients, for that matter.
-
It seems that the problem is, the system is set up for retributive justice first, not restorative justice. Both have a role, but in most cases of unintended harm, restorative justice must at least come first, and be fully embraced.
-
I'd say you're right. There's an argument to suggest a contradiction between professional guidelines and the law, when it comes to candour in medicine. Robert Francis recognised that and recommended a fix. Sadly, the fix we actually got was perverted by gov so as to be useless.
-
‘Fixes that fail’ - very common in social systems. https://en.m.wikipedia.org/wiki/Fixes_that_fail … It sounds to me like some protected time and space is needed to apply some restorative justice.
-
We certainly need something. Not sure that Wikipedia definition is ideal for this situation? Seems to describe a fix that starts out working, but later fails? This fix never worked - as intended.
- 2 more replies
New conversation -
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.