Thanks John..it all started with the unexpected backlash to the ruling, and my curiosity as to why it’s so hard to just talk to patients about DNACPR. I’ve learned a lot, shared a lot about why. That BMJ piece seems years ago now, but is still as relevant today.
-
-
Replying to @katemasters67 @MikeStone2_EoL
Just a matter of months, sadly. We know the medical world won't budge easily on much, but in this matter the court says they must, so the time has come to embed, not debate.
1 reply 0 retweets 0 likes -
Replying to @C7RKY @MikeStone2_EoL
Will never forget a nurse saying to me as I left one hospital after an event ‘don’t stop doing what you’re doing’ and when I said ‘I’m any relative at the side of bed every day, what’s different?’ he said ‘because it takes us away from that and makes us think’
2 replies 2 retweets 4 likes -
Replying to @katemasters67 @MikeStone2_EoL
Changing behaviours can be hard -even harder when those concerned work in an environment where the old way still lingers. Never underestimate the difference your voice can make at such events - as that nurse amply proved.
2 replies 1 retweet 3 likes -
Replying to @C7RKY @katemasters67
Also - psychologically difficult for clinicians to think they might be getting it wrong, because of the consequences if they are getting things wrong - surely?
2 replies 1 retweet 2 likes -
Replying to @MikeStone2_EoL @katemasters67
I'm sure that only adds to the challenge, yes. If acknowledging a truth might mean you've caused harm, I'm sure it's tempting to dismiss it instead.pic.twitter.com/4nkZWXRaBU
1 reply 6 retweets 4 likes -
#LearnNotBlame obstacle of the incentive to cover up systemic failures unanticipated medical outcomes. Due to fear of personal blame if acknowledging. This was discussed on Radio 4 yesterday evening. Opportunities to report, learn, avoid repeating was discussed constructively.2 replies 0 retweets 1 like -
So few examples of how immediate honesty&willingness to involve patients in investigations has been positive. I was privileged to hear
@KathrynLWalton speak at the HSJ patient safety Congress last year - terrible experience but immediate personal apology, and included in learnin1 reply 3 retweets 3 likes -
Replying to @katemasters67 @kateheydonorg and
We really should be hearing more of these positive stories by now. I expected the new, (if inadequate), duty of candour would at least provoke a reasonable number of tales to be pointed at. Maybe I missed them all..?
1 reply 1 retweet 1 like -
Replying to @C7RKY @kateheydonorg and
I think one issue is that when good practice is BAU nobody knows it could have been so different so nobody shouts about it.
3 replies 1 retweet 2 likes
Maybe not the patients, but we both know that trusts rarely miss an opportunity to shout about something they think looks good for their PR.
-
-
-
Replying to @katemasters67 @C7RKY and
The duty of candour regulations are not as simple as 'if a relative has a 'concern', just talk to them about it' - it would be good if they did say that, but they don't. BTW and out-of-context - somehow, someone implied I wasn't keen on 'getting consent' (here on Twitter!)
0 replies 0 retweets 0 likes
End of conversation
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.