#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.
-
-
John Clarke Retweeted
I missed that Radio 4 thing, so I'll look out for that - thanks Kate. There's a lot that needs fixing about our healthcare environment. Candour needs to become a reality, but we've a long way to go. https://twitter.com/drnhs2018/status/948209781977812994 …
John Clarke added,
This Tweet is unavailable.2 replies 0 retweets 1 like -
Hence why everyone needs to hear experiences like Kathryn’s . She never mentioned her trust..a lot of learning in that fact alone.
1 reply 1 retweet 1 like -
Indeed. That being; if you're looking to protect your reputation, be honest with people about what went wrong and include them in improving safety, then maybe they won't feel the need to be shouting your name in a negative perspective. Seems like a good lesson to learn.
1 reply 1 retweet 1 like -
With my 2012 GP, he did immediately verbally apologise; though he explicitly stated that he was scared of being sued. No idea why, as I didn't threaten to sue for delayed DVT diagnosis; I asked to work with him to walk again, for access to NHS care re: anticoagulation oversight.
3 replies 0 retweets 2 likes -
Replying to @kateheydonorg @C7RKY and
Weirdly, things got worse. He'd left me without access to NHS care for 5 1/2 weeks pre-diagnosis. But then went on to - unknown to me; decline me access to NHS Haematologist oversight whilst on anticoagulation + decline a Factor V Leiden test that I needed, wanted, had asked for.
3 replies 0 retweets 1 like -
John Clarke Retweeted John Clarke
Oh...why? He seemed to be getting it right when I read your first tweet, despite his obvious fear. Why then block your treatment options? I just don't understand. No learning. No safety. This is only a crude framing for discussion but something must changehttps://twitter.com/c7rky/status/937068760502079488 …
John Clarke added,
1 reply 0 retweets 2 likes -
Presumably because of his irrational fear of being sued? My DVT was photodocumented-symptomatic for a couple of weeks pre-diagnosis. I'd asked at that time about ? DVT; as I had parental history of iliac DVT. But no idea that a DVT could be related to the shortness of breath etc.
2 replies 0 retweets 1 like -
So just frightened they'd missed a diagnosis & might be sued? *sigh* We've got to create an atmosphere where without fear, clinicians feel compelled to be honest about mistakes and to react to them. To rectify them where possible. Minimise damage & anguish where not. Learn always
1 reply 1 retweet 2 likes -
The irony is, was that I asked to be treated like an NHS-diagnosed patient (he'd refused me d-Dimer or NHS investigations. So Bupa found DVT). Needed: access to help walking/mobility (walking boot, wheel chair etc; so less housebound) +NHS haematologists to diagnose mass earlier.
1 reply 0 retweets 1 like
We all get our own little areas of mini-expertise through experience on this journey, but I'm afraid this isn't mine. I get that you didn't have access to the help that you needed though, despite identifying the problems privately.
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.