And the line between good care and blatent negligence is so thin, you normally can’t see it. All day, every day, dancing along an invisible boundary, guesstimating your way thru unresearched territory. A swamp of uncertainty. You sometimes see islands. And miss the mined areas.
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Replying to @DrAnneMurphy @iceman_ex and
I am quite surprised at this. I think there is a gulf between good care and negligence. I think people have to do things seriously wrong to be negligent.
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Replying to @Allyncondon @DrAnneMurphy and
And that’s the real problem. “Good practice” and “negligence” is based on expert opinion at one point in time. Medicine has failed to be clear about that.
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Replying to @iceman_ex @Allyncondon and
Part of the problem is that it will vary so much from case to case, situation to situation.
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Replying to @4AdsthePoet @Allyncondon and
And that’s why being a clinician, and being ill, is so hard.
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Replying to @iceman_ex @Allyncondon and
It is why the most important thing in medicine is good communication, between
#HCPs & between#HCPs, patients & families. Poor communication is at the root of many if not most serious incidents.5 replies 7 retweets 17 likes -
Replying to @4AdsthePoet @iceman_ex and
I could not agree more. It's why dad's case was all about the communication, not the clinical decision making.
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Replying to @katemasters67 @iceman_ex and
Also when you analyse in detail ‘clinical decisions’ as many researchers have, often very little clinical about them. Repeated studies have shown the characteristics of the doctor are more influential on outcome than the patient’s clinical situation.
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Replying to @4AdsthePoet @iceman_ex and
that 'characteristics of the doctor' statement certainly hits home as does assessment of mum's clinical situation - the PM for mum highlighted an issue where the trust had been wrong that affected their thinking of mum's overall picture. Never investigated.
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Replying to @katemasters67 @iceman_ex and
Medics acknowledge this in research and between themselves, but present a public face of Dr’s decisions being scientific & objective. Also research show disagreements between Drs as to right action, common place.
2 replies 3 retweets 6 likes
Totally agree. I've lost count of the amount of times clinicians have tried to call me 'anti-science' for challenging some aspect of medicine or other. I just laugh. Science indeed.
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