Just Culture
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In July, the review of patient safety by Dr Penny Dash was published. This was followed by an acceptance of all the recommendations made in the review by the government. Up until then I had not been party to what the findings had been or the recommendations so was somewhat surprised when I read it.…
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In reality we do not know what the true quantitive level of safety is. We dont know for sure how many things are going wrong and we definitely dont know how many things go right. I would argue we may never know. We cannot capture everything – that would be impossible. What we do capture…
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I have just uploaded a post related to a just culture. That was describing the culture that is for the vast vast majority of incidents and staff. I purposefully left it at that because I didn’t want it confused with this post which is asking some difficult questions that I don’t know the answer to.…
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To adapt / quote the wonderful (both in skill and in the name of his latest book) poet Harry Baker… I have spent a lifetime searching for the light and I don’t see a reason why that should stop now You know that hideous feeling when something goes wrong. The sick feeling in the pit…
PATIENT SAFETY NOW 