3 ms·

Doesn't this indicate some sort of malpractice in Scotland? I would think that forgetting important procedures leading to death is the definition of malpractice

Doesn't this indicate some sort of malpractice in Scotland? I would think that forgetting important procedures leading to death is the definition of malpractice.

DanBC 7y ago
The English NHS was dealing with about one million patients every 36 hours. https://www.england.nhs.uk/ https://www.england.nhs.uk/ They were doing over 8 million surgeries per year when the checklist was introduced. For 2016/2017 the summary of "never events" is here: https://improvement.nhs.uk/documents/2347/Never_Events_1_April_2016_-_31_March_2017_FINAL_v2.pdf https://improvement.nhs.uk/documents/2347/Never_Events_1_Apr... There were 189 wrong site surgeries, and 114 retained foreign object post surgery. That's not good enough, but it's not terrible. The month by month data is here: https://improvement.nhs.uk/resources/never-events-data/ https://improvement.nhs.uk/resources/never-events-data/ I have a comment about the regulatory framework (in England) here: https://news.ycombinator.com/item?id=19683366 https://news.ycombinator.com/item?id=19683366
matthewmacleod 7y ago
I'm not really sure what your point is. Ultimately, any kind of negligent behaviour would be "malpractice", but that's not something that can be completely eliminated. Mistakes always happen, regardless of care or attention paid; it seems like the focus should be to develop systems which can minimise their occurrence, minimise the severity of them if they do occur, and help to provide information that can reduce recurrence. I find the approach of things like rail and air accident investigations to be really useful. The goal for the investigation of any accident should not be about apportioning blame, but understanding why accidents happen and how their occurrence can be effectively reduced or eliminated.

3 ms·

Doesn't this indicate some sort of malpractice in Scotland? I would think that forgetting important procedures leading to death is the definition of malpractice

by docker_up 7y ago

Doesn't this indicate some sort of malpractice in Scotland? I would think that forgetting important procedures leading to death is the definition of malpractice.

DanBC 7y ago
The English NHS was dealing with about one million patients every 36 hours. https://www.england.nhs.uk/ https://www.england.nhs.uk/ They were doing over 8 million surgeries per year when the checklist was introduced. For 2016/2017 the summary of "never events" is here: https://improvement.nhs.uk/documents/2347/Never_Events_1_April_2016_-_31_March_2017_FINAL_v2.pdf https://improvement.nhs.uk/documents/2347/Never_Events_1_Apr... There were 189 wrong site surgeries, and 114 retained foreign object post surgery. That's not good enough, but it's not terrible. The month by month data is here: https://improvement.nhs.uk/resources/never-events-data/ https://improvement.nhs.uk/resources/never-events-data/ I have a comment about the regulatory framework (in England) here: https://news.ycombinator.com/item?id=19683366 https://news.ycombinator.com/item?id=19683366
matthewmacleod 7y ago
I'm not really sure what your point is. Ultimately, any kind of negligent behaviour would be "malpractice", but that's not something that can be completely eliminated. Mistakes always happen, regardless of care or attention paid; it seems like the focus should be to develop systems which can minimise their occurrence, minimise the severity of them if they do occur, and help to provide information that can reduce recurrence. I find the approach of things like rail and air accident investigations to be really useful. The goal for the investigation of any accident should not be about apportioning blame, but understanding why accidents happen and how their occurrence can be effectively reduced or eliminated.