Discover and read the best of Twitter Threads about #bawagarba

Most recents (4)

đź’ĄDoctorsđź’Ą This GMC advice may be v relevant to you this winter:

Juniors, no matter how worried you feel, *please* document & escalate your concerns.

Seniors, please support & back your juniors in doing so.

CEOs, please lead from the top on this.

#BawaGarba #WinterCrisis
“Escalating & documenting concerns” - @gmcuk advice for dealing with unsafe, understaffed, crisis conditions - applies to CEOs as much as FY1s. If medicine’s leaders do not speak out - loud & clear - on impossibly overstretched conditions - what message does that send juniors?
Politicians may seek to bury bad headlines. But we in the NHS - doctors, nurses, managers, CEOs, medical directors - are there for our patients. Speaking out *has* to come from the top down. Really leadership means setting an example to frontline staff. Public candour. Please.
Read 4 tweets
#BawaGarba myths. 4c Swiss cheese and system failings.
#BawaGarba myths. 5. Honesty.
#BawaGarba myths. 6. There was no available consultant that day.
Read 27 tweets
The #ICRE2018 debate on the #BawaGarba case tightly links issues of #MedEd and #ptsafety — in the first 10 mins, have already heard about just culture, safe supervision, learning from mistakes, diagnostic uncertainty, systems failures & 2nd victim
Here are some more #MedEd #ptsafety topics being discussed at #ICRE2018 plenary:

Speaking up
Teamwork vs teaming
Handoffs
Fatigue and its impact on clinical performance
Psychological safety
Empirical data on patient safety incidents that involve residents:

Lack of supervision (~50%) and handoff problems (~20%) among the most common contributors to serious safety problems

Landmark article from 2007:
jamanetwork.com/journals/jamai…

#ICRE2018
Read 16 tweets
Well done Dr MJ Banard for getting this published.

It's a shame something like this wasn't said or written by medical leaders in 2015 or 16 or 17 or in Nottingham Crown Court.
#BawaGarba #LearnNotBlame Image
The jury found the performance as a doctor of Dr #bawagarba "truly exceptionally bad" so she was convicted of manslaughter.

Would you trust a group of lay people to decide whether a doctor was truly exceptionally good?

Or to act as examiners at medical school or for MRCP? Image
2015 was not a good year for medical leaders
What an incredible thing to spend 3 years arguing at a cost of over ÂŁ150k to the taxpayer, weeks after the Francis report into Mid Staffs.
@Dr_PhilippaW @WhistleUK
Visit @CrowdJustice if you want to know more
crowdjustice.com/case/we-won-wh… Image
Read 3 tweets

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