David Oliver: Accountability—individual blame versus a “just culture”
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چکیده
منابع مشابه
David Oliver: Who is to blame for older people's readmission?
In July Healthwatch England published Safely Home, a report describing the problems facing older people and their families when they leave hospital.Disturbing personal stories highlight poor coordination between services. Patients often feel stigmatised for problems they don’t control—for instance, viewing themselves as “bed blockers,” which is a dreadful term—and they are not always properly i...
متن کاملDavid Oliver: Delirium matters.
Being admitted unexpectedly to hospital is depersonalising and distressing. This is compounded for the one inpatient in eight who has delirium. Delirium affects 20-30% of over 65s during acute admission.We should domore to prevent delirium, ensure that we don’t miss it, to reverse it, explain it, and minimise its impact. Clinical staff need support to do this. Risk increases if you’re older and...
متن کاملDavid Oliver: Jeremy Hunt was wrong to blame the "irresponsible BMA" for his own mistakes.
On Sunday, Jeremy Hunt gave an unconvincing appearance on the BBC’s Andrew Marr Show. With a further strike by junior doctors planned forWednesday 10 February, the host doggedly questioned the health secretary. Marr challenged Hunt’s repeated claims that excess deaths associated with weekend admission were preventable and that medical understaffing was the clear cause. Even when confronted with...
متن کاملDavid Oliver: Good medical leaders.
I welcome the growing recognition of the importance of medical leadership for quality services for patients. Still, serial critics question medical leaders’ visibility, approaches, and independence. During the current contract dispute, for example, aggrieved junior doctors have castigated those in senior roles for being too timid or status conscious to risk speaking out. Senior medical leaders ...
متن کاملDavid Oliver: Older doctors revisited.
I’ve never had a response to a column quite like that to Keeping Older Doctors in the Job. As well as several public rapid responses, including an inspirational paean to rural general practice from Dr James Douglas, I received over 100 private emails. I calculate the median respondent’s age as 68. Others replied on Twitter to #olderdoctors. My respondents weren’t a scientifically constructed sa...
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ژورنال
عنوان ژورنال: BMJ
سال: 2018
ISSN: 0959-8138,1756-1833
DOI: 10.1136/bmj.k1802