Read on Twitter
I’ve read and re-read the report over the last two days. I’ve felt enormous sadness and shock that this still happens at a scale that is unimaginable. This report is about babies dead or permanently harmed. https://twitter.com/dockendenltd/status/1336990940473544705
Recently I saw comment that in healthcare we focus too much on individual professional behaviour and not enough on systems. I disagree. I don’t think we really focus on either. I work in a place that does, it’s never perfect but we constantly learn and improve
Regulation, design & SOP’s are evidence based processes that increase the likelihood of safer outcomes. Very few are “optional”. The same evidence base is used to identify professional indicators (observable behaviours) that are expected, trained and examined (by observation)
Over a two year period I’m observed and assessed for 30-40 hours over 9 days. I receive feedback on my competencies against a common evidenced based framework. If my practices are unsafe I can’t work until I’m retrained. It’s the same process until I retire.
Clinicians will say “but it’s more complex for us”. I agree. Which is even more reason for routine audit by observation of individual & unit practices. Not audit against some personal ideology, but evidenced based national indicators of safe, effective & compassionate practices
As friends have pointed out, why is it that patients have led the biggest changes in safer practice? We need Royal Colleges, professional bodies, policy makers, managers & clinicians shouting “this is not good enough, we must change.” The evidence is there.
