Recent incidents have highlighted serious failures in standards of care, particularly where clinical mistakes have been made and subsequently covered up. Through the medium of a short case study, this article illustrates how the patterns of behaviour that lead to such failures and cover-ups may have their roots in the early stages of medical education.
We argue that a more effective system of education and support for medical students and junior doctors will engender a culture in which mistakes can be admitted and rectified immediately. This will enable incidents to be used actively as learning experiences, shaping good clinical practice for the future.
The emerging documentation from the GMC and others indicates a commitment to planning and monitoring of educational activity, within the context of clinical goverance.
accident waiting to happen
We hope that this will lead to an educational environment in which the quality of both training and service delivery may be assured. According to investigators, an engine from a wheel truck was adapted and installed in the boat, which posed a risk. The water pump was also found to be smaller than the standard requirement. Police also accused Lazy Cat Travel of using substandard safety equipment.
Their life vests were not certified by the Thai Industrial Standards Institute and their place of manufacture was falsely claimed. The accident has prompted Prime Minister Prayut Chan-o-cha to order an overhaul of safety measures. Better boat operations and emergency responses are needed, authorities said. A tourist database must be set up to keep track of tourists taking diving trips and surveillance cameras must be installed at ports, Phuket governor Noraphat Plodthong said. He also planned to set up an emergency response and coordination centre to deal with possible mishaps in the future.
These measures are promising. Yet it is also important to step up crackdowns on nominees working for foreign interests, Pol Maj Gen Surachate said, believing this is a key reason behind lax safety standards. He is worried many foreign businessmen may only want to "make profits without a thought on safety issues.
The July 5 tragedy has already dealt a blow to tourism after nervous Chinese tourists cancelled bookings for 7, rooms in 19 hotels in Phuket, causing a loss of over seven million baht, according to Kongkiat Khuphongsakorn, president of a southern hotel association. Tour operators expect arrivals from China will drop further during the coming Golden Week period, starting on Oct 1, the National Day of the People's Republic of China, and running until Oct 7. Millions of Chinese people are likely to travel abroad during the long holidays and Thailand is usually among their favourite destinations.
The motorized tricycle: an accident waiting to happen.
The Tourism and Sports Ministry had expected more than 10 million Chinese tourists would visit Thailand this year, up from 9. It is evident Thailand's tourism is suffering from the impact of the accident, at least in a short run.
- an accident waiting to happen.
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However, in the view of a local tour guide, the country may not earn as much as it hopes from tourism even if there are no sea accidents. The guide, who complained about unlicensed Chinese tour guides hired by many companies, said it is Chinese businessmen, with their Thai nominees, who stand to get the most benefit, and because they operate in the shadows aren't too fussed about the law.
Chinese entrepreneurs are the real owners of the types of companies which sell "complete tourism services" with boat and bus tours, hotels, restaurants and shopping, he said. Get full Bangkok Post printed newspaper experience on your digital devices with Bangkok Post e-newspaper. Try it out, it's totally free for 7 days.
An accident waiting to happen - Idioms by The Free Dictionary
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