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It goes to Stuart as the chair, but it also goes to Zenith who effectively is the, for one of a better word, the clinical expert on the board. So they've got it. They're per se okay with it. However, Zenith's final comment was... So he says noted with thanks, Mike. I look forward to seeing the final findings and recommendations from the physio and OT review. No. No. No. Tomorrow is absolutely fine. But I guess, Dianna, it would be helpful both from my point of view and maybe their point of view because they won't... They don't have access to company manager and all the rest of it. It would be useful to say what we've changed in it. Because Zenith is gonna go... What what you've said here, everything looks normal and okay, but it still happens. So a bit like I've said, it's like, what are we gonna do to make sure it's done that one again? What was the error? Do you want to pop over? Alright. No no dramas. Alright. All good. No. Yeah. Sure. Yeah. Good. So just to add to Diane, obviously, from what I can see so far and what I've been told so far on this incident, this thing was correct. The hoist was correct. It was used correctly. There's an unknown as to how it's happened. And yet we obviously need to make sure that going forward, it doesn't happen again. So what are we changing to make sure it doesn't happen again? Mhmm. May May last year. Okay. And then he was reviewed in April 26. Yep. Yep. Had it fell off? And is the leg clip not a front clip? Yeah. Sort of. Difficult for me to imagine sat at my desk, but, yeah, go on. Yep. Okay. And are we sure that a leg clip was detached? Stop. Alright. Okay. All good. Thank you for that. My... When you obviously gonna write your... Some findings up in his in his progress notes. But there are some findings there that probably shouldn't go on the progress notes because they're not conclusive. They are subjective around what may or may not have happened. But I could do with those in a separate statement. Yep. So... Yeah. Okay. But someone has to come up with something as to why it may have happened. And I'm happy for that to be you or Hass or Diane or none of you or some of you, but we can't just say we don't know because it has happened. And so at the very least, we need to work in hypothesis around this is what we think could have happened. Yeah. Yeah. Yes. Well, it's not... It's not gonna go it's not gonna go on eye it's not gonna go on eye care. And I'm... I don't I don't I don't... I specifically don't want that in eye care. But in something that I need, because I need to provide some explanation as to how it might have happened, then someone's gonna have to write to me, give me that information. And, you know, at the end of the day, no one's trying to do this, so no one is in trouble, and we really don't know what's happened. We're making some guesswork here. And, obviously, yeah. Absolutely. And it obviously did happen. And the first thing that the person... The people involved did is go, oh my god, and get help. So that... That's fine. There's no issue with any of that. But when I'm ask... When I'm answering the question of the board, that's what have you done to make sure it won't happen again? Hand on heart, I can't answer that because we don't know what happened. And so all I can do is give them someone on the pie... Hypothesis this has happened, and therefore, we will probably do that, which will be some extra training. Or maybe what we do is that someone clicks the the the safety clips from the sling onto the hoist, and then the second person, this is obviously a person there, checks it. Something like that. I don't I don't know, Kiara, how we'll do it. But... Yes. Yeah. So happy for happy for Diane to put that together. But, obviously, she... She's gonna have to look to you for some guidance because you're the person who you and Hassan done the assessment. But that's all we have at the moment. No. No. Yeah. What what... What's the what's the thing when you've ruled out the the possible and got rid of the improbable? What's left no matter how improbable must be the truth or something like that? Is that alright? Cool. But in this, there's no one gonna get into trouble because it's it's it's not that way. We're just about making sure that we don't potentially have another incident with Bevan or anyone else that we can avoid it. Yeah. Cool. Alrighty. Thanks for that. 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Just wanna give you a bit of an update. I've sent the SIRS one off through to the board. It goes to Stuart as the chair, but it also goes to Zenith who effectively is the, for one of a better word, the clinical expert on the board. So they've got it.\n\nThey're per se okay with it. However, Zenith's final comment was... So he says noted with thanks, Mike. I look forward to seeing the final findings and recommendations from the physio and OT review. No.\n\nNo. No. Tomorrow is absolutely fine. But I guess, Dianna, it would be helpful both from my point of view and maybe their point of view because they won't... They don't have access to company manager and all the rest of it.\n\nIt would be useful to say what we've changed in it. Because Zenith is gonna go... What what you've said here, everything looks normal and okay, but it still happens. So a bit like I've said, it's like, what are we gonna do to make sure it's done that one again? What was the error?\n\nDo you want to pop over? Alright. No no dramas. Alright. All good.\n\nNo. Yeah. Sure. Yeah. Good.\n\nSo just to add to Diane, obviously, from what I can see so far and what I've been told so far on this incident, this thing was correct. The hoist was correct. It was used correctly. There's an unknown as to how it's happened. And yet we obviously need to make sure that going forward, it doesn't happen again.\n\nSo what are we changing to make sure it doesn't happen again? Mhmm. May May last year. Okay. And then he was reviewed in April 26.\n\nYep. Yep. Had it fell off? And is the leg clip not a front clip? Yeah.\n\nSort of. Difficult for me to imagine sat at my desk, but, yeah, go on. Yep. Okay. And are we sure that a leg clip was detached?\n\nStop. Alright. Okay. All good. Thank you for that.\n\nMy... When you obviously gonna write your... Some findings up in his in his progress notes. But there are some findings there that probably shouldn't go on the progress notes because they're not conclusive. They are subjective around what may or may not have happened.\n\nBut I could do with those in a separate statement. Yep. So... Yeah. Okay.\n\nBut someone has to come up with something as to why it may have happened. And I'm happy for that to be you or Hass or Diane or none of you or some of you, but we can't just say we don't know because it has happened. And so at the very least, we need to work in hypothesis around this is what we think could have happened. Yeah. Yeah.\n\nYes. Well, it's not... It's not gonna go it's not gonna go on eye it's not gonna go on eye care. And I'm... I don't I don't I don't...\n\nI specifically don't want that in eye care. But in something that I need, because I need to provide some explanation as to how it might have happened, then someone's gonna have to write to me, give me that information. And, you know, at the end of the day, no one's trying to do this, so no one is in trouble, and we really don't know what's happened. We're making some guesswork here. And, obviously, yeah.\n\nAbsolutely. And it obviously did happen. And the first thing that the person... The people involved did is go, oh my god, and get help. So that...\n\nThat's fine. There's no issue with any of that. But when I'm ask... When I'm answering the question of the board, that's what have you done to make sure it won't happen again? Hand on heart, I can't answer that because we don't know what happened.\n\nAnd so all I can do is give them someone on the pie... Hypothesis this has happened, and therefore, we will probably do that, which will be some extra training. Or maybe what we do is that someone clicks the the the safety clips from the sling onto the hoist, and then the second person, this is obviously a person there, checks it. Something like that. I don't I don't know, Kiara, how we'll do it.\n\nBut... Yes. Yeah. So happy for happy for Diane to put that together. But, obviously, she...\n\nShe's gonna have to look to you for some guidance because you're the person who you and Hassan done the assessment. But that's all we have at the moment. No. No. Yeah.\n\nWhat what... What's the what's the thing when you've ruled out the the possible and got rid of the improbable? What's left no matter how improbable must be the truth or something like that? Is that alright? Cool.\n\nBut in this, there's no one gonna get into trouble because it's it's it's not that way. We're just about making sure that we don't potentially have another incident with Bevan or anyone else that we can avoid it. Yeah. Cool. Alrighty.\n\nThanks for that. Bye.","paragraphs":[{"sentences":[{"text":"Hello?","start":1.76,"end":2.26,"sentiment":"neutral","sentiment_score":0.019937556236982346},{"text":"Just wanna give you a bit of an update.","start":3.76,"end":5.2,"sentiment":"neutral","sentiment_score":0.12277138233184814},{"text":"I've sent the SIRS one off through to the board.","start":5.2,"end":8.18,"sentiment":"neutral","sentiment_score":0.10176551192998887},{"text":"It goes to Stuart as the chair, but it also goes to Zenith who effectively is the, for one of a better word, the clinical expert on the board.","start":8.48,"end":20.205,"sentiment":"neutral","sentiment_score":0.1495865498637331},{"text":"So they've got it.","start":20.205,"end":21.805,"sentiment":"neutral","sentiment_score":0.2749120369553566}],"sentiment":"neutral","sentiment_score":0.1430225134036451,"num_words":53,"start":1.76,"end":21.805},{"sentences":[{"text":"They're per se okay with 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review.","start":29.38,"end":35.16,"sentiment":"positive","sentiment_score":0.6338346488773823},{"text":"No.","start":45.074997,"end":45.395,"sentiment":"neutral","sentiment_score":-0.062714584171772}],"sentiment":"positive","sentiment_score":0.48098845151918274,"num_words":35,"start":21.805,"end":45.395},{"sentences":[{"text":"No.","start":45.395,"end":45.635,"sentiment":"neutral","sentiment_score":-0.06702856719493866},{"text":"No.","start":45.635,"end":45.795,"sentiment":"neutral","sentiment_score":-0.09042196720838548},{"text":"Tomorrow is absolutely fine.","start":45.795,"end":47.315,"sentiment":"neutral","sentiment_score":-0.04152841307222843},{"text":"But I guess, Dianna, it would be helpful both from my point of view and maybe their point of view because they won't...","start":47.315,"end":53.475,"sentiment":"neutral","sentiment_score":0.0050595221312149715},{"text":"They don't have access to company manager and all the rest of 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error?","start":91.880005,"end":93.020004,"sentiment":"neutral","sentiment_score":-0.18311932124197483}],"sentiment":"neutral","sentiment_score":-0.10139437178996476,"num_words":55,"start":56.300003,"end":93.020004},{"sentences":[{"text":"Do you want to pop over?","start":100.505,"end":101.645,"sentiment":"neutral","sentiment_score":-0.0684117041528225},{"text":"Alright.","start":108.265,"end":108.665,"sentiment":"neutral","sentiment_score":0.0007760948501527309},{"text":"No no dramas.","start":108.665,"end":109.625,"sentiment":"neutral","sentiment_score":-0.1842174008488655},{"text":"Alright.","start":109.625,"end":109.865,"sentiment":"neutral","sentiment_score":0.1013055071234703},{"text":"All good.","start":109.865,"end":110.525,"sentiment":"positive","sentiment_score":0.34067457914352417}],"sentiment":"neutral","sentiment_score":-0.013822435938681547,"num_words":13,"start":100.505,"end":110.525},{"sentences":[{"text":"No.","start":125.235,"end":125.475,"sentiment":"neutral","sentiment_score":-0.038346968591213226},{"text":"Yeah.","start":125.475,"end":125.715,"sentiment":"neutral","sentiment_score":0.007954327389597893},{"text":"Sure.","start":125.715,"end":126.215,"sentiment":"neutral","sentiment_score":0.02676459774374962},{"text":"Yeah.","start":135.475,"end":135.795,"sentiment":"neutral","sentiment_score":0.23496009409427643},{"text":"Good.","start":135.795,"end":136.115,"sentiment":"positive","sentiment_score":0.3875020146369934}],"sentiment":"neutral","sentiment_score":0.12376681305468082,"num_words":5,"start":125.235,"end":136.115},{"sentences":[{"text":"So just to add to Diane, obviously, from what I can see so far and what I've been told so far on this incident, this thing was correct.","start":136.115,"end":144.97,"sentiment":"neutral","sentiment_score":0.1505574110363211},{"text":"The hoist was correct.","start":144.97,"end":145.93,"sentiment":"neutral","sentiment_score":0.10640482045710087},{"text":"It was used correctly.","start":145.93,"end":147.06999,"sentiment":"neutral","sentiment_score":0.08352210745215416},{"text":"There's an unknown as to how it's happened.","start":147.37,"end":149.39,"sentiment":"neutral","sentiment_score":-0.2030221950262785},{"text":"And yet we obviously need to make sure that going forward, it doesn't happen again.","start":149.93,"end":153.575,"sentiment":"neutral","sentiment_score":-0.2531991541385651}],"sentiment":"neutral","sentiment_score":-0.007573722909062596,"num_words":59,"start":136.115,"end":153.575},{"sentences":[{"text":"So what are we changing to make sure it doesn't happen again?","start":153.575,"end":156.075,"sentiment":"neutral","sentiment_score":-0.2337853449086348},{"text":"Mhmm.","start":175.31999,"end":175.81999,"sentiment":"neutral","sentiment_score":0.04755726456642151},{"text":"May May last year.","start":183.075,"end":186.295,"sentiment":"neutral","sentiment_score":0.0434899777173996},{"text":"Okay.","start":187.315,"end":187.815,"sentiment":"neutral","sentiment_score":0.06475608795881271},{"text":"And then he was reviewed in April 26.","start":188.195,"end":191.175,"sentiment":"neutral","sentiment_score":0.03661331825423986}],"sentiment":"neutral","sentiment_score":-0.08562478190287948,"num_words":26,"start":153.575,"end":191.175},{"sentences":[{"text":"Yep.","start":192.35501,"end":192.85501,"sentiment":"neutral","sentiment_score":0.11019624769687653},{"text":"Yep.","start":197.21,"end":197.71,"sentiment":"neutral","sentiment_score":0.08877449482679367},{"text":"Had it fell off?","start":246.705,"end":247.845,"sentiment":"negative","sentiment_score":-0.33355795592069626},{"text":"And is the leg clip not a front clip?","start":265.015,"end":267.755,"sentiment":"neutral","sentiment_score":-0.13383249193429947},{"text":"Yeah.","start":344.32,"end":344.64,"sentiment":"neutral","sentiment_score":-0.22099578380584717}],"sentiment":"neutral","sentiment_score":-0.16004683077335358,"num_words":16,"start":192.35501,"end":344.64},{"sentences":[{"text":"Sort of.","start":344.64,"end":345.36,"sentiment":"negative","sentiment_score":-0.3582971692085266},{"text":"Difficult for me to imagine sat at my desk, but, yeah, go on.","start":345.36,"end":348.34,"sentiment":"negative","sentiment_score":-0.4957042909585513},{"text":"Yep.","start":369.52002,"end":370.02002,"sentiment":"neutral","sentiment_score":-0.10393910109996796},{"text":"Okay.","start":380.215,"end":380.69498,"sentiment":"neutral","sentiment_score":-0.04621680825948715},{"text":"And are we sure that a leg clip was detached?","start":380.69498,"end":384.235,"sentiment":"neutral","sentiment_score":-0.05653098709881306}],"sentiment":"neutral","sentiment_score":-0.2917117000454002,"num_words":27,"start":344.64,"end":384.235},{"sentences":[{"text":"Stop.","start":408.305,"end":408.805,"sentiment":"neutral","sentiment_score":-0.07749438285827637},{"text":"Alright.","start":452.72998,"end":453.22998,"sentiment":"neutral","sentiment_score":0.2912352383136749},{"text":"Okay.","start":453.69,"end":454.19,"sentiment":"positive","sentiment_score":0.3572201728820801},{"text":"All good.","start":454.25,"end":454.99,"sentiment":"positive","sentiment_score":0.611974686384201},{"text":"Thank you for that.","start":455.05,"end":456.09,"sentiment":"positive","sentiment_score":0.7639081478118896}],"sentiment":"positive","sentiment_score":0.5389492213726044,"num_words":9,"start":408.305,"end":456.09},{"sentences":[{"text":"My...","start":456.09,"end":456.59,"sentiment":"neutral","sentiment_score":0.19504857063293457},{"text":"When you obviously gonna write your...","start":457.44998,"end":459.87,"sentiment":"neutral","sentiment_score":0.009170991368591785},{"text":"Some findings up in his in his progress notes.","start":460.00998,"end":464.085,"sentiment":"neutral","sentiment_score":-0.07111262881921397},{"text":"But there are some findings there that probably shouldn't go on the progress notes because they're not conclusive.","start":464.145,"end":470.725,"sentiment":"neutral","sentiment_score":-0.2389238046275245},{"text":"They are subjective around what may or may not have happened.","start":470.865,"end":474.485,"sentiment":"neutral","sentiment_score":-0.25113630159334704}],"sentiment":"neutral","sentiment_score":-0.1656237098077933,"num_words":45,"start":456.09,"end":474.485},{"sentences":[{"text":"But I could do with those in a separate statement.","start":475.5,"end":478.0,"sentiment":"neutral","sentiment_score":-0.11971571817994117},{"text":"Yep.","start":487.695,"end":488.195,"sentiment":"neutral","sentiment_score":0.02747822180390358},{"text":"So...","start":507.21,"end":507.71,"sentiment":"neutral","sentiment_score":-0.23003947734832764},{"text":"Yeah.","start":517.455,"end":517.775,"sentiment":"neutral","sentiment_score":-0.13078901171684265},{"text":"Okay.","start":517.775,"end":518.255,"sentiment":"neutral","sentiment_score":-0.1340501308441162}],"sentiment":"neutral","sentiment_score":-0.11889696999319962,"num_words":14,"start":475.5,"end":518.255},{"sentences":[{"text":"But someone has to come up with something as to why it may have happened.","start":518.255,"end":522.59503,"sentiment":"negative","sentiment_score":-0.34355955322583515},{"text":"And I'm happy for that to be you or Hass or Diane or none of you or some of you, but we can't just say we don't know because it has happened.","start":523.615,"end":534.72,"sentiment":"neutral","sentiment_score":0.1544798370450735},{"text":"And so at the very least, we need to work in hypothesis around this is what we think could have happened.","start":534.77997,"end":540.0,"sentiment":"neutral","sentiment_score":-0.12577051172653833},{"text":"Yeah.","start":556.84503,"end":557.16504,"sentiment":"neutral","sentiment_score":-0.006215767934918404},{"text":"Yeah.","start":557.16504,"end":557.66504,"sentiment":"neutral","sentiment_score":-0.011993801221251488}],"sentiment":"neutral","sentiment_score":-0.040991840405123575,"num_words":70,"start":518.255,"end":557.66504},{"sentences":[{"text":"Yes.","start":574.385,"end":574.885,"sentiment":"neutral","sentiment_score":0.05930308997631073},{"text":"Well, it's not...","start":580.065,"end":580.54504,"sentiment":"neutral","sentiment_score":-0.12502564986546835},{"text":"It's not gonna go it's not gonna go on eye it's not gonna go on eye care.","start":580.54504,"end":583.92505,"sentiment":"neutral","sentiment_score":-0.23487944725681753},{"text":"And I'm...","start":584.45996,"end":584.94,"sentiment":"neutral","sentiment_score":-0.19506292045116425},{"text":"I don't I don't I don't...","start":584.94,"end":585.98,"sentiment":"neutral","sentiment_score":-0.29172160228093463}],"sentiment":"neutral","sentiment_score":-0.22238551439910098,"num_words":29,"start":574.385,"end":585.98},{"sentences":[{"text":"I specifically don't want that in eye care.","start":585.98,"end":588.39996,"sentiment":"negative","sentiment_score":-0.37733031809329987},{"text":"But in something that I need, because I need to provide some explanation as to how it might have happened, then someone's gonna have to write to me, give me that information.","start":589.74,"end":600.765,"sentiment":"neutral","sentiment_score":-0.13229713635519147},{"text":"And, you know, at the end of the day, no one's trying to do this, so no one is in trouble, and we really don't know what's happened.","start":601.945,"end":608.105,"sentiment":"negative","sentiment_score":-0.36929345689713955},{"text":"We're making some guesswork here.","start":608.105,"end":610.045,"sentiment":"negative","sentiment_score":-0.40612261891365053},{"text":"And, obviously, yeah.","start":610.825,"end":612.28,"sentiment":"neutral","sentiment_score":-0.034081184615691505}],"sentiment":"neutral","sentiment_score":-0.25954242565326,"num_words":76,"start":585.98,"end":612.28},{"sentences":[{"text":"Absolutely.","start":612.28,"end":612.78,"sentiment":"neutral","sentiment_score":0.22463789582252505},{"text":"And it obviously did happen.","start":612.84,"end":613.96,"sentiment":"neutral","sentiment_score":0.12057835757732391},{"text":"And the first thing that the person...","start":613.96,"end":615.5,"sentiment":"neutral","sentiment_score":0.002118706703186035},{"text":"The people involved did is go, oh my god, and get help.","start":615.64,"end":618.44,"sentiment":"neutral","sentiment_score":-0.03811155756314596},{"text":"So that...","start":618.44,"end":619.0,"sentiment":"neutral","sentiment_score":0.026585249230265617}],"sentiment":"neutral","sentiment_score":0.016229349567934318,"num_words":27,"start":612.28,"end":619.0},{"sentences":[{"text":"That's fine.","start":619.0,"end":619.56,"sentiment":"positive","sentiment_score":0.4412121921777725},{"text":"There's no issue with any of that.","start":619.56,"end":621.1,"sentiment":"neutral","sentiment_score":0.3084618257624762},{"text":"But when I'm ask...","start":622.12,"end":623.24,"sentiment":"neutral","sentiment_score":0.003775461576879024},{"text":"When I'm answering the question of the board, that's what have you done to make sure it won't happen again?","start":623.24,"end":630.045,"sentiment":"neutral","sentiment_score":-0.10679335556924344},{"text":"Hand on heart, I can't answer that because we don't know what happened.","start":630.045,"end":633.90497,"sentiment":"neutral","sentiment_score":-0.295865821150633}],"sentiment":"neutral","sentiment_score":-0.0635948646813631,"num_words":46,"start":619.0,"end":633.90497},{"sentences":[{"text":"And so all I can do is give them someone on the pie...","start":634.125,"end":636.445,"sentiment":"neutral","sentiment_score":-0.03334711112368565},{"text":"Hypothesis this has happened, and therefore, we will probably do that, which will be some extra training.","start":636.445,"end":641.99,"sentiment":"neutral","sentiment_score":-0.09011255577206612},{"text":"Or maybe what we do is that someone clicks the the the safety clips from the sling onto the hoist, and then the second person, this is obviously a person there, checks it.","start":642.29,"end":654.07,"sentiment":"neutral","sentiment_score":-0.04316193322566422},{"text":"Something like that.","start":654.155,"end":655.03503,"sentiment":"neutral","sentiment_score":-0.1404177894194921},{"text":"I don't I don't know, Kiara, how we'll do it.","start":655.03503,"end":657.91504,"sentiment":"neutral","sentiment_score":-0.11516902036964893}],"sentiment":"neutral","sentiment_score":-0.06529885869914372,"num_words":76,"start":634.125,"end":657.91504},{"sentences":[{"text":"But...","start":657.91504,"end":658.41504,"sentiment":"neutral","sentiment_score":-0.03880902007222176},{"text":"Yes.","start":660.155,"end":660.655,"sentiment":"neutral","sentiment_score":-0.028225373476743695},{"text":"Yeah.","start":663.91504,"end":664.41504,"sentiment":"neutral","sentiment_score":-0.027748936787247654},{"text":"So happy for happy for Diane to put that together.","start":664.47504,"end":668.41504,"sentiment":"positive","sentiment_score":0.36343894321471454},{"text":"But, obviously, she...","start":669.03503,"end":670.05,"sentiment":"neutral","sentiment_score":0.02051153313368559}],"sentiment":"neutral","sentiment_score":0.2250712938257493,"num_words":16,"start":657.91504,"end":670.05},{"sentences":[{"text":"She's gonna have to look to you for some guidance because you're the person who you and Hassan done the assessment.","start":670.05,"end":676.14996,"sentiment":"neutral","sentiment_score":-0.008052248552086808},{"text":"But that's all we have at the moment.","start":686.765,"end":688.465,"sentiment":"neutral","sentiment_score":-0.2551745753735304},{"text":"No.","start":689.085,"end":689.585,"sentiment":"neutral","sentiment_score":-0.28133296966552734},{"text":"No.","start":689.725,"end":690.225,"sentiment":"neutral","sentiment_score":-0.28963011503219604},{"text":"Yeah.","start":699.25,"end":699.49,"sentiment":"neutral","sentiment_score":-0.1163758710026741}],"sentiment":"neutral","sentiment_score":-0.09055727432132699,"num_words":32,"start":670.05,"end":699.49},{"sentences":[{"text":"What what...","start":699.49,"end":700.13,"sentiment":"neutral","sentiment_score":-0.10234876349568367},{"text":"What's the what's the thing when you've ruled out the the possible and got rid of the improbable?","start":700.13,"end":705.35,"sentiment":"neutral","sentiment_score":-0.18175475671887398},{"text":"What's left no matter how improbable must be the truth or something like that?","start":705.41,"end":709.11,"sentiment":"neutral","sentiment_score":-0.2135184875556401},{"text":"Is that alright?","start":714.215,"end":714.955,"sentiment":"neutral","sentiment_score":0.047623967130978904},{"text":"Cool.","start":720.215,"end":720.695,"sentiment":"neutral","sentiment_score":0.30213379859924316}],"sentiment":"neutral","sentiment_score":-0.15843516509783895,"num_words":38,"start":699.49,"end":720.695},{"sentences":[{"text":"But in this, there's no one gonna get into trouble because it's it's it's not that way.","start":720.695,"end":724.615,"sentiment":"neutral","sentiment_score":-0.24368683402152622},{"text":"We're just about making sure that we don't potentially have another incident with Bevan or anyone else that we can avoid it.","start":724.615,"end":730.25995,"sentiment":"neutral","sentiment_score":-0.17845456234433435},{"text":"Yeah.","start":731.68,"end":732.16,"sentiment":"neutral","sentiment_score":0.27626895904541016},{"text":"Cool.","start":732.16,"end":732.66,"sentiment":"positive","sentiment_score":0.46469810605049133},{"text":"Alrighty.","start":732.8,"end":733.27997,"sentiment":"positive","sentiment_score":0.3682326674461365}],"sentiment":"neutral","sentiment_score":-0.16570182898569674,"num_words":42,"start":720.695,"end":733.27997},{"sentences":[{"text":"Thanks for that.","start":733.27997,"end":734.25995,"sentiment":"positive","sentiment_score":0.7670077482859293},{"text":"Bye.","start":735.04,"end":735.54,"sentiment":"neutral","sentiment_score":-0.08753109723329544}],"sentiment":"positive","sentiment_score":0.5533730369061232,"num_words":4,"start":733.27997,"end":735.54}]}}]},{"alternatives":[{"transcript":"Hello? Hello? Yes. Yes. Yep. Yep. Mhmm. Yes. Yep. Perfect. So when... They're gonna document that now. So when I get that through, I'll probably... Is it okay to send it tomorrow? Do you want it now? Yes. Yep. Yes. Yes. Yep. Yeah. They believe... I'm just telling you now, they believe it's human error because I don't know how that could've... How that's possible. They've actually assessed him in the sling. And... Because when we did it before, we did it with Hass, but, obviously, he's got that control. So they've... Yeah. They believe it's human. It's the error for the staff, but it's nowhere to... The... I've got Kiara here with me. You're right? Do you wanna...... Of lower. We're just kind of in the clinical huddle at the same time. I'm just at my desk. But but, basically, it's we don't... Where we think our... What would you say... Yeah. What would you say is... I'm happy to talk to you. Oh, do you wanna speak to Kiara if she's here? Yeah? Yeah. Yeah. Do you have her to come around? Yes. Hey, Mark. How are you? Yes. So we have been in there. We tried this... The equipment to make sure it wasn't the equipment. We looked back at the data of when he was first prescribed the sling, which is back. Jade and I assessed him back in May, and he was provided a sling then, which is a size small, which is, according to measurements, is the correct sling size. I reviewed him in April. The the the sling and the transfer is being completed regularly since May last year. And on review in April, it was no different. There was no concern. May in twenty twenty five. Yes. So I reviewed him in April. '6. Yep. And with the same sling, the same hoist, and there was no concerns. So we, today, tried him... Because we were expecting, based on what we were told, that he was rigid, pushing back, you know, legs might have been extended. So we tried a medium sling because we'd already tried the small sling, re re re... Created the transfer. No problems. Tried the medium sling to see if that would make any difference, but he actually was very comfortable, set upright. We used the same clips, you know, the red red and green for an upright sitting position, lifted him up, moved him over, popped him back into the chair, and there was no rigidity. There was no stiffness that we could... That we were expecting to see that would cause a backwards fall out of a sling. So I'm I'm a bit I don't quite understand how one one of the attachments has fallen off and how he felt felt posterior out of it. Well, according to the report, the leg sling fell off, which in my mind with the with the safety clips is almost impossible unless it wasn't actually clipped the whole way over because it would have to get up and over and out of safety clip before it would come off. So that was one of the leg clips apparently came off on the left side. No. On a leg... That's what... That's why we quite don't understand how we went backwards if it was a... He would have come forwards onto the floor if it was through a leg clip. So I... In my opinion, it sounds like human error because I don't know how the machine would allow that unless the the actual harness wasn't pushed all the way into the clip for that to come out. But then I don't know how he come backwards instead of forwards. So if he was too far down the sling and if the leg clip wasn't put in place, then his his, you know, moment... He's half a upper body heavy person that would possibly have tilted it because of the inequality. He could have come back out through, you know, backwards. If you lose a leg clip and he's more heavy at the top end because they pulled the sling too far down under his bottom or something like that, he could have tipped backwards. That's the only rational thing that I think could possibly have happened if they hadn't clipped that clipped him properly and the leg clip fell off. He was... The sling was pulled pulled too far down his body, and that release of that leg clip would have just become a bit like a pendulous swing, and he would have slipped backwards. So what we've done today, is that make... I don't know. Does that make sense how I'm describing that? Well, if you've got four points that are supporting you and you take away one point, you're gonna get a bit of an uneven pull. So if you got an uneven pull and his upper body heavy because his sling's being pulled too far down underneath his bottom, so if it was below his shoulders where the sling was sitting and you take away the support because they're all gathered at one point. Right? So if you take away the support of the leg and it was it was... The swing was too far down, the weight and the momentum would have swung in backwards, which is how he could have come out the top end. Yes. It it was definitely retouched, wasn't it? That's what it was reported for, like So it fell off, but we don't... I... They said it was after he fell. They noticed that the fork had come off, so they reckon it was attached. What it fell?... Fell. And it come off after? Yes. How does that happen? I don't know. Because he would have been on the floor and that was...... Statement problem. Yeah. Okay. I've... Look. That's what we reported. But in in the... What we've done today is gone and replicated both situations, and we've... To avoid the possibility that the sling gets pulled too far down, even though a small sling does suit his weight and height and and all of that, we've given him a medium sling, which he also fits into, which comes a little bit further up above the shoulders. He sits comfortably in that, and there was no posterior arching or extension to indicate he would go backwards in it. So all we could really do is provide a medium sized sling instead of a small sling, which is slightly bit bigger. And, you know, to try and eliminate human error in the future would be what I would suggest. Yep. So I'm only... I'm I'm... From a physio point of view, I'm gonna review... I got given this referral and I'm gonna go in and say I did this and this. And based on this, he would suit a smaller or medium. To provide extra support, we're gonna provide a medium. But I'm just... I purely was talking to you about my clinical reasoning and my rationale of how this could have happened. But I wasn't part of the incident, so I don't really feel confident commenting on assumptions in terms of what the incident... How the incident could have happened because I'd... I've... I'm only getting secondhand information, and they just asked me to come and review to make sure that the transfer was correct. But is that in my... Is that... So I'm... I am pushing back a little bit on this because I feel that I've put in a situation where it's not really my, like, I've I've been asked to do a review, and I've done a mobility review, and I followed through. And my review my review is there for April, and I've done it today, but I don't I don't wanna get someone in trouble when I don't... I didn't get the the first 10 report from these people. I don't even know who the carers are, and I'm... I just got a referral to say, can you come and review, Bevan? So I don't wanna... I'm just saying to you, this could have happened if this came off, and I'm happy to to, like, verbally consult that with you, but I don't think I I would qualify putting it in a... Yeah. Okay. Yeah. Yep. K. Yep. Yeah. The old hypothesis. Yes. Yes. Yep. Yeah. And that would be... Yeah. That would be the hypothesis that it was because of manual handling. So... But that's all... Yeah. I look in your... Yeah. Yes. Yeah. Yep. Yeah. Yeah. And I just... Yeah. I just feel a bit cautious. I feel a bit... I'm cautious about putting that in writing because it is a hypothesis, and it's... I haven't... It's it's not a study I've read to say that's gonna happen. It's just I can only go based off what I've what I've assessed in the past, what I've assessed today, and, you know, the in between is is verbal reports that I've got from two different people. So... Yeah. Yeah. I don't know. I'm a bit of a black box person, but... Yeah. Okay. That's fine. I'll I'll... Yeah. That's fine. I'll liaise with Diane and and see what she comes up with. Alright. Oh, a 100%. Yep. Alright. No worries. Thank you. 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Hello? Yes. Yes. Yep.\n\nYep. Mhmm. Yes. Yep. Perfect.\n\nSo when... They're gonna document that now. So when I get that through, I'll probably... Is it okay to send it tomorrow? Do you want it now?\n\nYes. Yep. Yes. Yes. Yep.\n\nYeah. They believe... I'm just telling you now, they believe it's human error because I don't know how that could've... How that's possible. They've actually assessed him in the sling.\n\nAnd... Because when we did it before, we did it with Hass, but, obviously, he's got that control. So they've... Yeah. They believe it's human.\n\nIt's the error for the staff, but it's nowhere to... The... I've got Kiara here with me. You're right? Do you wanna......\n\nOf lower. We're just kind of in the clinical huddle at the same time. I'm just at my desk. But but, basically, it's we don't... Where we think our...\n\nWhat would you say... Yeah. What would you say is... I'm happy to talk to you. Oh, do you wanna speak to Kiara if she's here?\n\nYeah? Yeah. Yeah. Do you have her to come around? Yes.\n\nHey, Mark. How are you? Yes. So we have been in there. We tried this...\n\nThe equipment to make sure it wasn't the equipment. We looked back at the data of when he was first prescribed the sling, which is back. Jade and I assessed him back in May, and he was provided a sling then, which is a size small, which is, according to measurements, is the correct sling size. I reviewed him in April. The the the sling and the transfer is being completed regularly since May last year.\n\nAnd on review in April, it was no different. There was no concern. May in twenty twenty five. Yes. So I reviewed him in April.\n\n'6. Yep. And with the same sling, the same hoist, and there was no concerns. So we, today, tried him... Because we were expecting, based on what we were told, that he was rigid, pushing back, you know, legs might have been extended.\n\nSo we tried a medium sling because we'd already tried the small sling, re re re... Created the transfer. No problems. Tried the medium sling to see if that would make any difference, but he actually was very comfortable, set upright. We used the same clips, you know, the red red and green for an upright sitting position, lifted him up, moved him over, popped him back into the chair, and there was no rigidity.\n\nThere was no stiffness that we could... That we were expecting to see that would cause a backwards fall out of a sling. So I'm I'm a bit I don't quite understand how one one of the attachments has fallen off and how he felt felt posterior out of it. Well, according to the report, the leg sling fell off, which in my mind with the with the safety clips is almost impossible unless it wasn't actually clipped the whole way over because it would have to get up and over and out of safety clip before it would come off. So that was one of the leg clips apparently came off on the left side.\n\nNo. On a leg... That's what... That's why we quite don't understand how we went backwards if it was a... He would have come forwards onto the floor if it was through a leg clip.\n\nSo I... In my opinion, it sounds like human error because I don't know how the machine would allow that unless the the actual harness wasn't pushed all the way into the clip for that to come out. But then I don't know how he come backwards instead of forwards. So if he was too far down the sling and if the leg clip wasn't put in place, then his his, you know, moment... He's half a upper body heavy person that would possibly have tilted it because of the inequality.\n\nHe could have come back out through, you know, backwards. If you lose a leg clip and he's more heavy at the top end because they pulled the sling too far down under his bottom or something like that, he could have tipped backwards. That's the only rational thing that I think could possibly have happened if they hadn't clipped that clipped him properly and the leg clip fell off. He was... The sling was pulled pulled too far down his body, and that release of that leg clip would have just become a bit like a pendulous swing, and he would have slipped backwards.\n\nSo what we've done today, is that make... I don't know. Does that make sense how I'm describing that? Well, if you've got four points that are supporting you and you take away one point, you're gonna get a bit of an uneven pull. So if you got an uneven pull and his upper body heavy because his sling's being pulled too far down underneath his bottom, so if it was below his shoulders where the sling was sitting and you take away the support because they're all gathered at one point.\n\nRight? So if you take away the support of the leg and it was it was... The swing was too far down, the weight and the momentum would have swung in backwards, which is how he could have come out the top end. Yes. It it was definitely retouched, wasn't it?\n\nThat's what it was reported for, like So it fell off, but we don't... I... They said it was after he fell. They noticed that the fork had come off, so they reckon it was attached. What it fell?...\n\nFell. And it come off after? Yes. How does that happen? I don't know.\n\nBecause he would have been on the floor and that was...... Statement problem. Yeah. Okay. I've...\n\nLook. That's what we reported. But in in the... What we've done today is gone and replicated both situations, and we've... To avoid the possibility that the sling gets pulled too far down, even though a small sling does suit his weight and height and and all of that, we've given him a medium sling, which he also fits into, which comes a little bit further up above the shoulders.\n\nHe sits comfortably in that, and there was no posterior arching or extension to indicate he would go backwards in it. So all we could really do is provide a medium sized sling instead of a small sling, which is slightly bit bigger. And, you know, to try and eliminate human error in the future would be what I would suggest. Yep. So I'm only...\n\nI'm I'm... From a physio point of view, I'm gonna review... I got given this referral and I'm gonna go in and say I did this and this. And based on this, he would suit a smaller or medium. To provide extra support, we're gonna provide a medium.\n\nBut I'm just... I purely was talking to you about my clinical reasoning and my rationale of how this could have happened. But I wasn't part of the incident, so I don't really feel confident commenting on assumptions in terms of what the incident... How the incident could have happened because I'd... I've...\n\nI'm only getting secondhand information, and they just asked me to come and review to make sure that the transfer was correct. But is that in my... Is that... So I'm... I am pushing back a little bit on this because I feel that I've put in a situation where it's not really my, like, I've I've been asked to do a review, and I've done a mobility review, and I followed through.\n\nAnd my review my review is there for April, and I've done it today, but I don't I don't wanna get someone in trouble when I don't... I didn't get the the first 10 report from these people. I don't even know who the carers are, and I'm... I just got a referral to say, can you come and review, Bevan? So I don't wanna...\n\nI'm just saying to you, this could have happened if this came off, and I'm happy to to, like, verbally consult that with you, but I don't think I I would qualify putting it in a... Yeah. Okay. Yeah. Yep.\n\nK. Yep. Yeah. The old hypothesis. Yes.\n\nYes. Yep. Yeah. And that would be... Yeah.\n\nThat would be the hypothesis that it was because of manual handling. So... But that's all... Yeah. I look in your...\n\nYeah. Yes. Yeah. Yep. Yeah.\n\nYeah. And I just... Yeah. I just feel a bit cautious. I feel a bit...\n\nI'm cautious about putting that in writing because it is a hypothesis, and it's... I haven't... It's it's not a study I've read to say that's gonna happen. It's just I can only go based off what I've what I've assessed in the past, what I've assessed today, and, you know, the in between is is verbal reports that I've got from two different people. So...\n\nYeah. Yeah. I don't know. I'm a bit of a black box person, but... Yeah.\n\nOkay. That's fine. I'll I'll... Yeah. That's fine.\n\nI'll liaise with Diane and and see what she comes up with. Alright. Oh, a 100%. Yep. Alright.\n\nNo worries. Thank you. Bye.","paragraphs":[{"sentences":[{"text":"Hello?","start":0.71999997,"end":1.22,"sentiment":"neutral","sentiment_score":0.01902147941291332},{"text":"Hello?","start":2.72,"end":3.22,"sentiment":"neutral","sentiment_score":0.028592051938176155},{"text":"Yes.","start":6.3199997,"end":6.8199997,"sentiment":"neutral","sentiment_score":0.1067311316728592},{"text":"Yes.","start":8.4,"end":8.9,"sentiment":"neutral","sentiment_score":0.14047624170780182},{"text":"Yep.","start":18.875,"end":19.375,"sentiment":"neutral","sentiment_score":0.14746306836605072}],"sentiment":"neutral","sentiment_score":0.08845679461956024,"num_words":5,"start":0.71999997,"end":19.375},{"sentences":[{"text":"Yep.","start":19.515,"end":20.015,"sentiment":"neutral","sentiment_score":0.1168789193034172},{"text":"Mhmm.","start":24.555,"end":25.055,"sentiment":"neutral","sentiment_score":0.0486769825220108},{"text":"Yes.","start":34.62,"end":35.12,"sentiment":"positive","sentiment_score":0.3761690855026245},{"text":"Yep.","start":35.66,"end":36.16,"sentiment":"neutral","sentiment_score":0.3255093991756439},{"text":"Perfect.","start":36.22,"end":36.72,"sentiment":"positive","sentiment_score":0.5198583602905273}],"sentiment":"neutral","sentiment_score":0.27741854935884475,"num_words":5,"start":19.515,"end":36.72},{"sentences":[{"text":"So when...","start":37.1,"end":37.84,"sentiment":"neutral","sentiment_score":0.2090025469660759},{"text":"They're gonna document that now.","start":37.9,"end":39.260002,"sentiment":"neutral","sentiment_score":0.1578271806240082},{"text":"So when I get that through, I'll probably...","start":39.260002,"end":42.665,"sentiment":"neutral","sentiment_score":0.09730389341711998},{"text":"Is it okay to send it tomorrow?","start":42.665,"end":43.945,"sentiment":"neutral","sentiment_score":0.05951685777732304},{"text":"Do you want it 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believe...","start":70.185005,"end":71.085,"sentiment":"neutral","sentiment_score":-0.2125459387898445},{"text":"I'm just telling you now, they believe it's human error because I don't know how that could've...","start":71.305,"end":76.045,"sentiment":"neutral","sentiment_score":-0.3086030132630292},{"text":"How that's possible.","start":76.665,"end":77.705,"sentiment":"neutral","sentiment_score":-0.21370185911655426},{"text":"They've actually assessed him in the sling.","start":77.705,"end":80.445,"sentiment":"neutral","sentiment_score":-0.13911359437874385}],"sentiment":"neutral","sentiment_score":-0.24659310529629389,"num_words":30,"start":69.945,"end":80.445},{"sentences":[{"text":"And...","start":80.745,"end":81.245,"sentiment":"neutral","sentiment_score":-0.07125165313482285},{"text":"Because when we did it before, we did it with Hass, but, obviously, he's got that control.","start":81.705,"end":85.485,"sentiment":"neutral","sentiment_score":-0.12565756238558712},{"text":"So they've...","start":86.450005,"end":87.19,"sentiment":"neutral","sentiment_score":-0.0883643664419651},{"text":"Yeah.","start":87.33,"end":87.57,"sentiment":"neutral","sentiment_score":-0.0784786194562912},{"text":"They believe it's human.","start":87.57,"end":89.19,"sentiment":"neutral","sentiment_score":-0.15883255004882812}],"sentiment":"neutral","sentiment_score":-0.12391871064901352,"num_words":25,"start":80.745,"end":89.19},{"sentences":[{"text":"It's the error for the staff, but it's nowhere to...","start":89.25,"end":92.79,"sentiment":"neutral","sentiment_score":-0.16297409310936928},{"text":"The...","start":96.450005,"end":96.950005,"sentiment":"neutral","sentiment_score":-0.10881668329238892},{"text":"I've got Kiara here with me.","start":97.01,"end":98.53,"sentiment":"neutral","sentiment_score":-0.07154165022075176},{"text":"You're right?","start":98.53,"end":99.090004,"sentiment":"neutral","sentiment_score":-0.04140320420265198},{"text":"Do you wanna......","start":99.090004,"end":99.75,"sentiment":"neutral","sentiment_score":-0.05338537196318308}],"sentiment":"neutral","sentiment_score":-0.10958045636388389,"num_words":22,"start":89.25,"end":99.75},{"sentences":[{"text":"Of lower.","start":100.29,"end":101.03,"sentiment":"neutral","sentiment_score":-0.0780060812830925},{"text":"We're just kind of in the clinical huddle at the same time.","start":105.384995,"end":108.505,"sentiment":"neutral","sentiment_score":-0.08264761231839657},{"text":"I'm just at my desk.","start":108.505,"end":110.445,"sentiment":"neutral","sentiment_score":0.07615668028593063},{"text":"But but, basically, it's we don't...","start":110.66499,"end":115.46,"sentiment":"neutral","sentiment_score":-0.004433503374457359},{"text":"Where we think our...","start":115.46,"end":117.96,"sentiment":"neutral","sentiment_score":-0.03507939726114273}],"sentiment":"neutral","sentiment_score":-0.03220409373271054,"num_words":29,"start":100.29,"end":117.96},{"sentences":[{"text":"What would you say...","start":118.42,"end":119.299995,"sentiment":"neutral","sentiment_score":-0.03515301854349673},{"text":"Yeah.","start":119.299995,"end":119.53999,"sentiment":"neutral","sentiment_score":0.10472918301820756},{"text":"What would you say is...","start":119.53999,"end":120.579994,"sentiment":"neutral","sentiment_score":0.10723202526569367},{"text":"I'm happy to talk to you.","start":120.579994,"end":121.71999,"sentiment":"positive","sentiment_score":0.5908847749233246},{"text":"Oh, do you wanna speak to Kiara if she's here?","start":121.78,"end":124.2,"sentiment":"neutral","sentiment_score":0.053523436188697815}],"sentiment":"neutral","sentiment_score":0.17618539409998518,"num_words":26,"start":118.42,"end":124.2},{"sentences":[{"text":"Yeah?","start":126.445,"end":126.945,"sentiment":"neutral","sentiment_score":0.022856099531054497},{"text":"Yeah.","start":127.884995,"end":127.924995,"sentiment":"neutral","sentiment_score":0.026168417185544968},{"text":"Yeah.","start":127.924995,"end":127.965,"sentiment":"neutral","sentiment_score":0.01927090622484684},{"text":"Do you have her to come around?","start":127.965,"end":129.245,"sentiment":"neutral","sentiment_score":-0.0028434411755629946},{"text":"Yes.","start":129.245,"end":129.745,"sentiment":"neutral","sentiment_score":0.06084407866001129}],"sentiment":"neutral","sentiment_score":0.009930492124774239,"num_words":11,"start":126.445,"end":129.745},{"sentences":[{"text":"Hey, Mark.","start":133.965,"end":134.44499,"sentiment":"neutral","sentiment_score":0.12400757148861885},{"text":"How are you?","start":134.44499,"end":135.265,"sentiment":"neutral","sentiment_score":0.16131086150805155},{"text":"Yes.","start":149.87,"end":150.37,"sentiment":"neutral","sentiment_score":-0.03056858107447624},{"text":"So we have been in there.","start":156.41501,"end":158.335,"sentiment":"neutral","sentiment_score":-0.07966834555069606},{"text":"We tried this...","start":158.335,"end":159.295,"sentiment":"neutral","sentiment_score":-0.04142056653896967}],"sentiment":"neutral","sentiment_score":0.006607158233722051,"num_words":15,"start":133.965,"end":159.295},{"sentences":[{"text":"The equipment to make sure it wasn't the equipment.","start":159.295,"end":161.55501,"sentiment":"neutral","sentiment_score":-0.14625624236133364},{"text":"We looked back at the data of when he was first prescribed the sling, which is back.","start":161.695,"end":165.615,"sentiment":"neutral","sentiment_score":-0.0630962353418855},{"text":"Jade and I assessed him back in May, and he was provided a sling then, which is a size small, which is, according to measurements, is the correct sling size.","start":165.615,"end":174.18999,"sentiment":"neutral","sentiment_score":0.003092459837595622},{"text":"I reviewed him in April.","start":174.18999,"end":175.48999,"sentiment":"neutral","sentiment_score":0.009405752643942833},{"text":"The the the sling and the transfer is being completed regularly since May last year.","start":175.70999,"end":181.01,"sentiment":"neutral","sentiment_score":0.10795384993155797}],"sentiment":"neutral","sentiment_score":-0.008287261509777684,"num_words":76,"start":159.295,"end":181.01},{"sentences":[{"text":"And on review in April, it was no different.","start":181.235,"end":183.315,"sentiment":"neutral","sentiment_score":0.05413791537284851},{"text":"There was no concern.","start":183.315,"end":184.375,"sentiment":"neutral","sentiment_score":0.0512057445012033},{"text":"May in twenty twenty five.","start":184.675,"end":186.295,"sentiment":"neutral","sentiment_score":0.03007516488432884},{"text":"Yes.","start":186.515,"end":187.015,"sentiment":"neutral","sentiment_score":0.06481894850730896},{"text":"So I reviewed him in April.","start":188.035,"end":189.655,"sentiment":"neutral","sentiment_score":0.04333017424990734}],"sentiment":"neutral","sentiment_score":0.04668960139155388,"num_words":25,"start":181.235,"end":189.655},{"sentences":[{"text":"'6.","start":191.155,"end":191.555,"sentiment":"neutral","sentiment_score":0.02995116263628006},{"text":"Yep.","start":191.555,"end":192.055,"sentiment":"neutral","sentiment_score":0.09652995318174362},{"text":"And with the same sling, the same hoist, and there was no concerns.","start":192.19499,"end":196.455,"sentiment":"neutral","sentiment_score":0.11647416507968536},{"text":"So we, today, tried him...","start":197.12999,"end":199.47,"sentiment":"neutral","sentiment_score":0.04897383041679859},{"text":"Because we were expecting, based on what we were told, that he was rigid, pushing back, you know, legs might have been extended.","start":199.76999,"end":205.87,"sentiment":"neutral","sentiment_score":-0.14155400447223498}],"sentiment":"neutral","sentiment_score":-0.03186576020752275,"num_words":43,"start":191.155,"end":205.87},{"sentences":[{"text":"So we tried a medium sling because we'd already tried the small sling, re re re...","start":206.25,"end":210.67,"sentiment":"neutral","sentiment_score":-0.0393973687896505},{"text":"Created the transfer.","start":212.065,"end":213.105,"sentiment":"neutral","sentiment_score":0.0030364934355020523},{"text":"No problems.","start":213.105,"end":213.765,"sentiment":"neutral","sentiment_score":0.08315835283428896},{"text":"Tried the medium sling to see if that would make any difference, but he actually was very comfortable, set upright.","start":213.905,"end":220.065,"sentiment":"positive","sentiment_score":0.3828437592834234},{"text":"We used the same clips, you know, the red red and green for an upright sitting position, lifted him up, moved him over, popped him back into the chair, and there was no rigidity.","start":220.065,"end":229.83,"sentiment":"positive","sentiment_score":0.3603293027947931}],"sentiment":"neutral","sentiment_score":0.2593751968804281,"num_words":75,"start":206.25,"end":229.83},{"sentences":[{"text":"There was no stiffness that we could...","start":229.89,"end":231.83,"sentiment":"neutral","sentiment_score":0.10332631372979709},{"text":"That we were expecting to see that would cause a backwards fall out of a sling.","start":232.21,"end":237.19,"sentiment":"negative","sentiment_score":-0.4536556825041771},{"text":"So I'm I'm a bit I don't quite understand how one one of the attachments has fallen off and how he felt felt posterior out of it.","start":237.57,"end":248.445,"sentiment":"negative","sentiment_score":-0.5029917800867999},{"text":"Well, according to the report, the leg sling fell off, which in my mind with the with the safety clips is almost impossible unless it wasn't actually clipped the whole way over because it would have to get up and over and out of safety clip before it would come off.","start":248.505,"end":262.54,"sentiment":"negative","sentiment_score":-0.5093949180023343},{"text":"So that was one of the leg clips apparently came off on the left side.","start":262.76,"end":268.175,"sentiment":"neutral","sentiment_score":-0.13687708973884583}],"sentiment":"negative","sentiment_score":-0.4150713961250309,"num_words":116,"start":229.89,"end":268.175},{"sentences":[{"text":"No.","start":268.475,"end":268.79498,"sentiment":"neutral","sentiment_score":-0.11644130200147627},{"text":"On a leg...","start":268.79498,"end":269.275,"sentiment":"neutral","sentiment_score":-0.08648632963498433},{"text":"That's 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know how he come backwards instead of forwards.","start":293.65,"end":296.23,"sentiment":"neutral","sentiment_score":-0.26932144661744434},{"text":"So if he was too far down the sling and if the leg clip wasn't put in place, then his his, you know, moment...","start":296.625,"end":305.14502,"sentiment":"neutral","sentiment_score":-0.2613772178689639},{"text":"He's half a upper body heavy person that would possibly have tilted it because of the inequality.","start":305.14502,"end":309.92502,"sentiment":"negative","sentiment_score":-0.3414788842201233}],"sentiment":"neutral","sentiment_score":-0.3273246571585372,"num_words":91,"start":278.155,"end":309.92502},{"sentences":[{"text":"He could have come back out through, you know, backwards.","start":310.225,"end":313.08002,"sentiment":"negative","sentiment_score":-0.35541874170303345},{"text":"If you lose a leg clip and he's more heavy at the top end because they pulled the sling too far down under his bottom or something like that, he could have tipped backwards.","start":313.62,"end":320.12,"sentiment":"negative","sentiment_score":-0.4144485229078461},{"text":"That's the only rational thing that I think could possibly have happened if they hadn't clipped that clipped him properly and the leg clip fell off.","start":321.06,"end":328.895,"sentiment":"negative","sentiment_score":-0.5615895161261926},{"text":"He was...","start":328.895,"end":329.29498,"sentiment":"neutral","sentiment_score":-0.24807489663362503},{"text":"The sling was pulled pulled too far down his body, and that release of that leg clip would have just become a bit like a pendulous swing, and he would have slipped backwards.","start":329.29498,"end":337.875,"sentiment":"negative","sentiment_score":-0.665701097611225}],"sentiment":"negative","sentiment_score":-0.5210576250439598,"num_words":105,"start":310.225,"end":337.875},{"sentences":[{"text":"So what we've done today, is that make...","start":339.47,"end":341.23,"sentiment":"neutral","sentiment_score":-0.23122108355164528},{"text":"I don't know.","start":341.23,"end":341.63,"sentiment":"neutral","sentiment_score":-0.32885263363520306},{"text":"Does that make sense how I'm describing that?","start":341.63,"end":343.57,"sentiment":"neutral","sentiment_score":-0.27416421473026276},{"text":"Well, if you've got four points that are supporting you and you take away one point, you're gonna get a bit of an uneven pull.","start":348.67,"end":355.625,"sentiment":"negative","sentiment_score":-0.3431870937347412},{"text":"So if you got an uneven pull and his upper body heavy because his sling's being pulled too far down underneath his bottom, so if it was below his shoulders where the sling was sitting and you take away the support because they're all gathered at one 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it?","start":385.145,"end":387.145,"sentiment":"neutral","sentiment_score":-0.09881572425365448}],"sentiment":"negative","sentiment_score":-0.36414389429139155,"num_words":51,"start":368.48502,"end":387.145},{"sentences":[{"text":"That's what it was reported for, like So it fell off, but we don't...","start":387.145,"end":391.805,"sentiment":"neutral","sentiment_score":-0.15352592564054898},{"text":"I...","start":391.865,"end":392.365,"sentiment":"neutral","sentiment_score":-0.09209556877613068},{"text":"They said it was after he fell.","start":392.985,"end":394.985,"sentiment":"neutral","sentiment_score":-0.16754327288695745},{"text":"They noticed that the fork had come off, so they reckon it was attached.","start":394.985,"end":398.845,"sentiment":"neutral","sentiment_score":-0.24409687412636621},{"text":"What it fell?...","start":399.46,"end":400.18,"sentiment":"neutral","sentiment_score":-0.1927319218715032}],"sentiment":"neutral","sentiment_score":-0.1899952164445168,"num_words":39,"start":387.145,"end":400.18},{"sentences":[{"text":"Fell.","start":400.18,"end":400.5,"sentiment":"neutral","sentiment_score":-0.33157145977020264},{"text":"And it come off after?","start":400.5,"end":401.62,"sentiment":"neutral","sentiment_score":-0.2458366721868515},{"text":"Yes.","start":401.62,"end":401.86,"sentiment":"neutral","sentiment_score":-0.15211732685565948},{"text":"How does that happen?","start":401.86,"end":402.82,"sentiment":"neutral","sentiment_score":-0.2827732525765896},{"text":"I don't know.","start":402.82,"end":403.63998,"sentiment":"negative","sentiment_score":-0.3751283983389537}],"sentiment":"neutral","sentiment_score":-0.2835250252059528,"num_words":14,"start":400.18,"end":403.63998},{"sentences":[{"text":"Because he would have been on the floor and that was......","start":404.1,"end":405.86,"sentiment":"negative","sentiment_score":-0.34743662855841895},{"text":"Statement problem.","start":405.86,"end":406.91998,"sentiment":"neutral","sentiment_score":-0.32814544439315796},{"text":"Yeah.","start":407.06,"end":407.46,"sentiment":"neutral","sentiment_score":-0.10773943364620207},{"text":"Okay.","start":407.46,"end":407.96,"sentiment":"neutral","sentiment_score":-0.07607398182153702},{"text":"I've...","start":408.1,"end":408.5,"sentiment":"neutral","sentiment_score":-0.07411117851734161}],"sentiment":"neutral","sentiment_score":-0.29600114980712533,"num_words":16,"start":404.1,"end":408.5},{"sentences":[{"text":"Look.","start":408.5,"end":408.66,"sentiment":"neutral","sentiment_score":-0.09333688020706175},{"text":"That's what we reported.","start":408.66,"end":409.8,"sentiment":"neutral","sentiment_score":-0.13041707500815392},{"text":"But in in the...","start":410.1,"end":411.62,"sentiment":"neutral","sentiment_score":-0.02576674520969391},{"text":"What we've done today is gone and replicated both situations, and we've...","start":411.62,"end":415.95502,"sentiment":"neutral","sentiment_score":-0.0866372852275769},{"text":"To avoid the possibility that the sling gets pulled too far down, even though a small sling does suit his weight and height and and all of that, we've given him a medium sling, which he also fits into, which comes a little bit further up above the shoulders.","start":416.335,"end":429.795,"sentiment":"neutral","sentiment_score":0.0021252372131055713}],"sentiment":"neutral","sentiment_score":-0.023622613719531466,"num_words":70,"start":408.5,"end":429.795},{"sentences":[{"text":"He sits comfortably in that, and there was no posterior arching or extension to indicate he would go backwards in it.","start":429.97998,"end":438.3,"sentiment":"neutral","sentiment_score":0.03445936242739359},{"text":"So all we could really do is provide a medium sized sling instead of a small sling, which is slightly bit bigger.","start":438.3,"end":444.47998,"sentiment":"neutral","sentiment_score":0.0778641488657079},{"text":"And, you know, to try and eliminate human error in the future would be what I would suggest.","start":444.86,"end":451.465,"sentiment":"neutral","sentiment_score":0.0062432293262746595},{"text":"Yep.","start":464.28,"end":464.78,"sentiment":"neutral","sentiment_score":-0.12497512996196748},{"text":"So I'm only...","start":479.125,"end":480.16498,"sentiment":"neutral","sentiment_score":-0.0754238913456599}],"sentiment":"neutral","sentiment_score":0.03381214169068979,"num_words":65,"start":429.97998,"end":480.16498},{"sentences":[{"text":"I'm I'm...","start":480.16498,"end":480.88498,"sentiment":"neutral","sentiment_score":-0.06213316507637501},{"text":"From a physio point of view, I'm gonna review...","start":480.88498,"end":483.04498,"sentiment":"neutral","sentiment_score":-0.09847998453511132},{"text":"I got given this referral and I'm gonna go in and say I did this and this.","start":483.04498,"end":487.225,"sentiment":"neutral","sentiment_score":-0.08270276074900347},{"text":"And based on this, he would suit a smaller or medium.","start":487.53,"end":490.35,"sentiment":"neutral","sentiment_score":0.057895931669256905},{"text":"To provide extra support, we're gonna provide a medium.","start":490.73,"end":493.37,"sentiment":"neutral","sentiment_score":0.08309047172466914}],"sentiment":"neutral","sentiment_score":-0.02149715895454089,"num_words":48,"start":480.16498,"end":493.37},{"sentences":[{"text":"But I'm just...","start":493.37,"end":494.27002,"sentiment":"neutral","sentiment_score":-0.143828014532725},{"text":"I purely was talking to you about my clinical reasoning and my rationale of how this could have happened.","start":494.33002,"end":499.39,"sentiment":"neutral","sentiment_score":-0.1962232840688605},{"text":"But I wasn't part of the incident, so I don't really feel confident commenting on assumptions in terms of what the incident...","start":499.45,"end":508.285,"sentiment":"negative","sentiment_score":-0.3795071244239807},{"text":"How the incident could have happened because I'd...","start":508.285,"end":510.285,"sentiment":"negative","sentiment_score":-0.34290847927331924},{"text":"I've...","start":510.285,"end":510.76498,"sentiment":"neutral","sentiment_score":-0.3034950792789459}],"sentiment":"neutral","sentiment_score":-0.2935027564471623,"num_words":53,"start":493.37,"end":510.76498},{"sentences":[{"text":"I'm only getting secondhand information, and they just asked me to come and review to make sure that the transfer was correct.","start":510.76498,"end":515.745,"sentiment":"neutral","sentiment_score":-0.257431641898372},{"text":"But is that in my...","start":541.715,"end":543.075,"sentiment":"neutral","sentiment_score":-0.11880041062831878},{"text":"Is that...","start":543.075,"end":543.79504,"sentiment":"neutral","sentiment_score":-0.1013176403939724},{"text":"So I'm...","start":543.79504,"end":544.195,"sentiment":"neutral","sentiment_score":-0.16521985828876495},{"text":"I am pushing back a little bit on this because I feel that I've put in a situation where it's not really my, like, I've I've been asked to do a review, and I've done a mobility review, and I followed through.","start":544.195,"end":555.51,"sentiment":"neutral","sentiment_score":-0.2528756381500335}],"sentiment":"neutral","sentiment_score":-0.2385116434872967,"num_words":73,"start":510.76498,"end":555.51},{"sentences":[{"text":"And my review my review is there for April, and I've done it today, but I don't I don't wanna get someone in trouble when I don't...","start":555.51,"end":561.27,"sentiment":"neutral","sentiment_score":-0.26461925192011726},{"text":"I didn't get the the first 10 report from these people.","start":561.27,"end":564.33,"sentiment":"negative","sentiment_score":-0.5195040052587335},{"text":"I don't even know who the carers are, and I'm...","start":564.575,"end":567.295,"sentiment":"negative","sentiment_score":-0.40839435160160065},{"text":"I just got a referral to say, can you come and review, Bevan?","start":567.295,"end":569.935,"sentiment":"neutral","sentiment_score":-0.2041168579688439},{"text":"So I don't wanna...","start":569.935,"end":570.975,"sentiment":"neutral","sentiment_score":-0.33039239794015884}],"sentiment":"neutral","sentiment_score":-0.32181994032401307,"num_words":65,"start":555.51,"end":570.975},{"sentences":[{"text":"I'm just saying to you, this could have happened if this came off, and I'm happy to to, like, verbally consult that with you, but I don't think I I would qualify putting it in a...","start":570.975,"end":582.22,"sentiment":"neutral","sentiment_score":-0.1736191553581092},{"text":"Yeah.","start":583.31995,"end":583.81995,"sentiment":"neutral","sentiment_score":-0.12178535759449004},{"text":"Okay.","start":584.12,"end":584.62,"sentiment":"neutral","sentiment_score":-0.14345712959766388},{"text":"Yeah.","start":588.19995,"end":588.69995,"sentiment":"neutral","sentiment_score":-0.1348642259836197},{"text":"Yep.","start":597.345,"end":597.845,"sentiment":"neutral","sentiment_score":-0.06858021020889282}],"sentiment":"neutral","sentiment_score":-0.16797441290691495,"num_words":40,"start":570.975,"end":597.845},{"sentences":[{"text":"K.","start":601.505,"end":602.005,"sentiment":"neutral","sentiment_score":-0.04973895102739334},{"text":"Yep.","start":606.385,"end":606.885,"sentiment":"neutral","sentiment_score":-0.3075428307056427},{"text":"Yeah.","start":609.8,"end":610.3,"sentiment":"neutral","sentiment_score":-0.11710689216852188},{"text":"The old hypothesis.","start":610.36,"end":611.42,"sentiment":"neutral","sentiment_score":-0.15470090508460999},{"text":"Yes.","start":618.76,"end":619.26,"sentiment":"neutral","sentiment_score":0.296785831451416}],"sentiment":"neutral","sentiment_score":-0.09167222252913884,"num_words":7,"start":601.505,"end":619.26},{"sentences":[{"text":"Yes.","start":635.335,"end":635.835,"sentiment":"neutral","sentiment_score":-0.008410496637225151},{"text":"Yep.","start":656.565,"end":656.805,"sentiment":"neutral","sentiment_score":-0.08407696336507797},{"text":"Yeah.","start":656.805,"end":657.125,"sentiment":"neutral","sentiment_score":-0.033152252435684204},{"text":"And that would be...","start":657.125,"end":657.925,"sentiment":"neutral","sentiment_score":-0.050599600188434124},{"text":"Yeah.","start":657.925,"end":658.245,"sentiment":"neutral","sentiment_score":-0.022884249687194824}],"sentiment":"neutral","sentiment_score":-0.04386529535986483,"num_words":8,"start":635.335,"end":658.245},{"sentences":[{"text":"That would be the hypothesis that it was because of manual handling.","start":658.245,"end":663.145,"sentiment":"neutral","sentiment_score":-0.04909171008815368},{"text":"So...","start":664.16504,"end":664.405,"sentiment":"neutral","sentiment_score":-0.018333185464143753},{"text":"But that's all...","start":664.405,"end":665.28503,"sentiment":"neutral","sentiment_score":-0.014661476326485475},{"text":"Yeah.","start":665.28503,"end":665.60504,"sentiment":"neutral","sentiment_score":0.14545482397079468},{"text":"I look in your...","start":665.60504,"end":666.585,"sentiment":"neutral","sentiment_score":0.3239032104611397}],"sentiment":"neutral","sentiment_score":0.03760235858637662,"num_words":21,"start":658.245,"end":666.585},{"sentences":[{"text":"Yeah.","start":666.72504,"end":667.22504,"sentiment":"positive","sentiment_score":0.4418800473213196},{"text":"Yes.","start":668.91,"end":669.41,"sentiment":"neutral","sentiment_score":0.09060093760490416},{"text":"Yeah.","start":672.11,"end":672.35,"sentiment":"neutral","sentiment_score":-0.006257707253098488},{"text":"Yep.","start":672.35,"end":672.85,"sentiment":"neutral","sentiment_score":0.0007817509467713535},{"text":"Yeah.","start":676.82996,"end":677.14996,"sentiment":"neutral","sentiment_score":-0.006444282829761505}],"sentiment":"neutral","sentiment_score":0.10411214915802702,"num_words":5,"start":666.72504,"end":677.14996},{"sentences":[{"text":"Yeah.","start":677.14996,"end":677.38995,"sentiment":"neutral","sentiment_score":-0.017081644386053085},{"text":"And I just...","start":677.38995,"end":678.02997,"sentiment":"neutral","sentiment_score":-0.02781525378425916},{"text":"Yeah.","start":678.02997,"end":678.26996,"sentiment":"neutral","sentiment_score":-0.0812615230679512},{"text":"I just feel a bit cautious.","start":678.26996,"end":679.47,"sentiment":"neutral","sentiment_score":-0.23666343341271082},{"text":"I feel a bit...","start":679.47,"end":680.19,"sentiment":"neutral","sentiment_score":-0.20608682930469513}],"sentiment":"neutral","sentiment_score":-0.16174112310012181,"num_words":15,"start":677.14996,"end":680.19},{"sentences":[{"text":"I'm cautious about putting that in writing because it is a hypothesis, and it's...","start":680.19,"end":684.645,"sentiment":"neutral","sentiment_score":-0.2576416720237051},{"text":"I haven't...","start":685.185,"end":685.925,"sentiment":"neutral","sentiment_score":-0.193983256816864},{"text":"It's it's not a study I've read to say that's gonna happen.","start":685.985,"end":689.125,"sentiment":"neutral","sentiment_score":-0.2675453672806422},{"text":"It's just I can only go based off what I've what I've assessed in the past, what I've assessed today, and, you know, the in between is is verbal reports that I've got from two different people.","start":689.345,"end":699.87,"sentiment":"neutral","sentiment_score":-0.21495069200928146},{"text":"So...","start":699.87,"end":700.37,"sentiment":"neutral","sentiment_score":-0.06257308274507523}],"sentiment":"neutral","sentiment_score":-0.230624894188209,"num_words":66,"start":680.19,"end":700.37},{"sentences":[{"text":"Yeah.","start":700.75,"end":701.25,"sentiment":"neutral","sentiment_score":-0.07086997479200363},{"text":"Yeah.","start":704.99,"end":705.49,"sentiment":"neutral","sentiment_score":-0.055160753428936005},{"text":"I don't know.","start":709.805,"end":710.365,"sentiment":"neutral","sentiment_score":-0.1626628190279007},{"text":"I'm a bit of a black box person, but...","start":710.365,"end":712.125,"sentiment":"neutral","sentiment_score":-0.23335272653235328},{"text":"Yeah.","start":712.125,"end":712.44495,"sentiment":"neutral","sentiment_score":-0.005307391285896301}],"sentiment":"neutral","sentiment_score":-0.18130007435878118,"num_words":15,"start":700.75,"end":712.44495},{"sentences":[{"text":"Okay.","start":712.44495,"end":712.76495,"sentiment":"neutral","sentiment_score":0.04376161843538284},{"text":"That's fine.","start":712.76495,"end":713.50494,"sentiment":"neutral","sentiment_score":0.11719746142625809},{"text":"I'll I'll...","start":714.045,"end":715.32495,"sentiment":"neutral","sentiment_score":0.023823682218790054},{"text":"Yeah.","start":715.32495,"end":715.56494,"sentiment":"neutral","sentiment_score":0.0951046496629715},{"text":"That's fine.","start":715.56494,"end":716.125,"sentiment":"neutral","sentiment_score":0.21843866258859634}],"sentiment":"neutral","sentiment_score":0.10722323507070541,"num_words":8,"start":712.44495,"end":716.125},{"sentences":[{"text":"I'll liaise with Diane and and see what she comes up with.","start":716.125,"end":720.14496,"sentiment":"neutral","sentiment_score":0.19350968798001608},{"text":"Alright.","start":721.08,"end":721.58,"sentiment":"neutral","sentiment_score":0.025010941550135612},{"text":"Oh, a 100%.","start":729.96,"end":731.24005,"sentiment":"neutral","sentiment_score":0.18904533982276917},{"text":"Yep.","start":731.24005,"end":731.74005,"sentiment":"neutral","sentiment_score":0.2035553753376007},{"text":"Alright.","start":732.44,"end":732.94,"sentiment":"neutral","sentiment_score":0.32988667488098145}],"sentiment":"neutral","sentiment_score":0.19153918149984545,"num_words":18,"start":716.125,"end":732.94},{"sentences":[{"text":"No worries.","start":733.0,"end":733.66003,"sentiment":"positive","sentiment_score":0.40007317066192627},{"text":"Thank you.","start":733.96,"end":734.52,"sentiment":"positive","sentiment_score":0.7343052923679352},{"text":"Bye.","start":734.52,"end":735.02,"sentiment":"positive","sentiment_score":0.4807993769645691}],"sentiment":"positive","sentiment_score":0.5499112606048584,"num_words":5,"start":733.0,"end":735.02}]}}]}],"paragraphs":{"transcript":"\nChannel 1: Hello?\n\nChannel 0: Hello?\n\nChannel 1: Hello?\n\nChannel 0: Just wanna give you a bit of an update. I've sent the SIRS\n\nChannel 1: Yes.\n\nChannel 0: one off through to the board.\n\nChannel 1: Yes.\n\nChannel 0: It goes to Stuart as the chair, but it also goes to Zenith who effectively is the, for one of a better word, the clinical expert\n\nChannel 1: Yep.\n\nChannel 0: on\n\nChannel 1: Yep.\n\nChannel 0: the board. So they've got it. They're per se okay with it. However,\n\nChannel 1: Mhmm.\n\nChannel 0: Zenith's final comment was... So he says noted with thanks, Mike. I look forward to seeing the final findings and recommendations from the physio and OT\n\nChannel 1: Yes.\n\nChannel 0: review.\n\nChannel 1: Yep. Perfect. So when... They're gonna document that now. So when I get that through, I'll probably...\n\nIs it okay to send it tomorrow? Do you want it now?\n\nChannel 0: No. No. No. Tomorrow is absolutely\n\nChannel 1: Yes.\n\nChannel 0: fine. But I\n\nChannel 1: Yep.\n\nChannel 0: guess, Dianna, it would be helpful both from my point of view and maybe their point of view because they won't... They don't have access to company manager and all the rest of\n\nChannel 1: Yes.\n\nChannel 0: it. It would be useful to say what we've changed in it.\n\nChannel 1: Yes.\n\nChannel 0: Because Zenith is gonna go... What what you've said here, everything looks normal and okay, but it still happens. So a bit like\n\nChannel 1: Yep.\n\nChannel 0: I've said, it's like, what are we gonna do to make sure it's done that one again?\n\nChannel 1: Yeah. They believe... I'm just telling you now, they believe it's human error because I don't know how that could've... How that's possible. They've actually assessed him in the sling.\n\nAnd... Because when we did it before, we did it with Hass, but, obviously, he's got that control. So they've... Yeah. They believe it's human.\n\nIt's the error for the staff, but it's\n\nChannel 0: What\n\nChannel 1: nowhere\n\nChannel 0: was\n\nChannel 1: to...\n\nChannel 0: the error?\n\nChannel 1: The... I've got Kiara here with me. You're right? Do you wanna...... Of\n\nChannel 0: Do\n\nChannel 1: lower.\n\nChannel 0: you want to pop over?\n\nChannel 1: We're just kind of in the clinical huddle at the same time.\n\nChannel 0: Alright.\n\nChannel 1: I'm just\n\nChannel 0: No no dramas.\n\nChannel 1: at\n\nChannel 0: Alright.\n\nChannel 1: my\n\nChannel 0: All\n\nChannel 1: desk.\n\nChannel 0: good.\n\nChannel 1: But but, basically, it's we don't... Where we think our... What would you say... Yeah. What would you say is...\n\nI'm happy to talk to you. Oh, do you wanna speak to Kiara if she's here?\n\nChannel 0: No. Yeah. Sure.\n\nChannel 1: Yeah? Yeah. Yeah. Do you have her to come around? Yes.\n\nHey, Mark. How are you?\n\nChannel 0: Yeah. Good. So just to add to Diane, obviously, from what I can see so far and what I've been told so far on this incident, this thing was correct. The hoist was correct. It was used correctly.\n\nThere's an unknown as to how it's happened.\n\nChannel 1: Yes.\n\nChannel 0: And yet we obviously need to make sure that going forward, it doesn't happen again. So what are we changing to make sure it doesn't happen again?\n\nChannel 1: So we have been in there. We tried this... The equipment to make sure it wasn't the equipment. We looked back at the data of when he was first prescribed the sling, which is back. Jade and I assessed him back in May, and he was provided a sling then, which is a size small, which is, according to measurements, is the correct sling size.\n\nI reviewed him in April.\n\nChannel 0: Mhmm.\n\nChannel 1: The the the sling and the transfer is being completed regularly since May last year. And on review in April, it was no different.\n\nChannel 0: May\n\nChannel 1: There was no concern. May in\n\nChannel 0: May\n\nChannel 1: twenty\n\nChannel 0: last\n\nChannel 1: twenty five.\n\nChannel 0: year.\n\nChannel 1: Yes.\n\nChannel 0: Okay.\n\nChannel 1: So\n\nChannel 0: And\n\nChannel 1: I reviewed\n\nChannel 0: then he was\n\nChannel 1: him in\n\nChannel 0: reviewed\n\nChannel 1: April.\n\nChannel 0: in April 26.\n\nChannel 1: '6. Yep. And\n\nChannel 0: Yep.\n\nChannel 1: with the same sling, the same hoist, and there was no concerns. So\n\nChannel 0: Yep.\n\nChannel 1: we, today, tried him... Because we were expecting, based on what we were told, that he was rigid, pushing back, you know, legs might have been extended. So we tried a medium sling because we'd already tried the small sling, re re re... Created the transfer. No problems.\n\nTried the medium sling to see if that would make any difference, but he actually was very comfortable, set upright. We used the same clips, you know, the red red and green for an upright sitting position, lifted him up, moved him over, popped him back into the chair, and there was no rigidity. There was no stiffness that we could... That we were expecting to see that would cause a backwards fall out of a sling. So I'm I'm a bit I don't quite understand how one one of the attachments has fallen off and how he felt felt\n\nChannel 0: Had it\n\nChannel 1: posterior\n\nChannel 0: fell off?\n\nChannel 1: out of it. Well, according to the report, the leg sling fell off, which in my mind with the with the safety clips is almost impossible unless it wasn't actually clipped the whole way over because it would have to get up and over and out of safety clip before it would come off. So that was one of the leg clips\n\nChannel 0: And is the\n\nChannel 1: apparently\n\nChannel 0: leg\n\nChannel 1: came\n\nChannel 0: clip\n\nChannel 1: off\n\nChannel 0: not a front\n\nChannel 1: on the\n\nChannel 0: clip?\n\nChannel 1: left side. No. On a leg... That's what... That's why we quite don't understand how we went backwards if it was a...\n\nHe would have come forwards onto the floor if it was through a leg clip. So I... In my opinion, it sounds like human error because I don't know how the machine would allow that unless the the actual harness wasn't pushed all the way into the clip for that to come out. But then I don't know how he come backwards instead of forwards. So if he was too far down the sling and if the leg clip wasn't put in place, then his his, you know, moment...\n\nHe's half a upper body heavy person that would possibly have tilted it because of the inequality. He could have come back out through, you know, backwards. If you lose a leg clip and he's more heavy at the top end because they pulled the sling too far down under his bottom or something like that, he could have tipped backwards. That's the only rational thing that I think could possibly have happened if they hadn't clipped that clipped him properly and the leg clip fell off. He was...\n\nThe sling was pulled pulled too far down his body, and that release of that leg clip would have just become a bit like a pendulous swing, and he would have slipped backwards. So what we've done today, is that make... I don't know. Does that make sense how I'm describing that?\n\nChannel 0: Yeah. Sort of. Difficult for me to imagine sat at my desk, but, yeah, go on.\n\nChannel 1: Well, if you've got four points that are supporting you and you take away one point, you're gonna get a bit of an uneven pull. So if you got an uneven pull and his upper body heavy because his sling's being pulled too far down underneath his bottom, so if it was below his shoulders where the sling was sitting and you take away the support because they're all gathered at one point. Right? So\n\nChannel 0: Yep.\n\nChannel 1: if you take away the support of the leg and it was it was... The swing was too far down, the weight and the momentum would have swung in backwards, which is how he could have come out the top end.\n\nChannel 0: Okay. And are we sure that a leg clip was detached?\n\nChannel 1: Yes. It it was definitely retouched, wasn't it? That's what it was reported for, like So it fell off, but we don't... I... They said it was after he fell.\n\nThey noticed that the fork had come off, so they reckon it was attached. What it fell?... Fell. And it come off after? Yes.\n\nHow does that happen? I don't know. Because he would have been on the floor and that was...... Statement problem. Yeah.\n\nOkay. I've...\n\nChannel 0: Stop.\n\nChannel 1: Look. That's what we reported. But in in the... What we've done today is gone and replicated both situations, and we've... To avoid the possibility that the sling gets pulled too far down, even though a small sling does suit his weight and height and and all of that, we've given him a medium sling, which he also fits into, which comes a little bit further up above the shoulders.\n\nHe sits comfortably in that, and there was no posterior arching or extension to indicate he would go backwards in it. So all we could really do is provide a medium sized sling instead of a small sling, which is slightly bit bigger. And, you know, to try and eliminate human error in the future would be what I would suggest.\n\nChannel 0: Alright. Okay. All good. Thank you for that. My...\n\nWhen you obviously gonna write your... Some findings up in his in his progress notes. But\n\nChannel 1: Yep.\n\nChannel 0: there are some findings there that probably shouldn't go on the progress notes because they're not conclusive. They are subjective around what may or may not have happened. But I could do with those in a separate statement.\n\nChannel 1: So I'm only... I'm I'm... From a physio point of view, I'm gonna review... I got given this referral and I'm gonna go in and say I did this and this. And based\n\nChannel 0: Yep.\n\nChannel 1: on this, he would suit a smaller or medium. To provide extra support, we're gonna provide a medium. But I'm just... I purely was talking to you about my clinical reasoning and my rationale of how this could have happened. But I wasn't part of the incident, so I don't really feel confident commenting on assumptions in terms\n\nChannel 0: So...\n\nChannel 1: of what the incident... How the incident could have happened because I'd... I've... I'm only getting secondhand information, and they just asked me to come and review to make sure that the transfer was correct.\n\nChannel 0: Yeah. Okay. But someone has to come up with something as to why it may have happened. And I'm happy for that to be you or Hass or Diane or none of you or some of you, but we can't just say we don't know because it has happened. And so at the very least, we need to work in hypothesis around this is what we think could have happened.\n\nChannel 1: But is that in my... Is that... So I'm... I am pushing back a little bit on this because I feel that I've put in a situation where it's not really my, like, I've I've been asked to do a review, and I've done a mobility review, and I followed through. And my review my review is\n\nChannel 0: Yeah.\n\nChannel 1: there for\n\nChannel 0: Yeah.\n\nChannel 1: April, and I've done it today, but I don't I don't wanna get someone in trouble when I don't... I didn't get the the first 10 report from these people. I don't even know who the carers are, and I'm... I just got a referral to say, can you come and review, Bevan? So I don't wanna...\n\nI'm just saying to you, this could have happened if this came off, and I'm\n\nChannel 0: Yes.\n\nChannel 1: happy to to, like, verbally consult that with you, but I don't think I I\n\nChannel 0: Well,\n\nChannel 1: would\n\nChannel 0: it's not... It's not\n\nChannel 1: qualify\n\nChannel 0: gonna go\n\nChannel 1: putting\n\nChannel 0: it's\n\nChannel 1: it\n\nChannel 0: not\n\nChannel 1: in\n\nChannel 0: gonna\n\nChannel 1: a...\n\nChannel 0: go on eye it's not gonna go on eye\n\nChannel 1: Yeah.\n\nChannel 0: care.\n\nChannel 1: Okay.\n\nChannel 0: And I'm... I don't I don't I don't... I specifically don't want that in eye care.\n\nChannel 1: Yeah.\n\nChannel 0: But in something that I need, because I need to provide some explanation as to how it might have happened,\n\nChannel 1: Yep.\n\nChannel 0: then someone's gonna have to write to me, give me that information.\n\nChannel 1: K.\n\nChannel 0: And, you know, at the end of the day, no one's trying to do this, so no one is in trouble, and we\n\nChannel 1: Yep.\n\nChannel 0: really don't know what's happened. We're making some guesswork here.\n\nChannel 1: Yeah. The old\n\nChannel 0: And,\n\nChannel 1: hypothesis.\n\nChannel 0: obviously, yeah. Absolutely. And it obviously did happen. And the first thing that the person... The people involved did is go, oh my god, and get help.\n\nSo that...\n\nChannel 1: Yes.\n\nChannel 0: That's fine. There's no issue with any of that. But when I'm ask... When I'm answering the question of the board, that's what have you done to make sure it won't happen again? Hand on heart, I can't answer that because we don't know what happened.\n\nAnd so all I can do is give them\n\nChannel 1: Yes.\n\nChannel 0: someone on the pie... Hypothesis this has happened, and therefore, we will probably do that, which will be some extra training. Or maybe what we do is that someone clicks the the the safety clips from the sling onto the hoist, and then the second person, this is obviously a person there, checks it. Something like that. I don't I don't know,\n\nChannel 1: Yep.\n\nChannel 0: Kiara,\n\nChannel 1: Yeah.\n\nChannel 0: how\n\nChannel 1: And\n\nChannel 0: we'll\n\nChannel 1: that would\n\nChannel 0: do\n\nChannel 1: be...\n\nChannel 0: it. But...\n\nChannel 1: Yeah. That would be the hypothesis that it\n\nChannel 0: Yes.\n\nChannel 1: was because of manual handling.\n\nChannel 0: Yeah.\n\nChannel 1: So... But\n\nChannel 0: So\n\nChannel 1: that's all... Yeah. I\n\nChannel 0: happy\n\nChannel 1: look in\n\nChannel 0: for\n\nChannel 1: your...\n\nChannel 0: happy for\n\nChannel 1: Yeah.\n\nChannel 0: Diane to put that together.\n\nChannel 1: Yes.\n\nChannel 0: But, obviously, she... She's gonna have to look to you for\n\nChannel 1: Yeah.\n\nChannel 0: some\n\nChannel 1: Yep.\n\nChannel 0: guidance because you're the person who you and Hassan done the assessment.\n\nChannel 1: Yeah. Yeah. And I just... Yeah. I just feel a bit cautious.\n\nI feel a bit... I'm cautious about putting that in writing because it is a hypothesis, and it's... I haven't... It's it's\n\nChannel 0: But\n\nChannel 1: not a\n\nChannel 0: that's\n\nChannel 1: study\n\nChannel 0: all we\n\nChannel 1: I've\n\nChannel 0: have\n\nChannel 1: read\n\nChannel 0: at\n\nChannel 1: to\n\nChannel 0: the\n\nChannel 1: say\n\nChannel 0: moment.\n\nChannel 1: that's gonna happen.\n\nChannel 0: No.\n\nChannel 1: It's just\n\nChannel 0: No.\n\nChannel 1: I can only go based off what I've what I've assessed in the past, what I've assessed today, and, you know, the in between is is verbal reports that I've got from two different\n\nChannel 0: Yeah.\n\nChannel 1: people.\n\nChannel 0: What what...\n\nChannel 1: So...\n\nChannel 0: What's the what's\n\nChannel 1: Yeah.\n\nChannel 0: the thing when you've ruled out the the possible and got rid of the improbable?\n\nChannel 1: Yeah.\n\nChannel 0: What's left no matter how improbable must be the truth or something like that?\n\nChannel 1: I don't know. I'm a bit of a black box person, but... Yeah. Okay. That's fine.\n\nI'll\n\nChannel 0: Is that alright?\n\nChannel 1: I'll... Yeah. That's fine. I'll liaise with Diane and and see what she comes up with.\n\nChannel 0: Cool. But in\n\nChannel 1: Alright.\n\nChannel 0: this, there's no one gonna get into trouble because it's it's it's not that way. We're just about making sure that we don't potentially have another incident with Bevan or anyone else that we can avoid it.\n\nChannel 1: Oh, a 100%. Yep.\n\nChannel 0: Yeah. Cool.\n\nChannel 1: Alright.\n\nChannel 0: Alrighty.\n\nChannel 1: No worries.\n\nChannel 0: Thanks for that.\n\nChannel 1: Thank you. Bye.\n\nChannel 0: Bye.","paragraphs":[{"sentences":[{"text":"Hello?","start":0.71999997,"end":1.22,"sentiment":"neutral","sentiment_score":0.01902147941291332}],"sentiment":"neutral","sentiment_score":0.01902147941291332,"channel":1,"num_words":1,"start":0.71999997,"end":1.22},{"sentences":[{"text":"Hello?","start":1.76,"end":2.26,"sentiment":"neutral","sentiment_score":0.019937556236982346}],"sentiment":"neutral","sentiment_score":0.019937556236982346,"channel":0,"num_words":1,"start":1.76,"end":2.26},{"sentences":[{"text":"Hello?","start":2.72,"end":3.22,"sentiment":"neutral","sentiment_score":0.028592051938176155}],"sentiment":"neutral","sentiment_score":0.028592051938176155,"channel":1,"num_words":1,"start":2.72,"end":3.22},{"sentences":[{"text":"Just wanna give you a bit of an update.","start":3.76,"end":5.2,"sentiment":"neutral","sentiment_score":0.12277138233184814},{"text":"I've sent the SIRS","start":5.2,"end":6.3999996,"sentiment":"neutral","sentiment_score":0.09414863586425781}],"sentiment":"neutral","sentiment_score":0.11396438341874343,"channel":0,"num_words":13,"start":3.76,"end":6.3999996},{"sentences":[{"text":"Yes.","start":6.3199997,"end":6.8199997,"sentiment":"neutral","sentiment_score":0.1067311316728592}],"sentiment":"neutral","sentiment_score":0.1067311316728592,"channel":1,"num_words":1,"start":6.3199997,"end":6.8199997},{"sentences":[{"text":"one off through to the board.","start":6.3999996,"end":8.18,"sentiment":"neutral","sentiment_score":0.1068434293071429}],"sentiment":"neutral","sentiment_score":0.1068434293071429,"channel":0,"num_words":6,"start":6.3999996,"end":8.18},{"sentences":[{"text":"Yes.","start":8.4,"end":8.9,"sentiment":"neutral","sentiment_score":0.14047624170780182}],"sentiment":"neutral","sentiment_score":0.14047624170780182,"channel":1,"num_words":1,"start":8.4,"end":8.9},{"sentences":[{"text":"It goes to Stuart as the chair, but it also goes to Zenith who effectively is the, for one of a better word, the clinical 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board.","start":19.725,"end":20.205,"sentiment":"neutral","sentiment_score":0.12214861065149307},{"text":"So they've got it.","start":20.205,"end":21.805,"sentiment":"neutral","sentiment_score":0.2749120369553566},{"text":"They're per se okay with it.","start":21.805,"end":23.404999,"sentiment":"positive","sentiment_score":0.45093755424022675},{"text":"However,","start":23.404999,"end":23.904999,"sentiment":"neutral","sentiment_score":0.09458313882350922}],"sentiment":"neutral","sentiment_score":0.31878106410686785,"channel":0,"num_words":13,"start":19.725,"end":23.904999},{"sentences":[{"text":"Mhmm.","start":24.555,"end":25.055,"sentiment":"neutral","sentiment_score":0.0486769825220108}],"sentiment":"neutral","sentiment_score":0.0486769825220108,"channel":1,"num_words":1,"start":24.555,"end":25.055},{"sentences":[{"text":"Zenith's final comment was...","start":24.925,"end":26.765,"sentiment":"neutral","sentiment_score":0.057580783031880856},{"text":"So he says noted with thanks, Mike.","start":26.765,"end":28.945,"sentiment":"positive","sentiment_score":0.5322034869875226},{"text":"I look forward to seeing the final findings and recommendations from the physio and 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I","start":47.315,"end":47.635,"sentiment":"neutral","sentiment_score":0.046047393232584}],"sentiment":"neutral","sentiment_score":0.05987144261598587,"channel":0,"num_words":3,"start":46.835,"end":47.635},{"sentences":[{"text":"Yep.","start":47.545,"end":48.045,"sentiment":"neutral","sentiment_score":0.02836025506258011}],"sentiment":"neutral","sentiment_score":0.02836025506258011,"channel":1,"num_words":1,"start":47.545,"end":48.045},{"sentences":[{"text":"guess, Dianna, it would be helpful both from my point of view and maybe their point of view because they won't...","start":47.635,"end":53.475,"sentiment":"neutral","sentiment_score":0.001155915359656016},{"text":"They don't have access to company manager and all the rest 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the possible and got rid of the improbable?","start":700.85,"end":705.35,"sentiment":"neutral","sentiment_score":-0.19814231197039286}],"sentiment":"neutral","sentiment_score":-0.19814231197039286,"channel":0,"num_words":15,"start":700.85,"end":705.35},{"sentences":[{"text":"Yeah.","start":704.99,"end":705.49,"sentiment":"neutral","sentiment_score":-0.055160753428936005}],"sentiment":"neutral","sentiment_score":-0.055160753428936005,"channel":1,"num_words":1,"start":704.99,"end":705.49},{"sentences":[{"text":"What's left no matter how improbable must be the truth or something like that?","start":705.41,"end":709.11,"sentiment":"neutral","sentiment_score":-0.2135184875556401}],"sentiment":"neutral","sentiment_score":-0.2135184875556401,"channel":0,"num_words":14,"start":705.41,"end":709.11},{"sentences":[{"text":"I don't know.","start":709.805,"end":710.365,"sentiment":"neutral","sentiment_score":-0.1626628190279007},{"text":"I'm a bit of a black box person, 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100%.","start":729.96,"end":731.24005,"sentiment":"neutral","sentiment_score":0.18904533982276917},{"text":"Yep.","start":731.24005,"end":731.74005,"sentiment":"neutral","sentiment_score":0.2035553753376007}],"sentiment":"neutral","sentiment_score":0.19267284870147705,"channel":1,"num_words":4,"start":729.96,"end":731.74005},{"sentences":[{"text":"Yeah.","start":731.68,"end":732.16,"sentiment":"neutral","sentiment_score":0.27626895904541016},{"text":"Cool.","start":732.16,"end":732.66,"sentiment":"positive","sentiment_score":0.46469810605049133}],"sentiment":"positive","sentiment_score":0.37048353254795074,"channel":0,"num_words":2,"start":731.68,"end":732.66},{"sentences":[{"text":"Alright.","start":732.44,"end":732.94,"sentiment":"neutral","sentiment_score":0.32988667488098145}],"sentiment":"neutral","sentiment_score":0.32988667488098145,"channel":1,"num_words":1,"start":732.44,"end":732.94},{"sentences":[{"text":"Alrighty.","start":732.8,"end":733.27997,"sentiment":"positive","sentiment_score":0.3682326674461365}],"sentiment":"positive","sentiment_score":0.3682326674461365,"channel":0,"num_words":1,"start":732.8,"end":733.27997},{"sentences":[{"text":"No worries.","start":733.0,"end":733.66003,"sentiment":"positive","sentiment_score":0.40007317066192627}],"sentiment":"positive","sentiment_score":0.40007317066192627,"channel":1,"num_words":2,"start":733.0,"end":733.66003},{"sentences":[{"text":"Thanks for that.","start":733.27997,"end":734.25995,"sentiment":"positive","sentiment_score":0.7670077482859293}],"sentiment":"positive","sentiment_score":0.7670077482859293,"channel":0,"num_words":3,"start":733.27997,"end":734.25995},{"sentences":[{"text":"Thank 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They suggest a medium sling as a solution, but the speaker is unsure how the machine would allow that to happen. They also discuss a previous incident where a leg clip fell off and the sling was not tightened, and provide a medium sized sling instead of a small sling to eliminate the risk of a potential incident. They express caution about putting a potential incident in writing and look into it, but ultimately decide to provide a medium sized sling instead of a small sling to eliminate the risk of a potential incident."},"intents":{"segments":[{"text":"Just wanna give you a bit of an update. I've sent the SIRS Yes. one off through to the board. Yes.","start_word":3,"end_word":23,"intents":[{"intent":"Update and certify progress","confidence_score":0.0000691459}]},{"text":"I'm just No no dramas. at Alright. my All desk. good. But but, basically, it's we don't... Where we think our... What would you say... Yeah. What would you say is... I'm happy to talk to you. Oh, do you wanna speak to Kiara if she's here? No.","start_word":326,"end_word":373,"intents":[{"intent":"Offer assistance","confidence_score":0.0011269056}]},{"text":"Oh, do you wanna speak to Kiara if she's here? No. Yeah. Sure.","start_word":362,"end_word":374,"intents":[{"intent":"Confirm kiara's availability","confidence_score":0.101552926},{"intent":"Confirm kiara's availability","confidence_score":0.1192722},{"intent":"Discuss kiara's availability","confidence_score":0.09367189}]},{"text":"The hoist was correct. It was used correctly. There's an unknown as to how it's happened.","start_word":421,"end_word":436,"intents":[{"intent":"Confirm correct hoist","confidence_score":0.0037996625}]},{"text":"We looked back at the data of when he was first prescribed the sling, which is back. Jade and I assessed him back in May, and he was provided a sling then, which is a size small, which is, according to measurements, is the correct sling size. I reviewed him in April.","start_word":483,"end_word":534,"intents":[{"intent":"Review sling size","confidence_score":0.05189967}]},{"text":"with the same sling, the same hoist, and there was no concerns. So Yep. we, today, tried him... Because we were expecting, based on what we were told, that he was rigid, pushing back, you know, legs might have been extended.","start_word":593,"end_word":633,"intents":[{"intent":"Discuss legs","confidence_score":0.0014826403}]},{"text":"So what we've done today, is that make... I don't know. Does that make sense how I'm describing that? Yeah. Sort of.","start_word":1069,"end_word":1090,"intents":[{"intent":"Report and reassure","confidence_score":0.0000010718649}]},{"text":"Yeah.","start_word":1633,"end_word":1633,"intents":[{"intent":"Review and provide results","confidence_score":0.00019756623}]},{"text":"I don't even know who the carers are, and I'm... I just got a referral to say, can you come and review, Bevan? So I don't wanna... I'm just saying to you, this could have happened if this came off, and I'm Yes.","start_word":1794,"end_word":1836,"intents":[{"intent":"Evaluate carers' motives","confidence_score":0.0015537521}]},{"text":"There's no issue with any of that. But when I'm ask... When I'm answering the question of the board, that's what have you done to make sure it won't happen again?","start_word":2002,"end_word":2032,"intents":[{"intent":"Ask questions","confidence_score":0.012650088}]},{"text":"Or maybe what we do is that someone clicks the the the safety clips from the sling onto the hoist, and then the second person, this is obviously a person there, checks it. Something like that.","start_word":2077,"end_word":2112,"intents":[{"intent":"Inquire about safety clips","confidence_score":0.0017440196}]},{"text":"I don't I don't know, Yep. Kiara, Yeah. how And we'll that would do be... it. But... Yeah. That would be the hypothesis that it Yes. was because of manual handling. Yeah.","start_word":2113,"end_word":2144,"intents":[{"intent":"Confirm understanding","confidence_score":0.09474325}]},{"text":"I happy look in for your... happy for Yeah. Diane to put that together.","start_word":2151,"end_word":2164,"intents":[{"intent":"Look in for happy","confidence_score":0.08651064}]},{"text":"some Yep. guidance because you're the person who you and Hassan done the assessment. Yeah.","start_word":2178,"end_word":2192,"intents":[{"intent":"Evaluate guidance","confidence_score":0.07885484}]},{"text":"I can only go based off what I've what I've assessed in the past, what I've assessed today, and, you know, the in between is is verbal reports that I've got from two different Yeah.","start_word":2248,"end_word":2282,"intents":[{"intent":"Evaluate verbal reports","confidence_score":0.007565142}]},{"text":"the thing when you've ruled out the the possible and got rid of the improbable? Yeah.","start_word":2291,"end_word":2306,"intents":[{"intent":"Rule out potential","confidence_score":0.0009604041}]}]},"sentiments":{"segments":[{"text":"Hello? Hello? Hello? Just wanna give you a bit of an update. I've sent the SIRS Yes. one off through to the board. Yes. It goes to Stuart as the chair, but it also goes to Zenith who effectively is the, for one of a better word, the clinical expert Yep. on Yep. the board. So they've got it.","start_word":0,"end_word":58,"sentiment":"neutral","sentiment_score":0.1369117945432663},{"text":"They're per se okay with it.","start_word":59,"end_word":64,"sentiment":"positive","sentiment_score":0.4389203488826752},{"text":"However, Mhmm. Zenith's final comment was... So he says noted with thanks, Mike.","start_word":65,"end_word":77,"sentiment":"neutral","sentiment_score":0.25502339005470276},{"text":"I look forward to seeing the final findings and recommendations from the physio and OT Yes.","start_word":78,"end_word":93,"sentiment":"positive","sentiment_score":0.6210804581642151},{"text":"review. Yep.","start_word":94,"end_word":95,"sentiment":"neutral","sentiment_score":0.31586846709251404},{"text":"Perfect.","start_word":96,"end_word":96,"sentiment":"positive","sentiment_score":0.5198583602905273},{"text":"So when... They're gonna document that now. So when I get that through, I'll probably... Is it okay to send it tomorrow? Do you want it now? No. No. No. Tomorrow is absolutely Yes. fine. But I Yep. guess, Dianna, it would be helpful both from my point of view and maybe their point of view because they won't... They don't have access to company manager and all the rest of Yes. it. It would be useful to say what we've changed in it. Yes. Because Zenith is gonna go... What what you've said here, everything looks normal and okay, but it still happens. So a bit like Yep. I've said, it's like, what are we gonna do to make sure it's done that one again? Yeah. They believe... I'm just telling you now, they believe it's human error because I don't know how that could've... How that's possible. They've actually assessed him in the sling. And... Because when we did it before, we did it with Hass, but, obviously, he's got that control. So they've... Yeah. They believe it's human. It's the error for the staff, but it's What nowhere was to... the error? The... I've got Kiara here with me. You're right? Do you wanna...... Of Do lower. you want to pop over? We're just kind of in the clinical huddle at the same time. Alright. I'm just No no dramas. at Alright. my All desk.","start_word":97,"end_word":334,"sentiment":"neutral","sentiment_score":-0.07996466320728053},{"text":"good.","start_word":335,"end_word":335,"sentiment":"positive","sentiment_score":0.4544227719306946},{"text":"But but, basically, it's we don't... Where we think our... What would you say... Yeah.","start_word":336,"end_word":350,"sentiment":"neutral","sentiment_score":-0.012592453509569168},{"text":"What would you say is... I'm happy to talk to you.","start_word":351,"end_word":361,"sentiment":"positive","sentiment_score":0.38179275393486023},{"text":"Oh, do you wanna speak to Kiara if she's here? No. Yeah. Sure. Yeah? Yeah. Yeah. Do you have her to come around? Yes. Hey, Mark. How are you? Yeah.","start_word":362,"end_word":391,"sentiment":"neutral","sentiment_score":0.05697881802916527},{"text":"Good.","start_word":392,"end_word":392,"sentiment":"positive","sentiment_score":0.3875020146369934},{"text":"So just to add to Diane, obviously, from what I can see so far and what I've been told so far on this incident, this thing was correct. The hoist was correct. It was used correctly. There's an unknown as to how it's happened. Yes. And yet we obviously need to make sure that going forward, it doesn't happen again. So what are we changing to make sure it doesn't happen again? So we have been in there. We tried this... The equipment to make sure it wasn't the equipment. We looked back at the data of when he was first prescribed the sling, which is back. Jade and I assessed him back in May, and he was provided a sling then, which is a size small, which is, according to measurements, is the correct sling size. I reviewed him in April. Mhmm. The the the sling and the transfer is being completed regularly since May last year. And on review in April, it was no different. May There was no concern. May in May twenty last twenty year. five. Yes. Okay. So And I then reviewed he was him in reviewed April. in April 26. '6. Yep. And Yep. with the same sling, the same hoist, and there was no concerns. So Yep. we, today, tried him... Because we were expecting, based on what we were told, that he was rigid, pushing back, you know, legs might have been extended. So we tried a medium sling because we'd already tried the small sling, re re re... Created the transfer. No problems.","start_word":393,"end_word":654,"sentiment":"neutral","sentiment_score":-0.01684878021478653},{"text":"Tried the medium sling to see if that would make any difference, but he actually was very comfortable, set upright. We used the same clips, you know, the red red and green for an upright sitting position, lifted him up, moved him over, popped him back into the chair, and there was no rigidity.","start_word":655,"end_word":708,"sentiment":"positive","sentiment_score":0.3611983954906464},{"text":"There was no stiffness that we could... That we were expecting to see that would cause a backwards fall out of a sling.","start_word":709,"end_word":731,"sentiment":"neutral","sentiment_score":-0.30446264147758484},{"text":"So I'm I'm a bit I don't quite understand how one one of the attachments has fallen off and how he felt felt Had it posterior fell off? out of it. Well, according to the report, the leg sling fell off, which in my mind with the with the safety clips is almost impossible unless it wasn't actually clipped the whole way over because it would have to get up and over and out of safety clip before it would come off.","start_word":732,"end_word":813,"sentiment":"negative","sentiment_score":-0.49574077129364014},{"text":"So that was one of the leg clips And is the apparently leg came clip off not a front on the clip? left side. No. On a leg... That's what... That's why we quite don't understand how we went backwards if it was a... He would have come forwards onto the floor if it was through a leg clip.","start_word":814,"end_word":872,"sentiment":"neutral","sentiment_score":-0.17789387702941897},{"text":"So I... In my opinion, it sounds like human error because I don't know how the machine would allow that unless the the actual harness wasn't pushed all the way into the clip for that to come out.","start_word":873,"end_word":910,"sentiment":"negative","sentiment_score":-0.3756538927555084},{"text":"But then I don't know how he come backwards instead of forwards. So if he was too far down the sling and if the leg clip wasn't put in place, then his his, you know, moment... He's half a upper body heavy person that would possibly have tilted it because of the inequality.","start_word":911,"end_word":963,"sentiment":"neutral","sentiment_score":-0.28364765644073486},{"text":"He could have come back out through, you know, backwards. If you lose a leg clip and he's more heavy at the top end because they pulled the sling too far down under his bottom or something like that, he could have tipped backwards. That's the only rational thing that I think could possibly have happened if they hadn't clipped that clipped him properly and the leg clip fell off. He was... The sling was pulled pulled too far down his body, and that release of that leg clip would have just become a bit like a pendulous swing, and he would have slipped backwards.","start_word":964,"end_word":1068,"sentiment":"negative","sentiment_score":-0.5208459530557905},{"text":"So what we've done today, is that make... I don't know. Does that make sense how I'm describing that? Yeah.","start_word":1069,"end_word":1088,"sentiment":"neutral","sentiment_score":-0.2622702121734619},{"text":"Sort of. Difficult for me to imagine sat at my desk, but, yeah, go on. Well, if you've got four points that are supporting you and you take away one point, you're gonna get a bit of an uneven pull. So if you got an uneven pull and his upper body heavy because his sling's being pulled too far down underneath his bottom, so if it was below his shoulders where the sling was sitting and you take away the support because they're all gathered at one point.","start_word":1089,"end_word":1176,"sentiment":"negative","sentiment_score":-0.3900322914123535},{"text":"Right? So Yep.","start_word":1177,"end_word":1179,"sentiment":"neutral","sentiment_score":-0.10796656459569932},{"text":"if you take away the support of the leg and it was it was... The swing was too far down, the weight and the momentum would have swung in backwards, which is how he could have come out the top end.","start_word":1180,"end_word":1220,"sentiment":"negative","sentiment_score":-0.43514400720596313},{"text":"Okay. And are we sure that a leg clip was detached? Yes. It it was definitely retouched, wasn't it? That's what it was reported for, like So it fell off, but we don't... I... They said it was after he fell. They noticed that the fork had come off, so they reckon it was attached. What it fell?... Fell. And it come off after? Yes. How does that happen?","start_word":1221,"end_word":1289,"sentiment":"neutral","sentiment_score":-0.16633467376232147},{"text":"I don't know. Because he would have been on the floor and that was...... Statement problem.","start_word":1290,"end_word":1305,"sentiment":"negative","sentiment_score":-0.3437838554382324},{"text":"Yeah. Okay. I've... Stop. Look. That's what we reported. But in in the... What we've done today is gone and replicated both situations, and we've... To avoid the possibility that the sling gets pulled too far down, even though a small sling does suit his weight and height and and all of that, we've given him a medium sling, which he also fits into, which comes a little bit further up above the shoulders. He sits comfortably in that, and there was no posterior arching or extension to indicate he would go backwards in it. So all we could really do is provide a medium sized sling instead of a small sling, which is slightly bit bigger. And, you know, to try and eliminate human error in the future would be what I would suggest. Alright.","start_word":1306,"end_word":1441,"sentiment":"neutral","sentiment_score":0.01012944312327925},{"text":"Okay. All good. Thank you for that.","start_word":1442,"end_word":1448,"sentiment":"positive","sentiment_score":0.6359815001487732},{"text":"My... When you obviously gonna write your... Some findings up in his in his progress notes. But Yep. there are some findings there that probably shouldn't go on the progress notes because they're not conclusive. They are subjective around what may or may not have happened. But I could do with those in a separate statement. So I'm only... I'm I'm... From a physio point of view, I'm gonna review... I got given this referral and I'm gonna go in and say I did this and this. And based Yep. on this, he would suit a smaller or medium. To provide extra support, we're gonna provide a medium. But I'm just... I purely was talking to you about my clinical reasoning and my rationale of how this could have happened. But I wasn't part of the incident, so I don't really feel confident commenting on assumptions in terms So... of what the incident... How the incident could have happened because I'd... I've... I'm only getting secondhand information, and they just asked me to come and review to make sure that the transfer was correct. Yeah. Okay.","start_word":1449,"end_word":1634,"sentiment":"neutral","sentiment_score":-0.16347096860408783},{"text":"But someone has to come up with something as to why it may have happened.","start_word":1635,"end_word":1649,"sentiment":"negative","sentiment_score":-0.35665902495384216},{"text":"And I'm happy for that to be you or Hass or Diane or none of you or some of you, but we can't just say we don't know because it has happened. And so at the very least, we need to work in hypothesis around this is what we think could have happened. But is that in my... Is that... So I'm... I am pushing back a little bit on this because I feel that I've put in a situation where it's not really my, like, I've I've been asked to do a review, and I've done a mobility review, and I followed through. And my review my review is Yeah. there for Yeah.","start_word":1650,"end_word":1763,"sentiment":"neutral","sentiment_score":-0.10147490352392197},{"text":"April, and I've done it today, but I don't I don't wanna get someone in trouble when I don't... I didn't get the the first 10 report from these people.","start_word":1764,"end_word":1793,"sentiment":"negative","sentiment_score":-0.3993566930294037},{"text":"I don't even know who the carers are, and I'm... I just got a referral to say, can you come and review, Bevan? So I don't wanna... I'm just saying to you, this could have happened if this came off, and I'm Yes. happy to to, like, verbally consult that with you, but I don't think I I Well, would it's not... It's not qualify gonna go putting it's it not in gonna a... go on eye it's not gonna go on eye Yeah. care. Okay. And I'm... I don't I don't I don't... I specifically don't want that in eye care. Yeah. But in something that I need, because I need to provide some explanation as to how it might have happened, Yep. then someone's gonna have to write to me, give me that information. K.","start_word":1794,"end_word":1930,"sentiment":"neutral","sentiment_score":-0.20988516509532928},{"text":"And, you know, at the end of the day, no one's trying to do this, so no one is in trouble, and we Yep. really don't know what's happened. We're making some guesswork here.","start_word":1931,"end_word":1964,"sentiment":"negative","sentiment_score":-0.3768334984779358},{"text":"Yeah. The old And, hypothesis. obviously, yeah. Absolutely. And it obviously did happen. And the first thing that the person... The people involved did is go, oh my god, and get help. So that... Yes.","start_word":1965,"end_word":1999,"sentiment":"neutral","sentiment_score":0.005118165211752057},{"text":"That's fine.","start_word":2000,"end_word":2001,"sentiment":"positive","sentiment_score":0.4403278529644013},{"text":"There's no issue with any of that. But when I'm ask... When I'm answering the question of the board, that's what have you done to make sure it won't happen again? Hand on heart, I can't answer that because we don't know what happened. And so all I can do is give them Yes. someone on the pie... Hypothesis this has happened, and therefore, we will probably do that, which will be some extra training. Or maybe what we do is that someone clicks the the the safety clips from the sling onto the hoist, and then the second person, this is obviously a person there, checks it. Something like that. I don't I don't know, Yep. Kiara, Yeah. how And we'll that would do be... it. But... Yeah. That would be the hypothesis that it Yes. was because of manual handling. Yeah. So... But So that's all... Yeah.","start_word":2002,"end_word":2150,"sentiment":"neutral","sentiment_score":-0.06560064107179642},{"text":"I happy look in for your... happy for Yeah. Diane to put that together.","start_word":2151,"end_word":2164,"sentiment":"positive","sentiment_score":0.3900435268878937},{"text":"Yes. But, obviously, she... She's gonna have to look to you for Yeah. some Yep. guidance because you're the person who you and Hassan done the assessment. Yeah. Yeah. And I just... Yeah. I just feel a bit cautious. I feel a bit... I'm cautious about putting that in writing because it is a hypothesis, and it's... I haven't... It's it's But not a that's study all we I've have read at to the say moment.","start_word":2165,"end_word":2240,"sentiment":"neutral","sentiment_score":-0.13505429029464722},{"text":"that's gonna happen.","start_word":2241,"end_word":2243,"sentiment":"negative","sentiment_score":-0.33652541041374207},{"text":"No. It's just No. I can only go based off what I've what I've assessed in the past, what I've assessed today, and, you know, the in between is is verbal reports that I've got from two different Yeah. people. What what... So... What's the what's Yeah. the thing when you've ruled out the the possible and got rid of the improbable? Yeah. What's left no matter how improbable must be the truth or something like that? I don't know. I'm a bit of a black box person, but... Yeah. Okay. That's fine. I'll Is that alright? I'll... Yeah. That's fine. I'll liaise with Diane and and see what she comes up with. Cool. But in Alright. this, there's no one gonna get into trouble because it's it's it's not that way. We're just about making sure that we don't potentially have another incident with Bevan or anyone else that we can avoid it. Oh, a 100%. Yep. Yeah.","start_word":2244,"end_word":2402,"sentiment":"neutral","sentiment_score":-0.11610641850615448},{"text":"Cool.","start_word":2403,"end_word":2403,"sentiment":"positive","sentiment_score":0.46469810605049133},{"text":"Alright.","start_word":2404,"end_word":2404,"sentiment":"neutral","sentiment_score":0.32988667488098145},{"text":"Alrighty. No worries. Thanks for that. Thank you. Bye.","start_word":2405,"end_word":2413,"sentiment":"positive","sentiment_score":0.556366503238678},{"text":"Bye.","start_word":2414,"end_word":2414,"sentiment":"neutral","sentiment_score":0.3152390122413635}],"average":{"sentiment":"neutral","sentiment_score":-0.12451985444302416}}}}