Andrew M. Ibrahim MD, MSc
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andrewmibrahim.bsky.social
Andrew M. Ibrahim MD, MSc
@andrewmibrahim.bsky.social

Surgeon-Scientist building for health, Vice Chair, Board Director, ex- C-suite | Improving health through evidence and design
#MedSky, #SurgSky, founder #VisualAbstract #HealthinAllDesign
www.SurgeryRedesign.com

Andrew Philip Michael Ibrahim is a British Muslim convert, also known as Isa Ibrahim after his conversion to Islam. Ibrahim was arrested by the Avon and Somerset Police on suspicion of terrorism, and on 17 July 2009 convicted of preparing terrorist acts. .. more

Medicine 36%
Economics 29%
Pinned
Hi BlueSky!
Surgeon here by way of architecture and health policy.

Follow along for:
📝 writing guides for papers, grants
📐 design resources
⚖️ health policy evidence
🏗️🩺 health design in practice

Book in Progress: “Building for Health”

Today in @NEJM AI : Chris Mansi and I lay out our vision for redesigning clinical workflows with Generative AI.

We build on our decade of work across 1,800 hospitals and use our chart summarization tool (Viz Assist) as one illustrative example for a path forward.

ai.nejm.org/doi/full/10.10…

Reposted by Andrew Ibrahim

Largely helping doctors find the info they need and curating it without us having to login into 5 places or comb through 30pgs of PDFs. And a more acute version for early alerts of time sensitive conditions (eg. Stroke)

I agree the role of AI in PA problematic and concerning.

Grateful for the opportunity to testify today to the US Congress on a path forward for safe adoption of AI in healthcare.

The potential upside is enormous, but we need the right safeguards and processes to capture the upside efficiently without unforced errors.

Reposted by Andrew Ibrahim

Physician leadership programs, MBAs, etc. are everywhere…what’s their success rate in great leaders?

#medsky

Reposted by Andrew Ibrahim

This month in JAMASurgery work by Dr. Katie WagnerMD identifies underlying mechanisms for sex-disparities after surgery: "male & female patients experience ~% of complications, but female patients with complications were more likely to die" #meded #surgsky #medsky

jamanetwork.com/journals/jam...

Reposted by Andrew Ibrahim

We can design better hospitals. But first, we need to get under the hood about why it's so hard.

Thankful to spend time with BTK (episode #800!) and share views from both the physician-side and architecture-side of designing a better hospital.
open.spotify.com/episode/5EZu...
Hospital Design and Surgery
Behind The Knife: The Surgery Podcast · Episode
open.spotify.com

Reposted by Andrew Ibrahim

Thank you @andrewmibrahim.bsky.social for inviting me to speak today about researchers engaging with the news media & others! I’m geeked to get a spot on your cool sign.

My slides are here: www.slideshare.net/slideshow/in...

#scicomm

Thanks to @CraigBrownMD and @KyleSheetz for leading today’s session in our 5th Annual @UMichCHOP boot camp for new fellows!

Has there been a more pressing time to commit to robust evidence to guide health policy?

Grateful to spend the evening celebrating our CHOP fellows who spend two years with us learning rigorous analytic approaches to inform how we better deliver care.

#gratitude #healthpolicy

“Bottom line: AI at the FDA is promising, but smart, proactive policy to guide safe, appropriate industry use that doesn't compromise ultimate FDA approval will drive timelines even faster."

www.linkedin.com/posts/andrew...

Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries
@DiazAdrian10 @jdimick1 @Health_Affairs @UMichCHOP
www.healthaffairs.org/doi/abs/10.1...

Reposted by Andrew Ibrahim

First up: A study led by Adrian Diaz (alum of our National Clinician Scholars Program) and @andrewmibrahim.bsky.social, showing that emergency surgery patients were more likely to die at hospitals owned by #privateequity firms than those with other ownership: www.healthaffairs.org/doi/abs/10.1...
Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries | Health Affairs Journal
Private equity (PE) firms have increasingly invested in US hospitals, raising concerns about their effects on the quality of surgical care. We evaluated the impact of PE acquisition of acute care hosp...
www.healthaffairs.org

Reposted by Andrew Ibrahim

Hospitals acquired by PE show a 2.7 pp ↑ in 30D surgical mortality, driven by a 3.9 pp ↑ in failure to rescue.
We need enforceable nurse‑staffing minimums, full ownership transparency, and federal review of PE transactions. @andrewmibrahim.bsky.social @um-ihpi.bsky.social

bit.ly/432VyWP

Walking up two flights if stairs is a common, low tech tool for surgeons to risk-stratify patients.

But what if architects have been designing for the exact question all along? I explain the history of stairs, skyscrapers and your health, here: www.linkedin.com/pulse/stairc...

"Staircases, Skyscrapers and Your Health"

First except from the forthcoming book, "Building for Health."

Full article: withstudioami.com

I’m not part of many clubs - but the ‘I didn’t match into residency’ is my favorite one. There was a hidden gift in the prelim -> repeat intern year again cycle.

Kindness goes a long way... I still remember who was kind to me my prelim year and pay it forward #match2025

Many thanks to those of you who not only read the 5th edition of the Visual Abstract Primer, but also found some typos! Here it is again, updated, (hopefully) less typos, and links to videos and templates: www.surgeryredesign.com/resources #MedEd #MedSky #SurgSky

Nice! Will check it out!

Thanks for this work. I think there is a larger concern that because the reporting in MAUDE is entirely voluntary, it’s likely underreporting … ie. there’s a large “did not report” category, too, that never makes the database. It should be much more proactive / automated.

4. Art's Principles
amzn.to/3FCZRQs
Arthur (Art) Gensler built a world class architecture firm and kept track of his pearls a long the way. There is a great chapter about "boomerangs" and how to handle your top talent always being recruited from competitors.

3. Health Design Thinking
amzn.to/43GpY2X
I often have someone in medicine me, "I love design, but I don't know how it fits into medicine." If thats you, this would will help a lot. It's full of great examples where design can elevate processes, products and delivery.

2. Healthcare Delivery in Surgery
amzn.to/4kPPAAu

Optimizing OR utilization? Standardizing quality across newly formed networks? Handling a surgeon with poor performance? This book is full of common clinical operation challenges and frameworks to solving them. #surgery #SurgSky #clinicaldelivery

🧵/ I'm often asked about book recommendations. Here is a running list:

1. Clinical Scenarios in Surgery (3rd Edition): amzn.to/3XQu6cZ

I used this for my oral and written prep. Because each section is quite short (usually 2-4 pages), I also give it the medical students rotating with us. #MedEd

Great tips! Would add considering use of a visual abstract: www.surgeryredesign.com/resources

5/ The #VisualAbstract has also gone beyond just research article dissemination, and I end with a nudge to hopefully encourage it as a tool to more directly impact patient care.

Full download of the PDF and templates here: www.SurgeryRedesign.com/resources

4 / The adoption of the #VisualAbstract has not been without scrutinity. There are now 6(!) RCT evaluating the #VisualAbstract and emerging guidelines on quality.

3/ Creating a #VisualAbstract is now easier too. I add multiple videos (from 2min to 20min!) as well as a downloadable PDF with my top 5 templates.

2/ Finding high quality examples is now easier with a growing number of #visualabstract libraries.

1/ After many years of editing, I'm thrilled to release the 5th edition of the Visual Abstract Primer!

Notably, its a lot short (11 pages, down from 56!) Full download here: surgeryredesign.com/resources

Summary below... #VisualAbstract