Gareth Parry
@gjparry.bsky.social
Cambridge Health Alliance & Harvard Medical School | Learning Health Systems | Improvement Science | Implementation Science | Quality Improvement | Biostatistics | Views Own
Reposted by Gareth Parry
Original research on #racism and #healthcare:
Pro-White bias worsens care for both Blacks and Whites.
qualitysafety.bmj.com/content/34/1...
Pro-White bias worsens care for both Blacks and Whites.
qualitysafety.bmj.com/content/34/1...
County-level racial bias is associated with worse care for white and especially black older US adults: a cross-sectional observational study
Objective To assess the association of county-level bias about black and white people with patient experience, influenza immunisation, and quality of clinical care for black and white older US adults ...
qualitysafety.bmj.com
September 21, 2025 at 12:22 AM
Original research on #racism and #healthcare:
Pro-White bias worsens care for both Blacks and Whites.
qualitysafety.bmj.com/content/34/1...
Pro-White bias worsens care for both Blacks and Whites.
qualitysafety.bmj.com/content/34/1...
Reposted by Gareth Parry
Michelle Peter is looking at the experiences of black parents who have been offered screening & invasive testing in pregnancy
Nicola Boydell's work focused on using participatory approaches to service improvement within sexual & reproductive health (incl abortion) services
Worth a listen 👇
Nicola Boydell's work focused on using participatory approaches to service improvement within sexual & reproductive health (incl abortion) services
Worth a listen 👇
We often hear about research that’s co-produced, but what does it mean? In this episode of Listen to THIS @instagraham.bsky.social & THIS Fellows @oliwilliams.bsky.social Michelle Peter & Nicola Boydell unpack this concept to understand how its applied & sometimes misused. Listen now ths.im/3G6pcCV
April 23, 2025 at 11:46 AM
Michelle Peter is looking at the experiences of black parents who have been offered screening & invasive testing in pregnancy
Nicola Boydell's work focused on using participatory approaches to service improvement within sexual & reproductive health (incl abortion) services
Worth a listen 👇
Nicola Boydell's work focused on using participatory approaches to service improvement within sexual & reproductive health (incl abortion) services
Worth a listen 👇
Statistical Process Control (Shewhart Charts) Video Training Resources:
A series of online videos I had the privilege of producing with Lloyd Provost of API.
Made available by University of California Health
#ImprovementScience #QI #qualityimprovement #QISky
www.youtube.com/playlist?lis...
A series of online videos I had the privilege of producing with Lloyd Provost of API.
Made available by University of California Health
#ImprovementScience #QI #qualityimprovement #QISky
www.youtube.com/playlist?lis...
Statistical Process Control: Using Data for Improvement Education Series - YouTube
www.youtube.com
March 26, 2025 at 3:02 PM
Statistical Process Control (Shewhart Charts) Video Training Resources:
A series of online videos I had the privilege of producing with Lloyd Provost of API.
Made available by University of California Health
#ImprovementScience #QI #qualityimprovement #QISky
www.youtube.com/playlist?lis...
A series of online videos I had the privilege of producing with Lloyd Provost of API.
Made available by University of California Health
#ImprovementScience #QI #qualityimprovement #QISky
www.youtube.com/playlist?lis...
Reposted by Gareth Parry
The Safer Births program significantly reduced perinatal mortality in Tanzania, demonstrating effective quality improvement in childbirth care.
by Kamala BA, Ersdal HL (...) Mdoe P et 9 al. in N Engl J Med #MedSky
📖 read the article: https://www.nejm.org/doi/10.1056/NEJMoa2406295
by Kamala BA, Ersdal HL (...) Mdoe P et 9 al. in N Engl J Med #MedSky
📖 read the article: https://www.nejm.org/doi/10.1056/NEJMoa2406295
March 23, 2025 at 4:45 PM
Reposted by Gareth Parry
Here's a new blog post on why dashboards don't tell stories.
www.effectivedatastorytelling.com/post/why-das...
www.effectivedatastorytelling.com/post/why-das...
Why Dashboards (and Dead Mean) Tell No Tales
Can dashboards really tell stories? Just as dead men tell no tales, dashboards remain silent without a storyteller to bring their data to life. While business intelligence vendors tout automated story...
www.effectivedatastorytelling.com
February 13, 2025 at 8:20 PM
Here's a new blog post on why dashboards don't tell stories.
www.effectivedatastorytelling.com/post/why-das...
www.effectivedatastorytelling.com/post/why-das...
Reposted by Gareth Parry
Join our team! CHDI is seeking a Data Analyst to assist with data collection and reporting to support #QualityImprovement projects in #ChildrensBehavioralHealth, including crisis services, outpatient services, and #EvidenceBasedTreatments.
➡️Learn more: loom.ly/MyxQ4uo
#PublicHealthJobs
➡️Learn more: loom.ly/MyxQ4uo
#PublicHealthJobs
Careers
At CHDI, we believe that passionate individuals are critical to achieving our goals. We are always looking for talented professionals committed to making a difference in the lives of children and comm...
loom.ly
February 24, 2025 at 7:14 PM
Join our team! CHDI is seeking a Data Analyst to assist with data collection and reporting to support #QualityImprovement projects in #ChildrensBehavioralHealth, including crisis services, outpatient services, and #EvidenceBasedTreatments.
➡️Learn more: loom.ly/MyxQ4uo
#PublicHealthJobs
➡️Learn more: loom.ly/MyxQ4uo
#PublicHealthJobs
Reposted by Gareth Parry
Woolley added: “We need to change the culture of science so that we’re trained to engage with the public. Not with a microphone. But with your neighbors, at the sidelines of the soccer field. When they ask, ‘What do you do?’, your answer is, ‘I work for you.’ Because science is public service.” 🧪
February 14, 2025 at 6:41 PM
Woolley added: “We need to change the culture of science so that we’re trained to engage with the public. Not with a microphone. But with your neighbors, at the sidelines of the soccer field. When they ask, ‘What do you do?’, your answer is, ‘I work for you.’ Because science is public service.” 🧪
Reposted by Gareth Parry
This is a really good, properly argued assessment of what dashboards do and (mainly) don't bring to the party.
Here's a new blog post on why dashboards don't tell stories.
www.effectivedatastorytelling.com/post/why-das...
www.effectivedatastorytelling.com/post/why-das...
Why Dashboards (and Dead Mean) Tell No Tales
Can dashboards really tell stories? Just as dead men tell no tales, dashboards remain silent without a storyteller to bring their data to life. While business intelligence vendors tout automated story...
www.effectivedatastorytelling.com
February 13, 2025 at 9:51 PM
This is a really good, properly argued assessment of what dashboards do and (mainly) don't bring to the party.
Reposted by Gareth Parry
I ran @USAID health programs for the last 3 years. Trump’s 90 day Stop Work Order on foreign assistance does serious damage to the world and the US. Examples:🧵
January 26, 2025 at 3:56 PM
I ran @USAID health programs for the last 3 years. Trump’s 90 day Stop Work Order on foreign assistance does serious damage to the world and the US. Examples:🧵
Our new study in JAMA Open Network, finding an effect of Mindfulness on reducing Opioid craving
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Mindfulness Training vs Recovery Support During Buprenorphine Treatment
This randomized clinical trial examines the effect of mindfulness training in adults receiving buprenorphine for opioid use disorder on drug use, anxiety, and craving.
jamanetwork.com
January 21, 2025 at 6:42 PM
Our new study in JAMA Open Network, finding an effect of Mindfulness on reducing Opioid craving
jamanetwork.com/journals/jam...
jamanetwork.com/journals/jam...
Reposted by Gareth Parry
"QI projects that are values-led and incorporate diverse, patient-led data into design are more likely to address health inequalities" "when staff & patients cannot engage fully with equity-focused projects... QI projects are more likely to worsen inequalities" qualitysafety.bmj.com/content/earl...
A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities
Introduction Quality improvement (QI) is aimed at improving care. Equity is one of the six domains of healthcare quality, as defined by the Institute of Medicine. If this domain is ignored, QI project...
qualitysafety.bmj.com
January 20, 2025 at 7:52 AM
"QI projects that are values-led and incorporate diverse, patient-led data into design are more likely to address health inequalities" "when staff & patients cannot engage fully with equity-focused projects... QI projects are more likely to worsen inequalities" qualitysafety.bmj.com/content/earl...
A wonderful and accessible description of the use of statistical process control and Shewhart Charts for Quality Improvement in health care
#QI #QISky #improvementscience
www.cambridge.org/core/element...
#QI #QISky #improvementscience
www.cambridge.org/core/element...
Statistical Process Control
Cambridge Core - Medicine: General Interest - Statistical Process Control
www.cambridge.org
January 16, 2025 at 1:40 PM
A wonderful and accessible description of the use of statistical process control and Shewhart Charts for Quality Improvement in health care
#QI #QISky #improvementscience
www.cambridge.org/core/element...
#QI #QISky #improvementscience
www.cambridge.org/core/element...
Reposted by Gareth Parry
Fantastic insights on #ImprovementScience and #Implementation!
In our work on psychological #prehab, my team has been pushing the boundaries of preventative care in cancer. Looking forward to delving deeper into this and contributing our the field’s evolution!
In our work on psychological #prehab, my team has been pushing the boundaries of preventative care in cancer. Looking forward to delving deeper into this and contributing our the field’s evolution!
Looking for a great overview of the evidence on scale-up and sustainability of innovation and improvement in healthcare? Here you go - part of the open access @thisinstitute.bsky.social series and authored by the mighty @trishgreenhalgh.bsky.social and team. www.cambridge.org/core/element...
Approaches to Spread, Scale-Up, and Sustainability
Cambridge Core - Medicine: General Interest - Approaches to Spread, Scale-Up, and Sustainability
www.cambridge.org
January 15, 2025 at 9:26 PM
Fantastic insights on #ImprovementScience and #Implementation!
In our work on psychological #prehab, my team has been pushing the boundaries of preventative care in cancer. Looking forward to delving deeper into this and contributing our the field’s evolution!
In our work on psychological #prehab, my team has been pushing the boundaries of preventative care in cancer. Looking forward to delving deeper into this and contributing our the field’s evolution!
Reposted by Gareth Parry
Improving quality and safety in healthcare often raises profound issues of values and ethics that can easily get overlooked. This overview of the evidence, part of the open access series edited by @thisinstitute.bsky.social, looks at the tensions and challenges. www.cambridge.org/core/element...
Values and Ethics
Cambridge Core - Medicine: General Interest - Values and Ethics
www.cambridge.org
January 14, 2025 at 7:39 AM
Improving quality and safety in healthcare often raises profound issues of values and ethics that can easily get overlooked. This overview of the evidence, part of the open access series edited by @thisinstitute.bsky.social, looks at the tensions and challenges. www.cambridge.org/core/element...
Reposted by Gareth Parry
Out yesterday in BMJ Quality & Safety, we show that texting parents in the evening and 2 days later at noon that we have "reserved" a vaccine for their child, along with a direct scheduling link, increases vaccination rates. @berni-hk.bsky.social qualitysafety.bmj.com/content/earl...
Effect of text message reminders to improve paediatric immunisation rates: a randomised controlled quality improvement project
Previous studies have demonstrated that text message reminders can improve pediatric vaccination rates, including low income & diverse settings such as those served by federally qualified health cente...
qualitysafety.bmj.com
January 8, 2025 at 1:58 PM
Out yesterday in BMJ Quality & Safety, we show that texting parents in the evening and 2 days later at noon that we have "reserved" a vaccine for their child, along with a direct scheduling link, increases vaccination rates. @berni-hk.bsky.social qualitysafety.bmj.com/content/earl...
Reposted by Gareth Parry
As a passionate believer in #QualityImprovement, one thing that makes me sad is when organisations start doing things purely for the sake of regulators. Crib sheets for CQC inspections or couching change as "To address regulator feedback".
We should do things because they are right for patients.
We should do things because they are right for patients.
December 2, 2024 at 6:29 PM
As a passionate believer in #QualityImprovement, one thing that makes me sad is when organisations start doing things purely for the sake of regulators. Crib sheets for CQC inspections or couching change as "To address regulator feedback".
We should do things because they are right for patients.
We should do things because they are right for patients.
Reposted by Gareth Parry
I guess it's not surprising that our organizations and journals must lag a bit in adoption of a new platform, but they are an important part of the conversation. Let's encourage whatever we're affiliated with to take the leap. We can log them here (currently pretty sparse)
go.bsky.app/DwfZqQF
go.bsky.app/DwfZqQF
November 20, 2024 at 12:22 AM
I guess it's not surprising that our organizations and journals must lag a bit in adoption of a new platform, but they are an important part of the conversation. Let's encourage whatever we're affiliated with to take the leap. We can log them here (currently pretty sparse)
go.bsky.app/DwfZqQF
go.bsky.app/DwfZqQF
December 10, 2024 at 8:05 PM
Reposted by Gareth Parry
This is a great read. I'm struck by Berwick's 2013 report, the behaviour shifts he identified as needed. The questions is, 'so what?', what's changed and if it hasn't, can we start to do things differently now?
#Restorativepracticeatwork #patientsafety @drnavbahal.bsky.social @qi-ellie.bsky.social
#Restorativepracticeatwork #patientsafety @drnavbahal.bsky.social @qi-ellie.bsky.social
December 8, 2024 at 8:56 AM
This is a great read. I'm struck by Berwick's 2013 report, the behaviour shifts he identified as needed. The questions is, 'so what?', what's changed and if it hasn't, can we start to do things differently now?
#Restorativepracticeatwork #patientsafety @drnavbahal.bsky.social @qi-ellie.bsky.social
#Restorativepracticeatwork #patientsafety @drnavbahal.bsky.social @qi-ellie.bsky.social
Reposted by Gareth Parry
How can we effectively incorporate equity into quality improvement and patient safety?
Should there be more projects focused specifically on equity, or should equity be embedded into all quality improvement?
BMJ Quality & Safety editorial bit.ly/4f6BsPG #PtSafety
Should there be more projects focused specifically on equity, or should equity be embedded into all quality improvement?
BMJ Quality & Safety editorial bit.ly/4f6BsPG #PtSafety
Taking action on inequities: a structural paradigm for quality and safety
As quality improvement and patient safety (QIPS) practitioners, we aspire to improve care for all patients, caregivers and families using improvement methods. While teams are trained to carefully impl...
bit.ly
December 2, 2024 at 11:06 AM
How can we effectively incorporate equity into quality improvement and patient safety?
Should there be more projects focused specifically on equity, or should equity be embedded into all quality improvement?
BMJ Quality & Safety editorial bit.ly/4f6BsPG #PtSafety
Should there be more projects focused specifically on equity, or should equity be embedded into all quality improvement?
BMJ Quality & Safety editorial bit.ly/4f6BsPG #PtSafety
Reposted by Gareth Parry
One thing I'm finding increasingly tiring about the AI in health narrative in general, but especially AI in the NHS, is the lack of specificity. The whole narrative is filled with grandiose generalised statements. What *exactly* do we want to achieve and how *exactly* are we going to achieve it?
December 5, 2024 at 4:35 PM
One thing I'm finding increasingly tiring about the AI in health narrative in general, but especially AI in the NHS, is the lack of specificity. The whole narrative is filled with grandiose generalised statements. What *exactly* do we want to achieve and how *exactly* are we going to achieve it?
Reposted by Gareth Parry
Thanks to @imperialbrc.bsky.social for supporting my PhD work using #participatorymethods & #coproduction to tackle ethnic inequities in #maternity care.
My 1st study shows how we can work with communities to set #QI priorities👇🏾
qualitysafety.bmj.com/content/earl...
#academicsky #medsky #PhDsky
My 1st study shows how we can work with communities to set #QI priorities👇🏾
qualitysafety.bmj.com/content/earl...
#academicsky #medsky #PhDsky
December 4, 2024 at 10:18 AM
Thanks to @imperialbrc.bsky.social for supporting my PhD work using #participatorymethods & #coproduction to tackle ethnic inequities in #maternity care.
My 1st study shows how we can work with communities to set #QI priorities👇🏾
qualitysafety.bmj.com/content/earl...
#academicsky #medsky #PhDsky
My 1st study shows how we can work with communities to set #QI priorities👇🏾
qualitysafety.bmj.com/content/earl...
#academicsky #medsky #PhDsky
This is great, and I might consider adding, "You know what the change is"
What’s your definition of improvement? #improvementscience davidmwilliamsphd.com/2023/01/02/o...
Operational Definition of Improvement - David M. Williams PhD
By David M. Williams, Ph.D. “What is YOUR definition of ‘improvement’?” she asked. The leadership team just finished reviewing the improvement effortsRead More
davidmwilliamsphd.com
November 29, 2024 at 9:57 PM
This is great, and I might consider adding, "You know what the change is"
Reposted by Gareth Parry
Are maternity & #publichealth teams on the same page w/ communities when reducing ethnic inequities in maternity experiences?
My 1st PhD paper tries to answer this question in partnership with Black families in West London.
#academicsky #matexp #medsky #QIsky
doi.org/10.1136/bmjqs-2024-017848
1/
My 1st PhD paper tries to answer this question in partnership with Black families in West London.
#academicsky #matexp #medsky #QIsky
doi.org/10.1136/bmjqs-2024-017848
1/
Improving the maternity experience for Black, African, Caribbean and mixed-Black families in an integrated care system: a multigroup community and interprofessional co-production prioritisation exerci...
Background Ethnic inequities in maternity care persist in England for Black, African, Caribbean and mixed-Black heritage families, resulting in poorer care experiences and health outcomes than other m...
doi.org
November 28, 2024 at 6:42 PM
Are maternity & #publichealth teams on the same page w/ communities when reducing ethnic inequities in maternity experiences?
My 1st PhD paper tries to answer this question in partnership with Black families in West London.
#academicsky #matexp #medsky #QIsky
doi.org/10.1136/bmjqs-2024-017848
1/
My 1st PhD paper tries to answer this question in partnership with Black families in West London.
#academicsky #matexp #medsky #QIsky
doi.org/10.1136/bmjqs-2024-017848
1/
Reposted by Gareth Parry
Check out this new IPPR report. Brings fresh analysis and recommendations to strengthen the case for learning from and with staff rather than relying on over-centralised approaches to reform that aren’t working www.ippr.org/articles/fro...
From the frontline: Empowering staff to drive the NHS reform agenda | IPPR
The return on public investment has weakened since the pandemic; more money is not leading to many more patients being treated overall. At the same time, p
www.ippr.org
November 27, 2024 at 3:53 PM
Check out this new IPPR report. Brings fresh analysis and recommendations to strengthen the case for learning from and with staff rather than relying on over-centralised approaches to reform that aren’t working www.ippr.org/articles/fro...