@aileenbarry18.bsky.social
Quality & Patient Safety, Process Improvement, Med Safety, Specialist Palliative Care, Hospital Pharmacy, Carer.
Reposted
I just wrote an article in @bmj.com about dying. #RIP Ma. Thanks @drkathrynmannix.bsky.social for the education.
www.bmj.com/content/391/...
@jkdhesi.bsky.social @drrachelclarke.com @lucypgeridoc.bsky.social
www.bmj.com/content/391/...
@jkdhesi.bsky.social @drrachelclarke.com @lucypgeridoc.bsky.social
Scarlett McNally: Understanding dying teaches us about living
My mother recently died peacefully at the age of 90. On her final morning she was briefly awake, surrounded by loving family, and then she gently slipped away. I was reminded of Kathryn Mannix’s excel...
www.bmj.com
November 12, 2025 at 6:10 PM
I just wrote an article in @bmj.com about dying. #RIP Ma. Thanks @drkathrynmannix.bsky.social for the education.
www.bmj.com/content/391/...
@jkdhesi.bsky.social @drrachelclarke.com @lucypgeridoc.bsky.social
www.bmj.com/content/391/...
@jkdhesi.bsky.social @drrachelclarke.com @lucypgeridoc.bsky.social
Reposted
The problem with the single patient record: do you want the person doing yr hearing test in the high st to have access to your psychiatric diagnoses, incontinence, alcohol issues?
Fully accessible free text is promised - what does that mean for Pt-Dr confidentiality?
doi.org/10.1136/bmj....
Fully accessible free text is promised - what does that mean for Pt-Dr confidentiality?
doi.org/10.1136/bmj....
Helen Salisbury: Confidentiality and the single patient record
When patients unburden themselves to me in my consulting room, they do so in the knowledge that what they say is confidential. They tell me many things they wouldn’t want others to know: issues that m...
doi.org
October 21, 2025 at 9:24 PM
The problem with the single patient record: do you want the person doing yr hearing test in the high st to have access to your psychiatric diagnoses, incontinence, alcohol issues?
Fully accessible free text is promised - what does that mean for Pt-Dr confidentiality?
doi.org/10.1136/bmj....
Fully accessible free text is promised - what does that mean for Pt-Dr confidentiality?
doi.org/10.1136/bmj....
Reposted
Simple things make a difference to efficiency and safety. If a laparoscopic monitor is positioned badly the error rate and response time goes up.
Get the feng sui right.
#Anaesthesia2025
Get the feng sui right.
#Anaesthesia2025
May 20, 2025 at 1:26 PM
Simple things make a difference to efficiency and safety. If a laparoscopic monitor is positioned badly the error rate and response time goes up.
Get the feng sui right.
#Anaesthesia2025
Get the feng sui right.
#Anaesthesia2025
Reposted
The other side of the barrier @doctorhelgi.bsky.social
How subtle cues, teamwork & understanding between anaesthetists & surgeons improve patient safety.
👉 www.bjsacademy.com/bjs-academy/...
#PatientSafety #Anaesthesia #Surgery #medsky #surgsky
How subtle cues, teamwork & understanding between anaesthetists & surgeons improve patient safety.
👉 www.bjsacademy.com/bjs-academy/...
#PatientSafety #Anaesthesia #Surgery #medsky #surgsky
BJS Academy
What’s wrong? Do you want me to deflate the pneumoperitoneum? My surgeon stops what he’s doing and just looks at me expectantly. I hadn’t said anything to him, nor had I really clocked my own discomfo...
www.bjsacademy.com
July 24, 2025 at 4:42 PM
The other side of the barrier @doctorhelgi.bsky.social
How subtle cues, teamwork & understanding between anaesthetists & surgeons improve patient safety.
👉 www.bjsacademy.com/bjs-academy/...
#PatientSafety #Anaesthesia #Surgery #medsky #surgsky
How subtle cues, teamwork & understanding between anaesthetists & surgeons improve patient safety.
👉 www.bjsacademy.com/bjs-academy/...
#PatientSafety #Anaesthesia #Surgery #medsky #surgsky
Reposted
There's a growing appreciation of the power of "empathetic leadership". Yet 52% of study respondents felt their organisation's efforts to be empathetic were dishonest. This suggests that while leaders are trying, many of us may be going about it wrong: t.co/2D5QlGLL4b. By tanmayvora.bsky.social
February 20, 2025 at 6:08 PM
There's a growing appreciation of the power of "empathetic leadership". Yet 52% of study respondents felt their organisation's efforts to be empathetic were dishonest. This suggests that while leaders are trying, many of us may be going about it wrong: t.co/2D5QlGLL4b. By tanmayvora.bsky.social
Reposted
Great new video documentary about Jasmin Paris' finish in the 2024 Barkley Marathons. Free on youtube! youtu.be/PgTEsybXw-4?...
The Finisher: Jasmin Paris and the Barkley Marathons (Full Documentary)
YouTube video by Singletrack
youtu.be
March 21, 2025 at 5:45 PM
Great new video documentary about Jasmin Paris' finish in the 2024 Barkley Marathons. Free on youtube! youtu.be/PgTEsybXw-4?...
Reposted
Just passing along some friendly advice on how to approach potential changes to the Australian health care system @drruthmitchell.bsky.social
May 5, 2025 at 1:13 AM
Just passing along some friendly advice on how to approach potential changes to the Australian health care system @drruthmitchell.bsky.social
The first organisational chart by a railroad superintendent in 1856. A work of art.
londondesignbiennale.com/pavilions/20...
londondesignbiennale.com/pavilions/20...
April 2, 2025 at 10:59 PM
The first organisational chart by a railroad superintendent in 1856. A work of art.
londondesignbiennale.com/pavilions/20...
londondesignbiennale.com/pavilions/20...
Reposted
When patients try to assert their own expertise, why do doctors often just smile indulgently? My latest "Talking Point" column @bmj.com
www.bmj.com/content/389/...
www.bmj.com/content/389/...
John Launer: Watch out for that indulgent smile
I spend a lot of time teaching communication skills, although I prefer to call them interactional skills, which suggests more of a two way street. Much of what I cover relates to speaking and listenin...
www.bmj.com
April 2, 2025 at 2:41 PM
When patients try to assert their own expertise, why do doctors often just smile indulgently? My latest "Talking Point" column @bmj.com
www.bmj.com/content/389/...
www.bmj.com/content/389/...
Reposted
The @UKCPAEmergency committee have co-created an advisory statement with @RCollEM & @AACE_org on supporting patients to self-administer time-critical meds in Emergency Departments. Levodopa & insulin are priorities, and recommendations on how to support pts is given. buff.ly/tVhZC70
March 28, 2025 at 5:34 PM
The @UKCPAEmergency committee have co-created an advisory statement with @RCollEM & @AACE_org on supporting patients to self-administer time-critical meds in Emergency Departments. Levodopa & insulin are priorities, and recommendations on how to support pts is given. buff.ly/tVhZC70
Reposted
Automaticity
Systems of thinking relates our approach to risk and decision making (Kahneman 2011). It is argued that there are two systems of thinking that people are engaged in through the course of their daily activities. System 1 - automatic, intuitive, effortless, nonanalytic System 2 -…
Systems of thinking relates our approach to risk and decision making (Kahneman 2011). It is argued that there are two systems of thinking that people are engaged in through the course of their daily activities. System 1 - automatic, intuitive, effortless, nonanalytic System 2 -…
Automaticity
Systems of thinking relates our approach to risk and decision making (Kahneman 2011). It is argued that there are two systems of thinking that people are engaged in through the course of their daily activities. System 1 - automatic, intuitive, effortless, nonanalytic System 2 - effortful, analytic, creative, deliberative Automatic thought processes come into play when we are driving a familiar route.
suzettewoodward.org
March 28, 2025 at 11:04 AM
Automaticity
Systems of thinking relates our approach to risk and decision making (Kahneman 2011). It is argued that there are two systems of thinking that people are engaged in through the course of their daily activities. System 1 - automatic, intuitive, effortless, nonanalytic System 2 -…
Systems of thinking relates our approach to risk and decision making (Kahneman 2011). It is argued that there are two systems of thinking that people are engaged in through the course of their daily activities. System 1 - automatic, intuitive, effortless, nonanalytic System 2 -…
Reposted
A thought provoking thread - particularly with the cognitive decline that COVID causes which was rightly pointed out in a reply
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😢😢
Thoughts please #MedSky #MedEd. What do you *do* (actions) when you have a senior colleague with suspected cognitive decline? I'm interested in #OperateWithRespect options that maintain privacy and dignity while avoiding 'walking past until reputation-ruining crisis'. 🤔
March 26, 2025 at 6:37 AM
A thought provoking thread - particularly with the cognitive decline that COVID causes which was rightly pointed out in a reply
😢😢
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Reposted
My report to the Thirlwall Inquiry offers a detailed analysis of the challenges relating to warning signs in healthcare settings. thirlwall.public-inquiry.uk/evidence/inq...
March 26, 2025 at 4:37 PM
My report to the Thirlwall Inquiry offers a detailed analysis of the challenges relating to warning signs in healthcare settings. thirlwall.public-inquiry.uk/evidence/inq...
Reposted
Should we worry about the stomach being full before surgery?
We recently launched our SipTilSend resources page.
Hear from the NHS Tayside team who developed the initiative on the story so far and how it came to fruition in our latest CPOC blog.
Blog: www.cpoc.org.uk/siptilsend-s...
We recently launched our SipTilSend resources page.
Hear from the NHS Tayside team who developed the initiative on the story so far and how it came to fruition in our latest CPOC blog.
Blog: www.cpoc.org.uk/siptilsend-s...
March 26, 2025 at 4:11 PM
Should we worry about the stomach being full before surgery?
We recently launched our SipTilSend resources page.
Hear from the NHS Tayside team who developed the initiative on the story so far and how it came to fruition in our latest CPOC blog.
Blog: www.cpoc.org.uk/siptilsend-s...
We recently launched our SipTilSend resources page.
Hear from the NHS Tayside team who developed the initiative on the story so far and how it came to fruition in our latest CPOC blog.
Blog: www.cpoc.org.uk/siptilsend-s...
Reposted
A very interesting report on recognising and responding to early warning signs in public sector bodies. Includes a number of health examples. assets.publishing.service.gov.uk/media/67dadc...
assets.publishing.service.gov.uk
March 26, 2025 at 4:21 PM
A very interesting report on recognising and responding to early warning signs in public sector bodies. Includes a number of health examples. assets.publishing.service.gov.uk/media/67dadc...
Reposted
eagerness to dismantle Social Security, Medicaid, and Medicare as well as kill public education because it tended to foster community values. Feminism had to go, too: the scholars considered it a socialist project.” 2)
www.ineteconomics.org/perspectives...
www.ineteconomics.org/perspectives...
Meet the Hidden Architect Behind America's Racist Economics
Nobel laureate James Buchanan is the intellectual linchpin of the Koch-funded attack on democratic institutions, argues Duke historian Nancy MacLean
www.ineteconomics.org
March 18, 2025 at 7:56 PM
eagerness to dismantle Social Security, Medicaid, and Medicare as well as kill public education because it tended to foster community values. Feminism had to go, too: the scholars considered it a socialist project.” 2)
www.ineteconomics.org/perspectives...
www.ineteconomics.org/perspectives...
Reposted
Must read 🧵:
Roald Dahl on Measles: "Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it.
Roald Dahl on Measles: "Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it.
February 27, 2025 at 11:03 PM
Must read 🧵:
Roald Dahl on Measles: "Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it.
Roald Dahl on Measles: "Olivia, my eldest daughter, caught measles when she was seven years old. As the illness took its usual course I can remember reading to her often in bed and not feeling particularly alarmed about it.
Reposted
Common Psychiatric Medications Silently Sabotage Brain Function in Psychosis Patients
New research shows anticholinergic drugs worsen cognitive abilities, but stopping them can restore mental clarity Patients with schizophrenia and other psychotic disorders frequently struggle with memory and…
New research shows anticholinergic drugs worsen cognitive abilities, but stopping them can restore mental clarity Patients with schizophrenia and other psychotic disorders frequently struggle with memory and…
Common Psychiatric Medications Silently Sabotage Brain Function in Psychosis Patients
New research shows anticholinergic drugs worsen cognitive abilities, but stopping them can restore mental clarity Patients with schizophrenia and other psychotic disorders frequently struggle with memory and thinking problems that can be more disabling than hallucinations or delusions. Now, a comprehensive new study reveals that some of the very medications routinely prescribed to these patients may be making these cognitive problems significantly worse.
scienceblog.com
February 26, 2025 at 3:13 PM
Common Psychiatric Medications Silently Sabotage Brain Function in Psychosis Patients
New research shows anticholinergic drugs worsen cognitive abilities, but stopping them can restore mental clarity Patients with schizophrenia and other psychotic disorders frequently struggle with memory and…
New research shows anticholinergic drugs worsen cognitive abilities, but stopping them can restore mental clarity Patients with schizophrenia and other psychotic disorders frequently struggle with memory and…
Reposted
Bladder drugs & risk of dementia
Conclusions: In this study, all types of anticholinergic bladder drugs were associated with an increased risk of dementia compared with non-use, but not when applying the active comparator of the β3 agonist bladder drug mirabegron
bmjmedicine.bmj.com/content/4/1/...
Conclusions: In this study, all types of anticholinergic bladder drugs were associated with an increased risk of dementia compared with non-use, but not when applying the active comparator of the β3 agonist bladder drug mirabegron
bmjmedicine.bmj.com/content/4/1/...
Bladder drugs and risk of dementia: Danish nationwide active comparator study
Objective To assess the association between cumulative use of anticholinergic bladder drugs and risk of all cause dementia compared with non-use and use of the β3 agonist bladder drug, mirabegron.Desi...
bmjmedicine.bmj.com
February 26, 2025 at 8:02 PM
Bladder drugs & risk of dementia
Conclusions: In this study, all types of anticholinergic bladder drugs were associated with an increased risk of dementia compared with non-use, but not when applying the active comparator of the β3 agonist bladder drug mirabegron
bmjmedicine.bmj.com/content/4/1/...
Conclusions: In this study, all types of anticholinergic bladder drugs were associated with an increased risk of dementia compared with non-use, but not when applying the active comparator of the β3 agonist bladder drug mirabegron
bmjmedicine.bmj.com/content/4/1/...
There's a constant tension between the two...
Wanting to be "productive", we may spend much time in "doing" mode (achieving goals & checking items off lists). Might be better in "spacious" mode (pausing to see multiple possibilities, make wiser decisions, build relationships):
hbr.org/2025/02/how-.... By Megan Reitz. Art: lianafinck.bsky.social
hbr.org/2025/02/how-.... By Megan Reitz. Art: lianafinck.bsky.social
February 16, 2025 at 11:40 AM
There's a constant tension between the two...
Reposted
Study results show that employing a clinical pharmacist in GP practices leads to significant reductions in the total costs of medicines, the total number of opioid prescriptions and the average quantity of anxiolytics per 1,000 patients
#ukpharmacy #clinicalpharmacy
#ukpharmacy #clinicalpharmacy
Clinical pharmacists in GP practices improve quality of prescribing, study suggests
Clinical pharmacists working in GP practices make “statistically significant” improvements in the quality of prescribing, according to a study published in the British Journal of General Practice. As…
buff.ly
February 7, 2025 at 3:20 PM
Study results show that employing a clinical pharmacist in GP practices leads to significant reductions in the total costs of medicines, the total number of opioid prescriptions and the average quantity of anxiolytics per 1,000 patients
#ukpharmacy #clinicalpharmacy
#ukpharmacy #clinicalpharmacy
Reposted
James Reason (1938-2025)
I learned yesterday that Prof. James Reason died. Thanks for the inspiration, Jim. But most importantly, at this time, we hold him, his family and those who loved him, to the light. www.linkedin.com/posts/steven...
I learned yesterday that Prof. James Reason died. Thanks for the inspiration, Jim. But most importantly, at this time, we hold him, his family and those who loved him, to the light. www.linkedin.com/posts/steven...
February 6, 2025 at 8:56 PM
James Reason (1938-2025)
I learned yesterday that Prof. James Reason died. Thanks for the inspiration, Jim. But most importantly, at this time, we hold him, his family and those who loved him, to the light. www.linkedin.com/posts/steven...
I learned yesterday that Prof. James Reason died. Thanks for the inspiration, Jim. But most importantly, at this time, we hold him, his family and those who loved him, to the light. www.linkedin.com/posts/steven...
Reposted
Effective facilitation can make a huge difference to outcomes. Clear communication, structured problem-solving & inclusive decision-making drives performance & innovation. Applies to both external facilitation & facilitation skills by every leader: voltagecontrol.com/articles/the... Image: Tim Leake
February 2, 2025 at 2:22 PM
Effective facilitation can make a huge difference to outcomes. Clear communication, structured problem-solving & inclusive decision-making drives performance & innovation. Applies to both external facilitation & facilitation skills by every leader: voltagecontrol.com/articles/the... Image: Tim Leake
Reposted
Oh this is very good.
I'd just add that 'other hospital departments' includes functions such as pathology and pharmacy, which are critical to effective flow, not just wards.
But it's still very good.
I'd just add that 'other hospital departments' includes functions such as pathology and pharmacy, which are critical to effective flow, not just wards.
But it's still very good.
After seeing a Monitor diagram (from 2014!) in an earlier post from @policyskeptic.bsky.social, I wrote a piece on what I now want to call Operation Red Box...
neilpettinger.substack.com/p/inside-the...
neilpettinger.substack.com/p/inside-the...
Inside the red box
Clinical directorates need to be given their 'there-and-then' data
neilpettinger.substack.com
January 31, 2025 at 8:54 PM
Oh this is very good.
I'd just add that 'other hospital departments' includes functions such as pathology and pharmacy, which are critical to effective flow, not just wards.
But it's still very good.
I'd just add that 'other hospital departments' includes functions such as pathology and pharmacy, which are critical to effective flow, not just wards.
But it's still very good.
Reposted
Brilliant piece reflecting on the role of palliative care and societal coersion by Janice Turner in the Times today #assisteddying
February 1, 2025 at 8:51 AM
Brilliant piece reflecting on the role of palliative care and societal coersion by Janice Turner in the Times today #assisteddying