Alan J. Card
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alanjcard.bsky.social
Alan J. Card
@alanjcard.bsky.social
4.2K followers 3.1K following 2K posts
PhD / MPH. Assistant Professor. Systems design and improvement for health and care. #PatientSafety, #QISky #riskmgt, #designthinking, occupational safety/wellbeing, #academicsky. Also puns.
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alanjcard.bsky.social
Some universities are closing departments left, right, and center. My university still has departments you’ve never even heard of!
A glass door with white text on it reading: “Department of NO THROUGH TRAFFIC.”
December 3, 2025 at 11:21 PM
alanjcard.bsky.social
Well, that’s an annoyingly good example of poor human factors design.

I was trying to make delicious bread, not a cinnamon raisin whole wheat candle!

#HFE
A box of If You Care brand wax paper right next to an almost identical box of parchment paper. Good for brand recognition, I’m sure, but not good for my fresh baked bread!
November 13, 2025 at 9:28 AM
alanjcard.bsky.social
This quote captures the most frustrating part to me. There are tremendously important lessons to be learned from this ongoing pandemic and the question of where the virus originated just fundamentally isn’t one of them. It’s taken up so much oxygen that could have been dedicated to useful inquiry.
A quote from the linked article: “I also genuinely don’t really care what started the pandemic. People are always shocked when they hear this, but to me it doesn’t matter that much. We know that wet markets should be better regulated and that globally laboratories should have strong oversight - these are both true regardless of what precisely caused the pandemic.”
July 8, 2025 at 6:43 AM
alanjcard.bsky.social
That feeling when it took way too long to get your sourdough in the oven, so you accidentally made unsweetened cake instead of bread. #BreadSky
Sourdough bread with a round, flat top and vertical sides.
June 26, 2025 at 5:26 AM
alanjcard.bsky.social
Post a warning
A sign: text on the top says “Caution Wet Floor” in the middle is a human figure that looks like it’s falling sideways, with hands splayed. Text at the bottom reads “Jazz Hands”
March 23, 2025 at 3:00 AM
alanjcard.bsky.social
Your last saved meme is your moral philosophy.

Close enough, really.
A workplace safety sign hangs on a painted cinderblock wall. The top of the sign reads “This is a velociraptor-free workplace.” The middle is a silhouette of a velociraptor in a red circle with a red line across it. Beneath this, the sign reads “It has proudly been,” followed by a space for a post-it note and the end of the sign reads “days since the last incident.” There are two post-it notes side by side. The one on the left has the number 412 crossed out. The one on the right has the number 6. A picture of a man has been attached with the words, “We miss you Pete.”
January 5, 2025 at 1:03 AM
alanjcard.bsky.social
I don’t know what the risk manager knew when they said this. Maybe they were lied to. Maybe they didn’t dig deeply enough. Maybe they were covering it up. But the profession needs a code of ethics based on serving patients, not organizations’ reputations: journalofethics.ama-assn.org/article/what...
Nadine’s parents asked St. Peter’s to investigate the care she received. They wanted to know how Weiner could have missed a massive tumor a week before she died. Two months later, they met with the hospital’s director of risk management, who told them, Long said, “that he was reviewed and provided great care.”
December 8, 2024 at 8:02 AM
alanjcard.bsky.social
Unboxing day for @profgoldberg.bsky.social’s excellent book tackling the public health impacts of American football—and why nothing serious has been done to protect the children and workers (pro football players) who are being harmed.
The book “Tackle football and traumatic brain injuries: Law, ethics, and public health,” by Daniel Goldberg, sitting on the cardboard envelope in which it arrived. 4 blurbs about Daniel Goldberg’s book: "Tackle Football and Traumatic Brain Injuries exposes the cynical campaign by the tackle football industry, the NFL, and the NFL's mercenary scientists to manufacture doubt and conceal from players and the public the truth about the harmful and sometimes tragic impact of playing tackle football on players' brains." DAVID MICHAELS author of The Triumph of Doubt: Dark Money and the Science of Deception "This searing indictment shows how the NFL as well as college and youth football have borrowed from the playbook of tobacco companies and other industries to manufacture doubt about the risks associated with football. A must-read for anyone with a child who wants to play football, anyone who enjoys the game, and all who want to understand how industries resist regulations and how ethical societies should balance the risks and rewards of products and pastimes." WENDY E. PARMET Northeastern University "Daniel Goldberg's analysis of tackle football and traumatic brain injuries is more relevant than ever. It is a strong indictment of not only the harms caused by the American tackle football industry but also the strategies used to evade regulation. He explains with exceptional clarity why structural violence is an essential lens for understanding and addressing these important public health issues." KATHRYN HENNE The Australian National University "Despite its harms, tackle football has a winning playbook for deferring regulation: the Manufacture of Doubt. Goldberg insightfully explores how football uses the same insidious tools as Big Tobacco and nineteenth-century railroads, recommending policy solutions to address the sport's most unacceptable risks. A must-read for anyone who cares about safety in football— or any industry." ALAN J. CARD San Diego State University
October 18, 2024 at 9:07 PM
alanjcard.bsky.social
Is it too late to be up baking? Sure, maybe. But will I have my proper breakfast in the morning, instead of a disappointing bowl of cereal? Yes. Yes, I will. #BreadSky
Sourdough bread on a wooden cooling rack at the front of a bread box of the same material.
October 11, 2024 at 6:56 AM
alanjcard.bsky.social
I LOVE that I saw these one right after the other! 😂
Post of a news article with the headline “Does Health Advice Actually Work?” The post reads: Does Health Advice Actually Work? Study led by University of Gothenberg finds no conclusive evidence that #LifestyleCoubseling in medicine works. “Trying to improve #PublicHealth by giving lifestyle advice to one person at a time is both expensive and ineffective.” News headline: ‘Make better choices’: Endangered monk seals keep getting eels stuck up their noses and scientists want them to stop Photo of a monk seal with an eel dangling from one nostril
October 6, 2024 at 7:57 PM
alanjcard.bsky.social
Blurb for Daniel Goldberg’s Tackle Football and Traumatic Brain Injuries: Law, Ethics, and Public Health Despite its harms, tackle football has a winning playbook for deferring regulation: The Manufacture of Doubt. Goldberg’s insightful analysis explores the history of this playbook, shows how football uses the same insidious tools as Big Tobacco and 19th Century railroads, and recommends policy solutions to address the sport’s most unacceptable risks. A must-read for anyone who cares about safety in football–or any industry. Alan J. Card San Diego State University
October 2, 2024 at 5:31 PM
alanjcard.bsky.social
This loaf was trying out for the role of a cartoon puppy! #BreadSky
A slice of sourdough bread. It’s roughly in the shape of a cartoon puppy’s head.
September 21, 2024 at 7:12 PM
alanjcard.bsky.social
A cool thing about my job is that I got the chance to read this excellent book while it was still in production and offer a blurb recommending it to all of you. Here it is… now go order the book!
Blurb for Daniel Goldberg’s Tackle Football and Traumatic Brain Injuries: Law, Ethics, and Public Health Despite its harms, tackle football has a winning playbook for deferring regulation: The Manufacture of Doubt. Goldberg’s insightful analysis explores the history of this playbook, shows how football uses the same insidious tools as Big Tobacco and 19th Century railroads, and recommends policy solutions to address the sport’s most unacceptable risks. A must-read for anyone who cares about safety in football–or any industry. Alan J. Card San Diego State University
September 12, 2024 at 7:03 AM
alanjcard.bsky.social
Repost with a tweet you still think about

(The book title x3 + “by Sandra Boynton” officially replaced the original lyrics for me as soon as I saw this.)
A baby in a crib is in the background. In the foreground is the book “Moo, Baa, La La La,” by Sandra Boynton. The tweet reads: “My husband reads this to the tune of Bad Romance every time”.
July 5, 2024 at 6:54 AM
alanjcard.bsky.social
[Man with butterfly meme] An anime scene: A man in a lab coat and holding a book, gestures to a yellow butterfly just in front of his face. Text reads: Is this a shared governance?
May 23, 2024 at 12:31 AM
alanjcard.bsky.social
[Anime man with butterfly meme] Screenshot from an anime. A man in what appears to be a lab coat is standing in front of a building holding a book. He looks up in wonder at a butterfly hovering just in front of him and gestures toward it. Text reads: "Is this a shared governance?"
April 25, 2024 at 10:43 PM
alanjcard.bsky.social
Without downloading any more pics what’s your energy going into 2024?
Statue of a woman with what looks like a fake smile and a lot of displeasure.
December 28, 2023 at 10:52 PM
alanjcard.bsky.social
Well, the world’s a fractal dumpster fire all the way down, but at least I’m finally figuring out how to make 100% whole wheat sourdough. 🤷🏻‍♂️ 🥖
A brown, almost spherical, sourdough boule cooling on a slatted wooden surface.
November 7, 2023 at 1:04 AM
alanjcard.bsky.social
Unacceptable.
Failing to offer everyone updated protection against
#LongCOVID & PASC (not to mention acute COVID) would be blatant public health malpractice.

www.pbs.org/newshour/hea...
However, the updated booster is not intended for everyone. It’s for people in high-risk groups – those who are age 75 or older, pregnant or immunocompromised, said Offit, who serves on the FDA’s expert panel that reviewed the vaccine companies’ data. Individuals in this group, he explained, stand to benefit the most in part because they account for a disproportionate number of COVID hospitalizations and deaths. The general public should not expect to need to receive the latest COVID booster, Offit said.
September 7, 2023 at 5:12 AM