Carl Horsley
@carlhorsley.bsky.social
Intensivist at Middlemore; Resilient Healthcare + Te Ao Māori; Clinical lead for System Safety @HQSCNZ ; MSc HF & System Safety, Lund. All musings my own
#medsky #safetysky #icu
#medsky #safetysky #icu
Pinned
Carl Horsley
@carlhorsley.bsky.social
· Jun 18
The Future of Patient Safety: A Journey from Human Error to System Safety
YouTube video by Perioperative Medicine Monash University
youtu.be
Delighted to share the keynote talk from the Monash Patient Safety and Human Factors conference.
It examines what do we mean by “patient safety?”, exploring the roots of current approaches and how they leave us blind to changing risk and our increasingly brittle systems.
youtu.be/cvGXYtNZ1o8?...
It examines what do we mean by “patient safety?”, exploring the roots of current approaches and how they leave us blind to changing risk and our increasingly brittle systems.
youtu.be/cvGXYtNZ1o8?...
Reposted by Carl Horsley
That last line is FIRE 🔥
Christiane Amanpour, "Antisemitism is a major problem. How do you navigate that?"
Zack Polanski, "I think it is a powerful message to have a Jewish leader and a Muslim deputy leader"
"Antisemitism and Islamophobia are two sides of the same coin"
"And the best response to hatred is solidarity"
Zack Polanski, "I think it is a powerful message to have a Jewish leader and a Muslim deputy leader"
"Antisemitism and Islamophobia are two sides of the same coin"
"And the best response to hatred is solidarity"
November 14, 2025 at 8:44 AM
That last line is FIRE 🔥
Reposted by Carl Horsley
Labour selects Dr Gary Payinda to take on former Health Minister Dr Shane Reti
Labour selects Dr Gary Payinda to take on former Health Minister Dr Shane Reti
A high-profile emergency doctor has been selected to stand for the Labour Party against former Health Minister Dr Shane Reti.
www.rnz.co.nz
November 17, 2025 at 12:00 AM
Labour selects Dr Gary Payinda to take on former Health Minister Dr Shane Reti
Reposted by Carl Horsley
"If you're not careful, the newspapers will have you hating the people who are being oppressed and loving the people who are doing the oppressing." Malcolm X.
www.theguardian.com/commentisfre...
www.theguardian.com/commentisfre...
Dark forces are preventing us fighting the climate crisis – by taking knowledge hostage | George Monbiot
The fundamental problem is this: that most of the means of communication are owned or influenced by the very rich, says Guardian columnist George Monbiot
www.theguardian.com
November 16, 2025 at 10:41 AM
"If you're not careful, the newspapers will have you hating the people who are being oppressed and loving the people who are doing the oppressing." Malcolm X.
www.theguardian.com/commentisfre...
www.theguardian.com/commentisfre...
Reposted by Carl Horsley
Deeply grateful to the cops who pushed hard against this, the journos like Paula who get the sunlight disinfectant out, & Ms Z who has been victimised at every turn.
These are the five senior officers who come in for the most criticism in the IPCA report on the McSkimming scandal.
Revealed: The five senior officers at the heart of the McSkimming 'cover-up'
The IPCA report on the handling of the McSkimming case identifies a string of complicit senior officers. So who are they?
www.stuff.co.nz
November 12, 2025 at 7:35 AM
Deeply grateful to the cops who pushed hard against this, the journos like Paula who get the sunlight disinfectant out, & Ms Z who has been victimised at every turn.
Reposted by Carl Horsley
"Aotearoa plummets from 2nd to 53rd in Global Tobacco Industry Interference Index ranking"
NZ getting back on track - to those times when tobacco lobbyists had free reign #nzpol
www.phcc.org.nz/briefing/aot...
NZ getting back on track - to those times when tobacco lobbyists had free reign #nzpol
www.phcc.org.nz/briefing/aot...
Aotearoa plummets from 2nd to 53rd in Global Tobacco Industry Interference Index ranking
Recent policy changes have led to a dramatic drop in NZ’s global ranking for tobacco interference protection.
www.phcc.org.nz
November 12, 2025 at 5:19 AM
"Aotearoa plummets from 2nd to 53rd in Global Tobacco Industry Interference Index ranking"
NZ getting back on track - to those times when tobacco lobbyists had free reign #nzpol
www.phcc.org.nz/briefing/aot...
NZ getting back on track - to those times when tobacco lobbyists had free reign #nzpol
www.phcc.org.nz/briefing/aot...
Reposted by Carl Horsley
We are supposed to honour our agreements, and that's what a treaty is! - please sign: our.actionstation.org.nz/petitions/pr...
Protect Te Tiriti in Education
Aotearoa should be a place where everyone, regardless of their background, is respected and part of a vibrant connected community. Where everyone feels a sense of belonging and knows their children wi...
our.actionstation.org.nz
November 11, 2025 at 6:31 AM
We are supposed to honour our agreements, and that's what a treaty is! - please sign: our.actionstation.org.nz/petitions/pr...
Reposted by Carl Horsley
“Wow I can't believe that 40 years of maximizing shareholder value at the expense of everything else didn't improve society at all.”
🤷♀️ #nzpol
🤷♀️ #nzpol
November 8, 2025 at 7:47 AM
“Wow I can't believe that 40 years of maximizing shareholder value at the expense of everything else didn't improve society at all.”
🤷♀️ #nzpol
🤷♀️ #nzpol
Reposted by Carl Horsley
Paywall lifted: At every turn, the Govt has opted for whatever would actually lead to more pollution and a warmer world – even if it costs more, jeopardises NZ’s reputation, overturns a campaign promise or clashes with the Govt’s other priorities.
The long retreat:
newsroom.co.nz/2025/11/07/g...
The long retreat:
newsroom.co.nz/2025/11/07/g...
Govt's climate strategy: Let it burn
Comment: The Government has relentlessly pursued policies that boost climate pollution – even if they cost more or jeopardise NZ's reputation, Marc Daalder writes
newsroom.co.nz
November 7, 2025 at 6:33 PM
Paywall lifted: At every turn, the Govt has opted for whatever would actually lead to more pollution and a warmer world – even if it costs more, jeopardises NZ’s reputation, overturns a campaign promise or clashes with the Govt’s other priorities.
The long retreat:
newsroom.co.nz/2025/11/07/g...
The long retreat:
newsroom.co.nz/2025/11/07/g...
Reposted by Carl Horsley
At every turn, the Government has opted for whatever would actually lead to more pollution and a warmer world – even if it costs more, jeopardises NZ’s reputation, overturns a campaign promise or clashes with the Government’s other priorities.
The long retreat:
newsroom.co.nz/2025/11/07/g...
The long retreat:
newsroom.co.nz/2025/11/07/g...
Govt's climate strategy: Let it burn
Comment: The Government has relentlessly pursued policies that boost climate pollution – even if they cost more or jeopardise NZ's reputation, Marc Daalder writes
newsroom.co.nz
November 6, 2025 at 7:22 PM
At every turn, the Government has opted for whatever would actually lead to more pollution and a warmer world – even if it costs more, jeopardises NZ’s reputation, overturns a campaign promise or clashes with the Government’s other priorities.
The long retreat:
newsroom.co.nz/2025/11/07/g...
The long retreat:
newsroom.co.nz/2025/11/07/g...
Reposted by Carl Horsley
A report from the Minister for Growth, on the unemployment rate.
My Stuff #cartoon today #NZpol #unemployment #joblessness
My Stuff #cartoon today #NZpol #unemployment #joblessness
November 6, 2025 at 6:00 PM
A report from the Minister for Growth, on the unemployment rate.
My Stuff #cartoon today #NZpol #unemployment #joblessness
My Stuff #cartoon today #NZpol #unemployment #joblessness
Reposted by Carl Horsley
Big Oil’s Three-Decade Plot to Kill America’s Clean Energy Revolution newrepublic.com/article/2020...
Big Oil’s Three-Decade Plot to Kill America’s Clean Energy Revolution
In 1988, the U.S. was in prime position to dominate the industry for decades to come. But thanks to fossil fuel giants, China is instead the world’s superpower in renewables.
newrepublic.com
November 4, 2025 at 5:24 PM
Big Oil’s Three-Decade Plot to Kill America’s Clean Energy Revolution newrepublic.com/article/2020...
We have seen 90 patients waiting for a ward bed in ED. And 100 patients arriving in a 3 hour period.
The extra staff will be nice but need to fund primary care, community care and long term infrastructure.
140 new hospital beds coming in 'rapid-build' wards | The Post share.google/sgUv6kghiUXB...
The extra staff will be nice but need to fund primary care, community care and long term infrastructure.
140 new hospital beds coming in 'rapid-build' wards | The Post share.google/sgUv6kghiUXB...
140 new hospital beds coming in 'rapid-build' wards
New modular 28-bed wards will be provided to five hospitals: Middlemore in Auckland, Waikato, Wellington, Nelson and Hawke’s Bay.
share.google
November 2, 2025 at 7:02 AM
We have seen 90 patients waiting for a ward bed in ED. And 100 patients arriving in a 3 hour period.
The extra staff will be nice but need to fund primary care, community care and long term infrastructure.
140 new hospital beds coming in 'rapid-build' wards | The Post share.google/sgUv6kghiUXB...
The extra staff will be nice but need to fund primary care, community care and long term infrastructure.
140 new hospital beds coming in 'rapid-build' wards | The Post share.google/sgUv6kghiUXB...
Reposted by Carl Horsley
New blog: Fresh dueling guidelines about post-arrest care from the AHA and ESICM
💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication
Which guideline do I love? 😍 You'll have to read the post to find out.
emcrit.org/pulmcrit/202... #EMIMCC
💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication
Which guideline do I love? 😍 You'll have to read the post to find out.
emcrit.org/pulmcrit/202... #EMIMCC
October 26, 2025 at 2:51 PM
New blog: Fresh dueling guidelines about post-arrest care from the AHA and ESICM
💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication
Which guideline do I love? 😍 You'll have to read the post to find out.
emcrit.org/pulmcrit/202... #EMIMCC
💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication
Which guideline do I love? 😍 You'll have to read the post to find out.
emcrit.org/pulmcrit/202... #EMIMCC
Reposted by Carl Horsley
The patient safety specialist role was introduced in 2020, bringing new forms of expertise to improve safety in the NHS. We looked at the challenges specialists faced in trying to define their role and advance their status.
Full paper: ths.im/47jOmI8
THIS summary: ths.im/47l8t8A
Full paper: ths.im/47jOmI8
THIS summary: ths.im/47l8t8A
October 23, 2025 at 9:06 AM
The patient safety specialist role was introduced in 2020, bringing new forms of expertise to improve safety in the NHS. We looked at the challenges specialists faced in trying to define their role and advance their status.
Full paper: ths.im/47jOmI8
THIS summary: ths.im/47l8t8A
Full paper: ths.im/47jOmI8
THIS summary: ths.im/47l8t8A
Reposted by Carl Horsley
There are now just under 50 days to CCR Down Under 2025.
The programme is out - 8 superb trial results coming up.
Join us in Melbourne, in person or virtually, to discuss the best critical care trials in the world!
criticalcarereviews.com/meetings/ccr...
The programme is out - 8 superb trial results coming up.
Join us in Melbourne, in person or virtually, to discuss the best critical care trials in the world!
criticalcarereviews.com/meetings/ccr...
October 21, 2025 at 8:11 PM
There are now just under 50 days to CCR Down Under 2025.
The programme is out - 8 superb trial results coming up.
Join us in Melbourne, in person or virtually, to discuss the best critical care trials in the world!
criticalcarereviews.com/meetings/ccr...
The programme is out - 8 superb trial results coming up.
Join us in Melbourne, in person or virtually, to discuss the best critical care trials in the world!
criticalcarereviews.com/meetings/ccr...
Reposted by Carl Horsley
#NZ Measles
“The person was at Auckland City Hospital's emergency department for nearly 10 hours from 10.30am on Friday.”
– if you were there, check if you’re vaccinated, and watch for symptoms.
www.rnz.co.nz/news/nationa...
“The person was at Auckland City Hospital's emergency department for nearly 10 hours from 10.30am on Friday.”
– if you were there, check if you’re vaccinated, and watch for symptoms.
www.rnz.co.nz/news/nationa...
New measles case spent hours in Auckland City Hospital while infectious
The person was at Auckland City Hospital's emergency department for nearly 10 hours on Friday, but Health NZ says there is a low risk of spread to the community.
www.rnz.co.nz
October 20, 2025 at 7:23 AM
#NZ Measles
“The person was at Auckland City Hospital's emergency department for nearly 10 hours from 10.30am on Friday.”
– if you were there, check if you’re vaccinated, and watch for symptoms.
www.rnz.co.nz/news/nationa...
“The person was at Auckland City Hospital's emergency department for nearly 10 hours from 10.30am on Friday.”
– if you were there, check if you’re vaccinated, and watch for symptoms.
www.rnz.co.nz/news/nationa...
Reposted by Carl Horsley
Repeat after me. A habitable planet is more important than the profits of a few fossil fuel companies.
Pass it on.
#ActOnClimate
Pass it on.
#ActOnClimate
October 14, 2025 at 6:07 PM
Repeat after me. A habitable planet is more important than the profits of a few fossil fuel companies.
Pass it on.
#ActOnClimate
Pass it on.
#ActOnClimate
Reposted by Carl Horsley
Reposted by Carl Horsley
Can’t wait to see the regulatory impact statement that outlines the impact of this decision on everyone who isn’t a farmer
www.rnz.co.nz/news/nationa...
www.rnz.co.nz/news/nationa...
Government lowers methane target, rules out methane taxes
The government is lowering its biogenic methane target for the next 25 years and is ruling out agricultural taxes on methane emissions.
www.rnz.co.nz
October 11, 2025 at 11:52 PM
Can’t wait to see the regulatory impact statement that outlines the impact of this decision on everyone who isn’t a farmer
www.rnz.co.nz/news/nationa...
www.rnz.co.nz/news/nationa...
Reposted by Carl Horsley
Sir Geoffrey Palmer and Chris Finlayson offer praise for the Waitangi Tribunal – and damning criticism of the coalition Government. Sam Sachdeva reports.
Hell hath no fury like an attorney-general scorned
newsroom.co.nz
October 10, 2025 at 6:14 PM
Sir Geoffrey Palmer and Chris Finlayson offer praise for the Waitangi Tribunal – and damning criticism of the coalition Government. Sam Sachdeva reports.
Reposted by Carl Horsley
Nation upset at the inevitable result of its own actions
Nation upset at the inevitable result of its own actions
Step one: push people out of work and onto the streets. Step two: get mad at people being out of work or on the streets...
thespinoff.co.nz
October 9, 2025 at 5:37 PM
Nation upset at the inevitable result of its own actions
Reposted by Carl Horsley
Govt to cut #JobSeeker benefit for 18 & 19 year olds who’s parents earn over $65,000, even if the teens have a disability or health condition. With #CostOfLiving & the job shortage they’re cranking up stress levels to 11, all to meet a target.
My #cartoon today about hard-nosed #NZpol
My #cartoon today about hard-nosed #NZpol
October 9, 2025 at 6:32 PM
Govt to cut #JobSeeker benefit for 18 & 19 year olds who’s parents earn over $65,000, even if the teens have a disability or health condition. With #CostOfLiving & the job shortage they’re cranking up stress levels to 11, all to meet a target.
My #cartoon today about hard-nosed #NZpol
My #cartoon today about hard-nosed #NZpol
Reposted by Carl Horsley
I feel like this photo of masked, armed men pepper spraying a pastor protecting his community is going to be a defining picture of this moment in America for a long, long time.
October 7, 2025 at 11:29 PM
I feel like this photo of masked, armed men pepper spraying a pastor protecting his community is going to be a defining picture of this moment in America for a long, long time.
Reposted by Carl Horsley
The Govt wants to cut Health NZ staff working on alcohol harm & end its research & social marketing campaigns. Sixty five organisations have signed an open letter to the PM, calling for alcohol industry to be excluded from policy making.
My #cartoon today #NZpol #alcohol #Health #PublicHealth
My #cartoon today #NZpol #alcohol #Health #PublicHealth
October 7, 2025 at 5:52 PM
The Govt wants to cut Health NZ staff working on alcohol harm & end its research & social marketing campaigns. Sixty five organisations have signed an open letter to the PM, calling for alcohol industry to be excluded from policy making.
My #cartoon today #NZpol #alcohol #Health #PublicHealth
My #cartoon today #NZpol #alcohol #Health #PublicHealth