We pay too much attention to the most confident voices—and too little attention to the most thoughtful ones.
Certainty is not a sign of credibility. Speaking assertively is not a substitute for thinking deeply.
It's better to learn from complex thinkers than smooth talkers.
Although that is true, I think we are just treating ourselves, while reinforcing medical myths
It is OK to discharge children home who still look sick, because, well, they are sick and they will likely look that way for the next few days
Some really great things I have learnt thus far on the @SydneyHEMS induction course;
1. Closed loop communication is such a useful technique
2. Always look to be helpful, be part of the team not part of the problem
3. A pleasant friendly opening is the best way to engage
This closure had little to do with Covid and a lot to do with ignoring our nurses pleas for help for years. Covid did not cause our hospital to lose over 50% of its staff within a few months. Covid is a convenient excuse.
And let's be clear: these closures and reductions due to covid are a result of premature lifting of protective measures (eg: masks) and a result of mixed messaging from political and public health leaders which cause the public to think that the pandemic is over.
It’s helpful because it’s accurate. An undignified experience for patients, an unsafe environment for staff — wherein error is only avoided by chance, not by design.
The public has a right to know.
I worked in the ER yesterday and will again today. It's busy. A severe shortage of nurses makes it harder to process patients. But patients are being seen and treated. Can someone explain to me how it's helpful to say the system is "on the verge of collapse"?
It’s not just SJ; I do believe Moncton is in dire straits! I left to go to ICU which saddens me as emergency medicine is my passion, but needed for an abundant of reasons. I shall keep retweeting your comments as what you’re saying, I fully support!!
At #CoPro2022 today and this slide communicates such an important message. What kind of table are you setting for collaboration? As researchers, are the seats for only tokenism or are they structural to guiding the work? @CodesignHub
Great thread by @petrosoniak on design in care delivery. Glad to see more Canadian colleagues speaking and ideating with patient collaboration in mind during service design/improvement! #NurseTwitter
For 10 years, I’ve been involved in the design of healthcare systems, spaces and products
If you’re a designer, builder, clinician or user, here’s 10 insights to ensure that your healthcare product or space leads to outstanding clinical care 🧵:
#design#UX#healthcare
Great talk by @mehtas_007 on Trauma Resus
-1 - 2g TXA
-1g Ca for every 2 - 4 blood products
-Minimize crystalloids
-Permissive hypotension
-Early hemorrhage control
-PRBC/FFP/Plts 1:1:1 for MTP
@NWSeminars#Trauma
I don’t prescribe hydromorphone except for maybe the end stage palliative patient where some euphoric side effect maybe helpful. That’s not often. The other 99% of time it’s PO morphine IR or IM/IV - never percocet and never oxycodone.
Simulations for modular clinics have influenced registration and check-in area layouts, widths of doors, ideal locations of rooms on a floor and more. Incredible value of using simulation early in planning! Now onto our mental health outpatient work. #sktransforms@SickKidsNews
Rethinking huddles, debriefing, simulation to counteract loss of connection, loss of meaning, Requires building psych safety & relationships that carry over into everyday practice. @purdy_eve@AmyCEdmondson@drlaurarock
Had this very conversation last night @sjrhem with one of our seemingly impregnable ED nurses that’s seen and done it all before . Turns out they’ve never seen healthcare like it is at the moment . It’s scary. Just waiting for the moral injury when someone dies on my watch.
The reality, at least where I am is a toxic organizational culture , a corporate structure that is decades out of date, leadership that is fearful and poorly developed perpetuating an authoritarian leadership style, and politics based decision making.
ED closures too in New Brunswick . Sussex was closed last weekend . Half of our department in Saint John is closed most of the time secondary to nurse shortages . Multiple gaps on the physician roster this summer .
Already happening. Most notably over the past year. BC interior and North, Alberta north. Saskatchewan. SW Manitoba. Ontario. Northern Quebec. NB. Western PEI. most of Nova Scotia!!!