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Alan J. Card

@alanjcard

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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Latest posts by Alan J. Card @alanjcard

vaccination is such an obvious success, such an easy way to protect babies and other vulnerable people AND OURSELVES I cannot believe this is where we are

10.03.2026 19:55 πŸ‘ 28 πŸ” 7 πŸ’¬ 2 πŸ“Œ 0

I guess the advantage is there isn’t one festering in there overnight? Definitely a good point about not being able to forget to do your part, though!

10.03.2026 17:53 πŸ‘ 3 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0

As always I honor your public service.

10.03.2026 17:49 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Ooh, that could be me! I’m definitely extraordinary (by some definitions πŸ˜‚).

05.03.2026 17:32 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 5

Absolutely killing this #Xiennial late #GenXer. No shade at all to OP, but this is not only an awesome song, it was also prescient since it accurately predicted what the rise of music videos would do to major commercial radio. Wayyy ahead of its time.

04.03.2026 02:05 πŸ‘ 10 πŸ” 2 πŸ’¬ 2 πŸ“Œ 0

β€œPivot to video” has been making things worse for longer than people realize!

04.03.2026 02:12 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
Preview
a kitten is walking on a tile floor and looking at the camera Alt: A cute floofy kitten being a cute floofy kitten

Sending support in These Difficult Times.

03.03.2026 20:20 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Preview
β€˜Unbelievably dangerous’: experts sound alarm after ChatGPT Health fails to recognise medical emergencies Study finds ChatGPT Health did not recommend a hospital visit when medically necessary in more than half of cases

Study finds ChatGPT Health did not recommend a hospital visit when medically necessary in more than half of cases. www.theguardian.com/technology/2...

27.02.2026 19:47 πŸ‘ 1275 πŸ” 724 πŸ’¬ 43 πŸ“Œ 189

Sometimes you really need a private injera attorney:

01.03.2026 04:26 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

So relatable! πŸ˜‚

28.02.2026 03:04 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

This just popped into my timeline and is so apt a simile that I’m jealous that I didn’t think of it.

27.02.2026 14:32 πŸ‘ 441 πŸ” 81 πŸ’¬ 0 πŸ“Œ 0
Preview
a woman with glasses is making a face and saying `` no thank you please '' . Alt: A woman, looking disgusted and concerned, says β€œNo thank you, please.

#DoNotLike

27.02.2026 04:24 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

They lack a First Amendment and their libel laws are a horror, but I am nevertheless sometimes envious of UK journos, because they get to use words like "grandee" and no one objects.

(Also "quango" and "gong" β€” not a musical instrument β€” and sometimes even "anorak." Bliss.)

24.02.2026 21:11 πŸ‘ 11 πŸ” 3 πŸ’¬ 1 πŸ“Œ 0

Shambolic and omnishambles top my list!

24.02.2026 21:21 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
A box of paper ARCs of Radiant Star

A box of paper ARCs of Radiant Star

Whenever I get a notification of a Mystery Package on the way it's almost always from my publisher.

24.02.2026 21:07 πŸ‘ 325 πŸ” 12 πŸ’¬ 23 πŸ“Œ 11

Check out our latest paper, β€œPsychosocial Safety Is Patient Safety: Gender-affirming Care as an Exemplar for Health Equity.”

It’s a quick read and my coauthors are brilliant, so you’ll probably find it worth your time. πŸ˜„

#PatientSafety
#QISky
#MedSky

24.02.2026 21:13 πŸ‘ 3 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0

Library Journal just reviewed my forthcoming book Coverage Denied: How Health Insurers Drive Inequality in the United States and wrote that "this examination of the American health insurance system is an essential read." It's out 4/23, available for pre-order with CUP, Amazon, Strand, or Powell's!

24.02.2026 18:05 πŸ‘ 67 πŸ” 24 πŸ’¬ 3 πŸ“Œ 0

Oh no, is someone infringing on your intellectual property? You’re saying they feel entitled to steal work to train their LLMs?

Wow, that’s a shame. Criminal, even.

23.02.2026 21:07 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 1

In 2023 I was asked to take a meeting with [charity we all mostly like] about technology they can use to support their cause (annnd see if I could give them more money, because that’s what they do right?)

About 3/4 of the way through, they bring up their support for online age verification.

22.02.2026 02:34 πŸ‘ 41 πŸ” 8 πŸ’¬ 1 πŸ“Œ 0

something abled people don't get is you can have just one day a week where you are too sick to work, and that's enough to disqualify you from nearly all full-time jobs. it doesn't take a lot

22.02.2026 00:20 πŸ‘ 4746 πŸ” 1839 πŸ’¬ 54 πŸ“Œ 62
Where Should I Start With Your Novels? | I Make Up Worlds

Yet again I will repost this (because the link periodically trashes itself).

If you are wondering about my extensive backlist, and which book/series might best fit your current reading needs/tastes, I wrote this post for you (boy-band style):

imakeupworlds.com/where-should...

18.02.2026 16:27 πŸ‘ 45 πŸ” 25 πŸ’¬ 1 πŸ“Œ 0

Took my kid to urgent care this morning and was asked for permission to use an β€œAI scribe.” I’ve declined multiple times for myself because, as a data scientist (and, like, a person observing the political economy of AI), I have grave concerns. Today I relented, and not for lack of concern 🧡 1/

22.06.2025 14:34 πŸ‘ 34 πŸ” 9 πŸ’¬ 6 πŸ“Œ 1

LLM responses which do not reflect consensus reality & facts are produced via the Same Process which generate responses which *Do* broadly conform to consensus reality & facts.

The Same Processes.

The Same Ones.

"Hallucination" is just a word to distance yourself from the outputs you don't like.

08.09.2025 18:20 πŸ‘ 484 πŸ” 180 πŸ’¬ 10 πŸ“Œ 7

Indeed. Though I will point out that this is yet another set of data points showing that all the vocational arguments against the humanities/liberal arts rest on vibes & not actual data.

bsky.app/profile/mcop...

13.02.2026 18:55 πŸ‘ 110 πŸ” 30 πŸ’¬ 1 πŸ“Œ 1

Go, you!

Nothing cringe about that at all. The world is designed to steal our joy these days. Steal it back when it comes within reach.

11.02.2026 00:29 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

@npr.org, otherwise one of my favorite journalism shops, almost never fails to disappoint on COVID-related coverage.

09.02.2026 23:44 πŸ‘ 5 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

You don't really want to know, but...

2021: 412 awards
2022: 430 awards
2023: 442 awards
2024: 497 awards
2025: 252 awards
2026 (to date): 0 awards

09.02.2026 18:36 πŸ‘ 25 πŸ” 7 πŸ’¬ 5 πŸ“Œ 0

Alas, I deleted my Twitter account a long time ago, but maybe I should have tried harder to recruit them here. I’m not sure I’m that big a draw, though! πŸ˜‚

09.02.2026 20:31 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

As a person who is famously (infamously?) bad with names, one thing I miss about Olde Twitter was that I knew how to track down so many brilliant researchers by scrolling through my following list. A lot of folks never made it over to BlueSky and it’s a sad loss.

08.02.2026 05:11 πŸ‘ 10 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0