Dinting Pumpkins
13.08.2025 04:35
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Dinting Pumpkins
Yes. Great paper. A companion paper is needed to consider how ill-suited the coronial process is for investigating unexpected patient deaths. The hindsight bias and invention of linear processes undermine the whole process, and can sometimes traumatise the bereaved family.
'Rationing' healthcare spending through any explicit means is taboo but the indirect effects of chasing n=1 outcomes are glossed over. Meanwhile consumer expectations are sky-high and some corners of patient safety still promise zero harm.
The idea that Angus Taylor could be the next leader of the Liberals is absurd. His colleagues call him a lazy policy lightweight & there remain serious questions about his integrity.
Jonathan Biggins of the Wharf Revue encapsulates "Angus Taylor Swift" perfectly 👇.
www.youtube.com/watch?v=vAiT...
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Such an eloquent and informed piece.. thanks for sharing. Loved, "the endless promises of more for less..." para. I would add zero harm in as the other 'promise' that has become a liability, and at worst it can be weaponised in the clinical incident management space, esp if media involved.
In a variation of this conversation... When people ask my 15 year old what they'd like to do after school, and she isn't sure, I tell her not to worry because I'm 49 and I'm still not sure what I want to do 'when I grow up' 😉
Also, the more I read, the more I reckon pt safety has more in common with construction than aviation. Obvs different in that we are trying to protect pts rather than workers, but goal conflicts, production pressure and multidisciplinary complexity/chaos sounds v familiar.
Great analysis of this paper from Drew and Dave. They go stronger than 'probably' 😉
pca.st/episode/0999...
It is particularly bruising that they took the time to cross out the final sentence of encouragement. Ouch!
Excellent discussion about a paper that implores us to stop researching and talking about 'safety culture'. It is a term that has stopped being useful and it is sucking time and energy away from things that can actually be effectively researched and improved.
#patientsafety
#safetysky
#hfesky
The paper isn't healthcare related but an excellent call to arms to stop talking about safety culture. It is a term that has stopped being useful and it is sucking time and energy away from things that can actually be effectively researched and improved.
@trishgreenhalgh.bsky.social for your 'Downsides of digital health presentation'? This case study of cseamless integration of tech' has raised a few eyebrows.
I honestly thought someone had stuck googly eyes on that! A-la...
Thanks for highlighting this issue. I've always found it odd that healthcare aspires to zero harm, but has a training ethos of "see one, do one, teach one". In Hollnagel's Efficiency Thotoughness Trade Off, healthcare has always chosen Efficiency but then seems shocked at some of the outcomes.
"A request made through ChatGPT, an AI-based virtual assistant, consumes 10 times the electricity of a Google Search"
This isn't a game. This is accelerated destruction via huge usage of power, water, resources etc. Stop using it - especially for messing about!!
www.unep.org/news-and-sto...
Gold Banner on Red Background: Stop Forcing A.I. into Fucking EVERYTHING! Nobody Asked For It; Everyone Hates It
Stop Forcing A.I. into Fucking EVERYTHING!
Ha!...You must be a real Aussie now if you're using Bundy Rum!
Yep, "walking iris"....Stunning tropical iris from Central and South America..... It gets its common name from the habit of rooting from the tips of fallen flower stems, thereby 'walking' its way across your garden borders.
I use this to start my presentation on why most patient safety interventions don't work. Such a powerful (and relatable!) image.
"The saddest aspect of life right now is that science gathers knowledge faster than society gathers wisdom."
- Isaac Asimov
A black and white security camera picture of a cat walking by a hedge, labelled "person", 79%
Me: AI has the potential to be really quite useful in healthcare settings
Also me: But maybe let's not have it making decisions just yet...
#AI #Healthcare
Some things not to comment on this Christmas:
- someone’s weight
- someone’s size
- how much they are eating
- how little they are eating
- the speed they are eating
- the type of foods they are eating
- the times they are eating
- your post Christmas diet
- how fat you feel
RCAs are problematic because they are used to assure consumers that we "will learn from this harm in order to prevent it happening again". But the system in which the harm occurred has moved on before the RCA even starts. It is just a very expensive (and symbolic) mea culpa from the organisation.
I don't think Satyan is over here....yet 😉 but his Human Stream newsletter is a fantastic resource. I'm fortunate enough to get to chat with him about this stuff IRL but each issue is a great conversation starter.
thehumanstream.com/p/learning-f...
#patientsafety
#safetysky
#hfesky
Until this week I'd never heard of Stavanger... But at Sim Reconnect at Bond University I heard about the amazing simulation research conducted by Hege Langli Ersdal and Siren Rettedal. Inspirational.
If we need to d/c so quickly, let's give people a phone number to talk to a real clinician in the days following their op.
PODSS (post op discharge support services) in Qld have proved super successful.
