Happy Christmas to you and yours!

Whatever you're doing and whoever you're with, I wish you a restful, restorative break.

#happyholidays2022
#happychristmas

@michaelannica @iwashyna

I'm so glad you like it!

@iwashyna @michaelannica

You are most welcome 😊

@michaelannica @iwashyna

Thanks for all these great links 😊

@michaelannica @iwashyna

Ah yes, my colleague Justin worked on that one. We incorporated some of these ideas into an editorial we wrote together on the hidden roles of patients and families in supporting system outcomes: https://qualitysafety.bmj.com/content/28/1/3

@Janekohara @iwashyna a med soc perspective that I also particularly like https://pubmed.ncbi.nlm.nih.gov/31227211/

@michaelannica @iwashyna

This looks fantastic, thank you! Yes, there is quite a lot about burden of care, particularly in cancer. But much less about the concept of 'work' and what this contributes to the quality or safety of care.

@Janekohara @iwashyna here is a process mapping paper on metastatic breast cancer that I particularly like (most of these types of papers don’t include work at home) https://onlinelibrary.wiley.com/doi/full/10.1002/cam4.3461

@iwashyna

We are also doing work to understand what certain patient groups and the public did to co-create their safety during the pandemic. The first of these publications (the public) has been accepted and in press. I will let you know when it is out.

Will I look forward to seeing some work from you exploring these questions of access, soon then...?!

#patientsafety
#resilienthealthcare

#HSR as field – and as
@VAhsrd@twitter
– have spent 40 years obsessing about barriers to #accessTOcare

I would think “what are the tasks a patient needs to accomplish to access care” would have been a foundational question somebody identified and answered

But I can't find it. Everything seems to be #ProcessMaps from a health system perspective, or #Aday/Anderson too high abstraction

help?

@Janekohara, can I consult you? If that is rude, please ignore me?

It is pretty clear the #NHS urgent and emergency care system is falling over tonight. Just hours before #AmbulanceStrikes are set to start.

This will be deadly for some. A reminder of what is happening without strikes:

Check out this week’s #PatientSafety research and news updates from the #AHRQ Patient Safety Network: https://psnet.ahrq.gov/periodic-issue/weekly-resource#view-weekly-issue

#ptsafety

@iwashyna

I made a similar point about the need to consider what patients and families do to support system performance in this piece: https://www.sciencedirect.com/science/article/abs/pii/S0925753518321167?via%3Dihub

We can't know what patients actually do that impacts system performance (good or bad) unless we explore it and try to map it. We need multiple perspectives on the same system...

@iwashyna this is such an interesting question. I expect work has been done perhaps for specific conditions (I'm thinking especially cancer, for example). But with regards to safety, almost all mapping from a patient point of view happens - albeit this is still rare - within acute settings.

We did a FRAM of the transitional process from acute to 30 days post transmission: https://www.sciencedirect.com/science/article/abs/pii/S0003687020300168?via%3Dihub

Dear @BBCNews,

I have some suggestions to improve the transparency & utility of your graph

* Change the title to 'how much do university staff get paid'

* Add denominators, so we can see how many are paid at different levels

* Add insecurely employed/adjunct teaching assistants

* Add some academic-related & professional service roles

* Add vice chancellors

#UCUrising

💚For all those out on pickets with @ucu today, big love to you as you hold the line for better pay and conditions in the middle of our rolling omni-crisis.

✊Those of you who are, unlike me, within easy reach of a picket today, pop down, say “hi!”, show your #Solidarity

SUCH MAGNIFICENT FLOOF #DogsOfMastodon

This was the first image of the #Earth 🌍 taken from the #NASA #Orion spacecraft as it rounded the limb of the #Moon 🌖 and was reacquired by the #DSN. Every human is in this photograph. With the population of the planet having just crossed the 8 billion mark, https://www.worldometers.info/world-population/, this is the biggest family photograph ever taken! #Artemis #Artemis1

I'm going to try and get in the habit of sharing #qualitative #research papers I'm reading 🤞

Here's one by Ødeskaug
and Gjertsen (2022) that's actually mixed method, but looking at why people were reluctant to use the official #covid tracking app in Norway:

https://uia.brage.unit.no/uia-xmlui/bitstream/handle/11250/3021544/no.uia:inspera:113948915:23129864.pdf?sequence=1

Today's review of two inadequate care homes for learning disabled and autistic people in England, as judged by the regulator, the Care Quality Commission.

Full version in a blog here https://www.georgejulian.co.uk/2022/11/21/the-phoenix-and-forge-house-services/

For those who said they'd prefer a thread I'll add one here in reply, unlisted, so please boost this post if you think others would be interested

The Phoenix in Lincoln and Forge House Services in Cullompton, Devon

#learningdisability #autism #inadequatecare #socialcare #CQCinadequate