
Matthew Heron
@mattyheron
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Has everyone listened to @timesscotland podcast of the week yet?? @EtherOr_pod
https://t.co/XghIIAg1S6
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From the universe to an atom… it all just falls apart in your own damn hands.
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I can’t get over people speaking in public and reading off a phone. If you need notes, make some notecards. Reading off the phone looks awful. That’s my hot take.
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In the wake of some of the extreme confidence shown by physician assistants recently, I hope we can reflect on how the NHS infantilises and belittles foundation year doctors. Hope we can do better to empower and support in the future.
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I’m so obsessed with Gladys running away while dressed as a pirate
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Now for our latest books give-away: 38 Classics books to be raffled off for free. Just RT this message, follow us, and we will make the draw on Monday 9 June. 1st name gets 20 books, 2nd 12, 3rd 6. Open to all, good luck! (Will post details and photos of each book this evening.)
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This time last year I went to the SSA spring meeting and it was honestly the best anaesthesia conference I have ever been to. Welcoming, excellent sessions, good food, and the best conference dinner (and ceilidh) I’ve ever been to. Highly recommend to everyone for next year!
And we are off! Outgoing president Dr Ewan Jack welcoming all speakers and delegates to Peebles Hydro for the SSA Spring Meeting
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Jesus giving his first interview after being resurrected and leaving his tomb
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And any organisation that is touting “quality and safety” as a value should take a long look at how that culture is nurtured and developed- not just in clinical areas, but in the C suite too.
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Severe/ catastrophic safety events need more than a new departmental policy put together by clinicians- they need an organisational response to swiftly mitigate risk before examining wider systems issues, identifying root causes and actioning recommendations for improvement
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“Safety culture” is hard to measure (what metric do you use?). You can’t just say you have a culture of safety, you actually have to show it. A culture of safety is NOT a culture of blame, but it is a culture that values transparency, reporting and responsiveness to safety events
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Aside from issue of PAs working with little or no supervision, that no investigation occurred in the wake of a patient death is shocking. For an organisation that lists “safety and quality” as one of its values, this speaks volumes about the culture of safety in the organisation
UPDATE: @sashnhs have confirmed: ❌ No root cause analysis or investigation was carried out following the death of a patient misdiagnosed by a physician associate What are your thoughts, @gmcuk @drcolinm? Is this what good local governance of PAs looks like? @lengreview
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Thanks to a couple of generous readers, we now have some further examples of egregiously deaccessioned books to give away: these things belong in the hands of people who will actually cherish them. There are six items. As usual, just retweet this message to enter the raffle;
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OK: the interest is clear, so here we go! The All-of-Cicero Give-away could win you the complete works of Tully, in Latin, in 1 vol (printed 1850, since rebound & sturdy). Just retweet this message, make sure you follow us, and a winner will be picked at random on Friday evening!
Exciting news Antigonids! We've acquired a new Nobbe (for £10 in this fallen world 😅), which means we have one to spare. If you don't know already, this is ALL of Cicero printed in nearly 3000 columns of text in ONE chunky vol (1850). It is delicious. 100 likes and we'll raffle!
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Makes you wonder how many of our hospitals could be truly described as high reliability organisations?
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Initiatives like this really demonstrating how anaesthesia is leading the way as a high reliability specialty- preoccupation with failure, commitment to resilience of systems, recognition of and deference to expertise and a strong culture of safety.
Dr Stuart Gold describing our approach to airway management at @RUHBath @RUHAnaesthesia 1 Follow the evidence (use kit most likely to work) 2 Follow the guidelines (use kits supporting transition through guidelines) 3 Strip away choices 4 What remains is what you need We
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