Discover and read the best of Twitter Threads about #safetyculture
Most recents (13)
Daily Bookmarks to GAVNet 12/25/2021 greeneracresvaluenetwork.wordpress.com/2021/12/25/dai…
#StopKillingBusDrivers @MayorofLondon tells @KeithPrinceAM "from Mar20-May21, 90 @TfL Workers killed by #Covid19" BUT "TfL is unable to report on the number of Taxi or Private Hire drivers who have died in service" @TootlestheTaxi @GMBLondonRegion @BWTUC london.gov.uk/questions/2021…
TfL Data released w that MQT response that reveals OVER HALF (53%, 47 of 90) @TfL Worker Deaths from #Covid19 occurred AFTER May20, i.e. AFTER 1st Wave. Weren't any 'lessons learned' @SadiqKhan @Heidi_LDN @MichaelMarmot? HT>@KevinMustafa16 @therealdojj @MalLunam @LeeOdams 
Those who:
do not touch patients & never have
who maintain no clinical licenses
who feel free of any commitment to #ethics
are put in charge, by administrators, to control, often via fear & shame, clinicians.
This harms on many levels.
It is anti-#safetyculture.
#MedTwitter
do not touch patients & never have
who maintain no clinical licenses
who feel free of any commitment to #ethics
are put in charge, by administrators, to control, often via fear & shame, clinicians.
This harms on many levels.
It is anti-#safetyculture.
#MedTwitter
We have lost >500,000 Americans to #COVID19 alone. Preventable deaths. These are mostly the marginalized, vulnerable.
Either document measurable work to save lives, or get out of the way and out of budgets that could be used to save lives.
Either document measurable work to save lives, or get out of the way and out of budgets that could be used to save lives.
I’ve seen SO much over the years, in the name of #compliance consulting to siphon off money to block &, ultimately, harm.
No this does not save money.
It harms families.
It monetizes coded racism.
There are a multitude of such vendors & consultants.
governing.com/topics/health-…
No this does not save money.
It harms families.
It monetizes coded racism.
There are a multitude of such vendors & consultants.
governing.com/topics/health-…
The field of #psychology has MANY problems. SO many levels of wrong:
1-clinicians designing torture
2-a strategy to exploit the lack of ethics by APA leadership to gain scope of practice
3-monetizing harm
4-validating minority distrust of #mentalhealth
nytimes.com/2015/05/01/us/…
1-clinicians designing torture
2-a strategy to exploit the lack of ethics by APA leadership to gain scope of practice
3-monetizing harm
4-validating minority distrust of #mentalhealth
nytimes.com/2015/05/01/us/…
The details are damning. It was clearly about expanding turf/scope of practice with a “deal with the devil” to bypass civilian regulations & go after DoD💰💰💰
There was not any commitment to human rights but manipulating words to craft unethical policy
journalofethics.ama-assn.org/article/profes…
There was not any commitment to human rights but manipulating words to craft unethical policy
journalofethics.ama-assn.org/article/profes…
There have been reputation repair attempts, to distance self from torture, however professional societies tend to fixate on gaining or protecting turf & scope of practice. They use patients for “stories” but in reality show little care about patients.
apa.org/news/press/op-…
apa.org/news/press/op-…
When people who seek control
and who monetize fear
are faced with evidence their narrative of control is false
rather than embrace reality
(or develop courage)
they double down
At times of high stress you see bizarre overpolicing & bullying increase over petty non-issues.
and who monetize fear
are faced with evidence their narrative of control is false
rather than embrace reality
(or develop courage)
they double down
At times of high stress you see bizarre overpolicing & bullying increase over petty non-issues.
There is a gender difference in bullying tactics.
Men: physical
Women: social (exclusion)
Later looks/sounds like
“Don’t talk to her”
“Club”
“No one likes you”
(Yes, really adults resort to grade school tactics)
Faculty/teachers need to stay aware:
apa.org/topics/bullyin…
Men: physical
Women: social (exclusion)
Later looks/sounds like
“Don’t talk to her”
“Club”
“No one likes you”
(Yes, really adults resort to grade school tactics)
Faculty/teachers need to stay aware:
apa.org/topics/bullyin…
Whereas adults are taught “just shake it off” or “ignore it”, students or children are especially vulnerable to faculty or teacher over-policing.
This over-policing starts not just in preschool but in the cradle.
“The police” in schools: teachers.
txicfw.socialwork.utexas.edu/4-things-you-n…
This over-policing starts not just in preschool but in the cradle.
“The police” in schools: teachers.
txicfw.socialwork.utexas.edu/4-things-you-n…
Spot on.
No one agrees on definition of #professionalism.
Differs by field & setting within medicine.
Let’s be more precise.
There are several cultural and system changes/shifts happening in healthcare that change interactions, expectations, parameters.
#MedTwitter
No one agrees on definition of #professionalism.
Differs by field & setting within medicine.
Let’s be more precise.
There are several cultural and system changes/shifts happening in healthcare that change interactions, expectations, parameters.
#MedTwitter
More from @Dr_Bowser - yes, #professionalism is diffuse, varied
It quickly devolves into
shaming labels
in/out group
(=You do not belong in the profession/club)
Fear of being ostracized
to enforce “rules” that are
nebulous
not verifiably mapped to quality
often indefensible
It quickly devolves into
shaming labels
in/out group
(=You do not belong in the profession/club)
Fear of being ostracized
to enforce “rules” that are
nebulous
not verifiably mapped to quality
often indefensible
Methods to exclude, ostracize, label as “out group”
are hallmarks of bullying
which we know is too prevalent in medicine and education
Not everyone who uses term “professionalism” intends to/is a bully but many of us are complicit
are hallmarks of bullying
which we know is too prevalent in medicine and education
Not everyone who uses term “professionalism” intends to/is a bully but many of us are complicit
This
@bruce_y_lee succinctly says what I lay out in multi-tweet threads
This is it in a nutshell
Divide and conquer is as old as time. Ask anyone whose history includes being colonized
#Healthcare is 1/5th of the U.S. economy. You bet non-clinicians want a piece of that
@bruce_y_lee succinctly says what I lay out in multi-tweet threads
This is it in a nutshell
Divide and conquer is as old as time. Ask anyone whose history includes being colonized
#Healthcare is 1/5th of the U.S. economy. You bet non-clinicians want a piece of that
If you are someone who touches patients, has ever touched patients, provides direct care, has any clinical background, I'll be totally frank, I respect your role. If your salary adds to the 30% administrative overhead of #healthare in America, then I have questions about #value.
This is a framework my coauthors and I offered on how to assess value and cut waste. Let's start with administrative burden. What exactly do you get paid to do in #healthcare? (we should be asking) What does your job do to deliver on the quadruple aim?
journals.sagepub.com/doi/abs/10.117…
journals.sagepub.com/doi/abs/10.117…
+193 cases of #Covid_19 today in #Switzerland, at a high test positivity rate. This is terrible.
#Finland has rightfully closed their borders to us, more will follow if this continues.
Solutions to lower the case number, avoid a second wave and at some point reach #CoronaZero:
#Finland has rightfully closed their borders to us, more will follow if this continues.
Solutions to lower the case number, avoid a second wave and at some point reach #CoronaZero:
2/20
1) Generally, we need to be #proactive and #creative in our thinking and use our massive scientific and financial resources fully in a targeted and smart manner.
1) Generally, we need to be #proactive and #creative in our thinking and use our massive scientific and financial resources fully in a targeted and smart manner.
3/20
There is no typical Swiss compromise with this virus, this is a fight for our health and economic prosperity like we have not seen since World War II. We need to be humble and learn from the countries that are doing better than us.
There is no typical Swiss compromise with this virus, this is a fight for our health and economic prosperity like we have not seen since World War II. We need to be humble and learn from the countries that are doing better than us.
What if the money 💰💰💰 spent by #academia & #hospitals on hiring people to spy on #SoMe, to police & shame nurses & doctors (even getting some fired for speaking up on #PPE shortage), this policing disproportionately affecting BIPOC, instead spent on hiring BIPOC & on pay gap
This is pay gap I am talking about. What kind of “#professionalism” accepts that Black women must work 7 extra months for same pay?
Professionalism on “you wore..” is used in sinister ways against Black women in particular
#blackintheivory #MedTwitter
aauw.org/resources/arti…
Professionalism on “you wore..” is used in sinister ways against Black women in particular
#blackintheivory #MedTwitter
aauw.org/resources/arti…
Puritanism in #medicine, being taught to med students who are given middle author status on a publication conceived and supported by senior faculty and junior editors, is part of this harm. Many Black girls are criminalized & punished for natural hair.
npr.org/sections/ed/20…
npr.org/sections/ed/20…
It is unnecessary and wrong that easyJet is intending to use sickness as a stick to beat its safety-critical staff. #SafetyCulture
balpa.org/Media-Centre/P…
balpa.org/Media-Centre/P…
easyJet has in the past rightly encouraged pilots to report in sick or fatigued if they are unfit to fly. Now to turn around and say that doing the right thing means you may lose your job could have a chilling effect on the safety culture in easyJet from now on.
Not only that, but the time frame easyJet intend to use includes the early Coronavirus period when some people were getting sick or having to shield themselves and their families. Should these people be punished by losing their jobs too?
This is the single best advice for any doctor at any stage: listen to nurses. In particular, listen to Black nurses
Also, protect nurses. In healthcare the terminology is “writing orders” - if that is not power imbalance, I don’t know what is
#MedTwitter
#NurseTwitter
#MedEd
Also, protect nurses. In healthcare the terminology is “writing orders” - if that is not power imbalance, I don’t know what is
#MedTwitter
#NurseTwitter
#MedEd
One thing I have noticed on social media is: even at pre-med stage, the condescension & disrespect towards nurses sometimes is already there
Much of recent #MedTwitter drama I engaged in was because, though I knew it would be wise to “look away” could not
not if vs Black nurses
Much of recent #MedTwitter drama I engaged in was because, though I knew it would be wise to “look away” could not
not if vs Black nurses
Across the board, regardless of race, when nurses, or anyone, is bullied within in clinical practice settings - setting that already have high rates of error
unsafe
on many levels
it is anti-#safety and #quality for patients & staff
#safetyculture
medcitynews.com/2015/04/nurses…
unsafe
on many levels
it is anti-#safety and #quality for patients & staff
#safetyculture
medcitynews.com/2015/04/nurses…
Let’s talk #safetyculture
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
This framework has been applied to reducing harm, mostly through medication error (though intended to achieve population health)
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
What has not been clearly stated in any of these #safety framework is disparities, structural inequity, or racism
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
IMO that TfL site is a #DeadLetterOffice saferoxfordstreet.blogspot.com/2017/06/london… report to @metpoliceuk ASAP beta.met.police.uk/report/report-…
and report it to John Trayner MD @TheGoAheadGroup London cc'ing TfL's Bus Bosses, @willnorman @CarolineRussell (of @LondonAssembly) @StopKillingCycl & me. The only way to ensure TfL & CityHall don't just #CoverUp for TfL Contractors' #SafetyFail is to shine a light on it.
In my experience, it's clear that TfL => Trade Association set up to protect its Bus & Tram Contractors instead of regulating their Safety Performance. Read @CarolinePidgeon's & @KeithPrinceAM's MQTs sometime & you'll see how far City Hall & TfL go to protect them from #Scrutiny
