Hi everybody. This is now my OLD BLOG SITE. I have moved over to Substack. I’m keeping this space alive so you can still access everything I’ve posted to date on here… but all my new content (along with everything over here) has been moved over. See you over there. Please consider subscribing to my […]
Culture (and Machines): Building Blocks for Institutional Memory
**This is a blog post to accompany my presentation at the LAA CGD on 6/5/24 I’ll start with a story The White Star Line FleetIn 1912, the RMS Titanic set sail, deemed ‘unsinkable’ by its creators. We all know how it ends – a tragic collision with an iceberg, leading to more than 1,500 dead. […]
Improving organisation-wide learning from “Coffee & Cases”: A quality improvement project (Sydney HEMS)
At 10am every morning at Bankstown base, our team discusses cases over coffee. This process is called “Coffee and Cases” (C+C). This blog post is an accompaniment to a presentation at the August ’23 GSA HEMS Clinical Governance Day. The purpose of the talk was to update the service on the Quality Improvement Project I […]
Reflecting on two months as a Sydney HEMS registrar
*Originally posted on the Sydney HEMS blog Uniform fitted. Induction complete. 10-mission milestone reached. It has been a learning frenzy. I’m a UK-trained emergency physician, and am two months into my year as a Sydney HEMS registrar. Some of my early reflections on the experience have had time to crystallise into bloggable form… I’m one […]
Improving the Educational Ecosystem at The Royal London Hospital: A Quality Improvement Project to Transform “Educational Development Time” (Poster)
Hi all,I thought I would share a poster of a QI project I completed (with the help of my QIP team) at the Royal London Hospital earlier this year. It is currently on display at the RCEM Annual Scientific Conference. If you would like to me to send you a pdf of the poster (the […]
PonderMed #21: Two pilots, one doctor… at the Grand Round
Captain Alexander Jolly and Captain Dave Fielding are commercial airline pilots. I met them through Project Wingman, a pandemic-induced collaboration between the UK aviation industry and the NHS. For the last few months they (along with a few of their colleagues) have been helping us train. Specifically, they are debriefing and writing up human factors performances (overseen […]
Pilot sim #6 feedback: The septic child
Here is our latest in situ simulation write-up. This was one was done on the paediatric ward. Included is human factors feedback from our aviation colleagues who were present for the sim. SCENARIO 6 month old baby on paediatric ward Becoming increasingly drowsy, ward paediatric doctor alerted by nursing staff Fulminant sepsis secondary to chest […]