Andrew M. Ibrahim MD, MSc

Today in @NEJM AI : Chris Mansi and I lay out our vision for redesigning clinical workflows with Generative AI.

We build on our decade of work across 1,800 hospitals and use our chart summarization tool (Viz Assist) as one illustrative example for a path forward.

ai.nejm.org/doi/full/10.10…

Rural Hospitals Deserve More Than Patchwork Policies This Viewpoint discusses reworking the funding and organization of rural hospitals to enhance their sustainability.

Hot off the presses, endorsed (obvs) by Sam the rural health advoCATe. @codymullens.bsky.social @andrewmibrahim.bsky.social

#PowerOfRuralCats

jamanetwork.com/journals/jam...

Largely helping doctors find the info they need and curating it without us having to login into 5 places or comb through 30pgs of PDFs. And a more acute version for early alerts of time sensitive conditions (eg. Stroke)

I agree the role of AI in PA problematic and concerning.

Grateful for the opportunity to testify today to the US Congress on a path forward for safe adoption of AI in healthcare.

The potential upside is enormous, but we need the right safeguards and processes to capture the upside efficiently without unforced errors.

Thanks to @CraigBrownMD and @KyleSheetz for leading today’s session in our 5th Annual @UMichCHOP boot camp for new fellows!

Has there been a more pressing time to commit to robust evidence to guide health policy?

Grateful to spend the evening celebrating our CHOP fellows who spend two years with us learning rigorous analytic approaches to inform how we better deliver care.

#gratitude #healthpolicy

Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries
@DiazAdrian10 @jdimick1 @Health_Affairs @UMichCHOP
www.healthaffairs.org/doi/abs/10.1...

“Bottom line: AI at the FDA is promising, but smart, proactive policy to guide safe, appropriate industry use that doesn't compromise ultimate FDA approval will drive timelines even faster."

www.linkedin.com/posts/andrew...

“Bottom line: AI at the FDA is promising, but smart, proactive policy to guide safe, appropriate industry use that doesn't compromise ultimate FDA approval will drive timelines even faster."

www.linkedin.com/posts/andrew...

Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries | Health Affairs Journal Private equity (PE) firms have increasingly invested in US hospitals, raising concerns about their effects on the quality of surgical care. We evaluated the impact of PE acquisition of acute care hosp...

First up: A study led by Adrian Diaz (alum of our National Clinician Scholars Program) and @andrewmibrahim.bsky.social, showing that emergency surgery patients were more likely to die at hospitals owned by #privateequity firms than those with other ownership: www.healthaffairs.org/doi/abs/10.1...

Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries
@DiazAdrian10 @jdimick1 @Health_Affairs @UMichCHOP
www.healthaffairs.org/doi/abs/10.1...

Hospitals acquired by PE show a 2.7 pp ↑ in 30D surgical mortality, driven by a 3.9 pp ↑ in failure to rescue.
We need enforceable nurse‑staffing minimums, full ownership transparency, and federal review of PE transactions. @andrewmibrahim.bsky.social @um-ihpi.bsky.social

bit.ly/432VyWP

"Staircases, Skyscrapers and Your Health"

First except from the forthcoming book, "Building for Health."

Full article: withstudioami.com

Walking up two flights if stairs is a common, low tech tool for surgeons to risk-stratify patients.

But what if architects have been designing for the exact question all along? I explain the history of stairs, skyscrapers and your health, here: www.linkedin.com/pulse/stairc...

Walking up two flights if stairs is a common, low tech tool for surgeons to risk-stratify patients.

But what if architects have been designing for the exact question all along? I explain the history of stairs, skyscrapers and your health, here: www.linkedin.com/pulse/stairc...

"Staircases, Skyscrapers and Your Health"

First except from the forthcoming book, "Building for Health."

Full article: withstudioami.com

4. Art's Principles
amzn.to/3FCZRQs
Arthur (Art) Gensler built a world class architecture firm and kept track of his pearls a long the way. There is a great chapter about "boomerangs" and how to handle your top talent always being recruited from competitors.

3. Health Design Thinking
amzn.to/43GpY2X
I often have someone in medicine me, "I love design, but I don't know how it fits into medicine." If thats you, this would will help a lot. It's full of great examples where design can elevate processes, products and delivery.

I’m not part of many clubs - but the ‘I didn’t match into residency’ is my favorite one. There was a hidden gift in the prelim -> repeat intern year again cycle.

Kindness goes a long way... I still remember who was kind to me my prelim year and pay it forward #match2025

Many thanks to those of you who not only read the 5th edition of the Visual Abstract Primer, but also found some typos! Here it is again, updated, (hopefully) less typos, and links to videos and templates: www.surgeryredesign.com/resources #MedEd #MedSky #SurgSky

🧵/ I'm often asked about book recommendations. Here is a running list:

1. Clinical Scenarios in Surgery (3rd Edition): amzn.to/3XQu6cZ

I used this for my oral and written prep. Because each section is quite short (usually 2-4 pages), I also give it the medical students rotating with us. #MedEd

Nice! Will check it out!

Thanks for this work. I think there is a larger concern that because the reporting in MAUDE is entirely voluntary, it’s likely underreporting … ie. there’s a large “did not report” category, too, that never makes the database. It should be much more proactive / automated.

4. Art's Principles
amzn.to/3FCZRQs
Arthur (Art) Gensler built a world class architecture firm and kept track of his pearls a long the way. There is a great chapter about "boomerangs" and how to handle your top talent always being recruited from competitors.

3. Health Design Thinking
amzn.to/43GpY2X
I often have someone in medicine me, "I love design, but I don't know how it fits into medicine." If thats you, this would will help a lot. It's full of great examples where design can elevate processes, products and delivery.

2. Healthcare Delivery in Surgery
amzn.to/4kPPAAu

Optimizing OR utilization? Standardizing quality across newly formed networks? Handling a surgeon with poor performance? This book is full of common clinical operation challenges and frameworks to solving them. #surgery #SurgSky #clinicaldelivery

🧵/ I'm often asked about book recommendations. Here is a running list:

1. Clinical Scenarios in Surgery (3rd Edition): amzn.to/3XQu6cZ

I used this for my oral and written prep. Because each section is quite short (usually 2-4 pages), I also give it the medical students rotating with us. #MedEd

Great tips! Would add considering use of a visual abstract: www.surgeryredesign.com/resources

2/ Finding high quality examples is now easier with a growing number of #visualabstract libraries.

4 / The adoption of the #VisualAbstract has not been without scrutinity. There are now 6(!) RCT evaluating the #VisualAbstract and emerging guidelines on quality.