Gareth Parry

County-level racial bias is associated with worse care for white and especially black older US adults: a cross-sectional observational study Objective To assess the association of county-level bias about black and white people with patient experience, influenza immunisation, and quality of clinical care for black and white older US adults ...

Original research on #racism and #healthcare:
Pro-White bias worsens care for both Blacks and Whites.
qualitysafety.bmj.com/content/34/1...

Michelle Peter is looking at the experiences of black parents who have been offered screening & invasive testing in pregnancy

Nicola Boydell's work focused on using participatory approaches to service improvement within sexual & reproductive health (incl abortion) services

Worth a listen 👇

Statistical Process Control: Using Data for Improvement Education Series - YouTube

Statistical Process Control (Shewhart Charts) Video Training Resources:

A series of online videos I had the privilege of producing with Lloyd Provost of API.
Made available by University of California Health

#ImprovementScience #QI #qualityimprovement #QISky

www.youtube.com/playlist?lis...

So good to see the science of #QI in perinatal Global Health . 😍
#QISky
#ObGynSky

Why Dashboards (and Dead Mean) Tell No Tales Can dashboards really tell stories? Just as dead men tell no tales, dashboards remain silent without a storyteller to bring their data to life. While business intelligence vendors tout automated story...

Here's a new blog post on why dashboards don't tell stories.

www.effectivedatastorytelling.com/post/why-das...

Join our team! CHDI is seeking a Data Analyst to assist with data collection and reporting to support #QualityImprovement projects in #ChildrensBehavioralHealth, including crisis services, outpatient services, and #EvidenceBasedTreatments.

➡️Learn more: loom.ly/MyxQ4uo

#PublicHealthJobs

Woolley added: “We need to change the culture of science so that we’re trained to engage with the public. Not with a microphone. But with your neighbors, at the sidelines of the soccer field. When they ask, ‘What do you do?’, your answer is, ‘I work for you.’ Because science is public service.” 🧪

This is a really good, properly argued assessment of what dashboards do and (mainly) don't bring to the party.

I ran @USAID health programs for the last 3 years. Trump’s 90 day Stop Work Order on foreign assistance does serious damage to the world and the US. Examples:🧵

Mindfulness Training vs Recovery Support During Buprenorphine Treatment This randomized clinical trial examines the effect of mindfulness training in adults receiving buprenorphine for opioid use disorder on drug use, anxiety, and craving.

Our new study in JAMA Open Network, finding an effect of Mindfulness on reducing Opioid craving
jamanetwork.com/journals/jam...

A realist review of how, why, for whom and in which contexts quality improvement in healthcare impacts inequalities Introduction Quality improvement (QI) is aimed at improving care. Equity is one of the six domains of healthcare quality, as defined by the Institute of Medicine. If this domain is ignored, QI project...

"QI projects that are values-led and incorporate diverse, patient-led data into design are more likely to address health inequalities" "when staff & patients cannot engage fully with equity-focused projects... QI projects are more likely to worsen inequalities" qualitysafety.bmj.com/content/earl...

Statistical Process Control Cambridge Core - Medicine: General Interest - Statistical Process Control

A wonderful and accessible description of the use of statistical process control and Shewhart Charts for Quality Improvement in health care
#QI #QISky #improvementscience
www.cambridge.org/core/element...

Fantastic insights on #ImprovementScience and #Implementation!

In our work on psychological #prehab, my team has been pushing the boundaries of preventative care in cancer. Looking forward to delving deeper into this and contributing our the field’s evolution!

Values and Ethics Cambridge Core - Medicine: General Interest - Values and Ethics

Improving quality and safety in healthcare often raises profound issues of values and ethics that can easily get overlooked. This overview of the evidence, part of the open access series edited by @thisinstitute.bsky.social, looks at the tensions and challenges. www.cambridge.org/core/element...

Effect of text message reminders to improve paediatric immunisation rates: a randomised controlled quality improvement project Previous studies have demonstrated that text message reminders can improve pediatric vaccination rates, including low income & diverse settings such as those served by federally qualified health cente...

Out yesterday in BMJ Quality & Safety, we show that texting parents in the evening and 2 days later at noon that we have "reserved" a vaccine for their child, along with a direct scheduling link, increases vaccination rates. @berni-hk.bsky.social qualitysafety.bmj.com/content/earl...

As a passionate believer in #QualityImprovement, one thing that makes me sad is when organisations start doing things purely for the sake of regulators. Crib sheets for CQC inspections or couching change as "To address regulator feedback".

We should do things because they are right for patients.

I guess it's not surprising that our organizations and journals must lag a bit in adoption of a new platform, but they are an important part of the conversation. Let's encourage whatever we're affiliated with to take the leap. We can log them here (currently pretty sparse)

go.bsky.app/DwfZqQF

At the #IHIforum24 Really America, it's come to this?

#QIsky #QualityImprovement #ImprovementScience

This is a great read. I'm struck by Berwick's 2013 report, the behaviour shifts he identified as needed. The questions is, 'so what?', what's changed and if it hasn't, can we start to do things differently now?
#Restorativepracticeatwork #patientsafety @drnavbahal.bsky.social @qi-ellie.bsky.social

Taking action on inequities: a structural paradigm for quality and safety As quality improvement and patient safety (QIPS) practitioners, we aspire to improve care for all patients, caregivers and families using improvement methods. While teams are trained to carefully impl...

How can we effectively incorporate equity into quality improvement and patient safety?

Should there be more projects focused specifically on equity, or should equity be embedded into all quality improvement?

BMJ Quality & Safety editorial bit.ly/4f6BsPG #PtSafety

One thing I'm finding increasingly tiring about the AI in health narrative in general, but especially AI in the NHS, is the lack of specificity. The whole narrative is filled with grandiose generalised statements. What *exactly* do we want to achieve and how *exactly* are we going to achieve it?

Thanks to @imperialbrc.bsky.social for supporting my PhD work using #participatorymethods & #coproduction to tackle ethnic inequities in #maternity care.

My 1st study shows how we can work with communities to set #QI priorities👇🏾

qualitysafety.bmj.com/content/earl...

#academicsky #medsky #PhDsky

This is great, and I might consider adding, "You know what the change is"

Improving the maternity experience for Black, African, Caribbean and mixed-Black families in an integrated care system: a multigroup community and interprofessional co-production prioritisation exerci... Background Ethnic inequities in maternity care persist in England for Black, African, Caribbean and mixed-Black heritage families, resulting in poorer care experiences and health outcomes than other m...

Are maternity & #publichealth teams on the same page w/ communities when reducing ethnic inequities in maternity experiences?

My 1st PhD paper tries to answer this question in partnership with Black families in West London.

#academicsky #matexp #medsky #QIsky

doi.org/10.1136/bmjqs-2024-017848

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From the frontline: Empowering staff to drive the NHS reform agenda | IPPR The return on public investment has weakened since the pandemic; more money is not leading to many more patients being treated overall. At the same time, p

Check out this new IPPR report. Brings fresh analysis and recommendations to strengthen the case for learning from and with staff rather than relying on over-centralised approaches to reform that aren’t working www.ippr.org/articles/fro...

Have you listened to episode six of Leading Improvement in Health and Care? 🎧

In ‘Productivity’ we hear from two leaders who have successfully reduced waiting times in their services.

Listen: www.nhsconfed.org/podcast/prod...

Welcome to all our new #QISky community members 💖

You are arriving like a celestial gathering of shooting stars 💫

Great to see a growing number of #QITwitter finding their way here, but also some new (to me) names and faces 💖

I've just updated the #QISky starter pack 🩷💛💚💙💜

go.bsky.app/Fv8Gtik

Our new paper describing a novel approach to take account of variation in mental health severity and treatment over time in understanding suicidal thoughts and behaviors among youth in a diverse community healthcare system
authors.elsevier.com/a/1k8vQbZg7P...

Hi -- would love to be added to the #QISky starter pack!

Bristol, Shipman, and clinical governance: Shewhart's forgotten lessons During the past century, manufacturing industry has achieved great success in improving the quality of its products. An essential factor in this success has been the use of Walter A Shewhart's pioneer...

If I was to do that study again, I would have taken up Mohammed and colleagues reminder of Shewhart's forgotten common & special cause lessons and used Statistical Process Control methods. Maybe we need another reminder to not forget these lessons?
www.thelancet.com/journals/lan...