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Alan J. Card

@alanjcard.bsky.social

PhD / MPH. Assistant Professor. Systems design and improvement for health and care. #PatientSafety, #QISky #riskmgt, #designthinking, occupational safety/wellbeing, #academicsky. Also puns.

4,228 Followers  |  3,157 Following  |  2,028 Posts  |  Joined: 26.08.2023
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Posts by Alan J. Card (@alanjcard.bsky.social)

Sometimes you really need a private injera attorney:

01.03.2026 04:26 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

So relatable! πŸ˜‚

28.02.2026 03:04 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

This just popped into my timeline and is so apt a simile that I’m jealous that I didn’t think of it.

27.02.2026 14:32 β€” πŸ‘ 440    πŸ” 81    πŸ’¬ 0    πŸ“Œ 0
Preview
a woman with glasses is making a face and saying `` no thank you please '' . Alt: A woman, looking disgusted and concerned, says β€œNo thank you, please.

#DoNotLike

27.02.2026 04:24 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

They lack a First Amendment and their libel laws are a horror, but I am nevertheless sometimes envious of UK journos, because they get to use words like "grandee" and no one objects.

(Also "quango" and "gong" β€” not a musical instrument β€” and sometimes even "anorak." Bliss.)

24.02.2026 21:11 β€” πŸ‘ 11    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0

Shambolic and omnishambles top my list!

24.02.2026 21:21 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
A box of paper ARCs of Radiant Star

A box of paper ARCs of Radiant Star

Whenever I get a notification of a Mystery Package on the way it's almost always from my publisher.

24.02.2026 21:07 β€” πŸ‘ 327    πŸ” 12    πŸ’¬ 23    πŸ“Œ 11

Check out our latest paper, β€œPsychosocial Safety Is Patient Safety: Gender-affirming Care as an Exemplar for Health Equity.”

It’s a quick read and my coauthors are brilliant, so you’ll probably find it worth your time. πŸ˜„

#PatientSafety
#QISky
#MedSky

24.02.2026 21:13 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

Library Journal just reviewed my forthcoming book Coverage Denied: How Health Insurers Drive Inequality in the United States and wrote that "this examination of the American health insurance system is an essential read." It's out 4/23, available for pre-order with CUP, Amazon, Strand, or Powell's!

24.02.2026 18:05 β€” πŸ‘ 68    πŸ” 25    πŸ’¬ 3    πŸ“Œ 0

Oh no, is someone infringing on your intellectual property? You’re saying they feel entitled to steal work to train their LLMs?

Wow, that’s a shame. Criminal, even.

23.02.2026 21:07 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 1

In 2023 I was asked to take a meeting with [charity we all mostly like] about technology they can use to support their cause (annnd see if I could give them more money, because that’s what they do right?)

About 3/4 of the way through, they bring up their support for online age verification.

22.02.2026 02:34 β€” πŸ‘ 41    πŸ” 8    πŸ’¬ 1    πŸ“Œ 0

something abled people don't get is you can have just one day a week where you are too sick to work, and that's enough to disqualify you from nearly all full-time jobs. it doesn't take a lot

22.02.2026 00:20 β€” πŸ‘ 4723    πŸ” 1839    πŸ’¬ 54    πŸ“Œ 61
Where Should I Start With Your Novels? | I Make Up Worlds

Yet again I will repost this (because the link periodically trashes itself).

If you are wondering about my extensive backlist, and which book/series might best fit your current reading needs/tastes, I wrote this post for you (boy-band style):

imakeupworlds.com/where-should...

18.02.2026 16:27 β€” πŸ‘ 40    πŸ” 24    πŸ’¬ 0    πŸ“Œ 0

Took my kid to urgent care this morning and was asked for permission to use an β€œAI scribe.” I’ve declined multiple times for myself because, as a data scientist (and, like, a person observing the political economy of AI), I have grave concerns. Today I relented, and not for lack of concern 🧡 1/

22.06.2025 14:34 β€” πŸ‘ 35    πŸ” 9    πŸ’¬ 6    πŸ“Œ 1

Hot take: The doctor shouldn't be the one asking if it's ok if she uses AI to take patient notes. The power differential + patient anxiety + short appointment times means the patient feels pressure to say yes. It should be a question asked during check-in. (I wish it wasn't used at all, but...)

17.02.2026 13:57 β€” πŸ‘ 1115    πŸ” 222    πŸ’¬ 31    πŸ“Œ 62

LLM responses which do not reflect consensus reality & facts are produced via the Same Process which generate responses which *Do* broadly conform to consensus reality & facts.

The Same Processes.

The Same Ones.

"Hallucination" is just a word to distance yourself from the outputs you don't like.

08.09.2025 18:20 β€” πŸ‘ 484    πŸ” 180    πŸ’¬ 10    πŸ“Œ 7

Indeed. Though I will point out that this is yet another set of data points showing that all the vocational arguments against the humanities/liberal arts rest on vibes & not actual data.

bsky.app/profile/mcop...

13.02.2026 18:55 β€” πŸ‘ 110    πŸ” 30    πŸ’¬ 1    πŸ“Œ 1

Go, you!

Nothing cringe about that at all. The world is designed to steal our joy these days. Steal it back when it comes within reach.

11.02.2026 00:29 β€” πŸ‘ 3    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

@npr.org, otherwise one of my favorite journalism shops, almost never fails to disappoint on COVID-related coverage.

09.02.2026 23:44 β€” πŸ‘ 5    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

You don't really want to know, but...

2021: 412 awards
2022: 430 awards
2023: 442 awards
2024: 497 awards
2025: 252 awards
2026 (to date): 0 awards

09.02.2026 18:36 β€” πŸ‘ 25    πŸ” 7    πŸ’¬ 5    πŸ“Œ 0

Alas, I deleted my Twitter account a long time ago, but maybe I should have tried harder to recruit them here. I’m not sure I’m that big a draw, though! πŸ˜‚

09.02.2026 20:31 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

As a person who is famously (infamously?) bad with names, one thing I miss about Olde Twitter was that I knew how to track down so many brilliant researchers by scrolling through my following list. A lot of folks never made it over to BlueSky and it’s a sad loss.

08.02.2026 05:11 β€” πŸ‘ 10    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

It’s so strange to me that β€œgolden age” sci-fi somehow got labeled as such. The standard of writingβ€”and expectations from readersβ€”is so much higher now. If I had to label one era or the other as the β€œgolden age,” of science fiction, I’d pick today, hands down!

06.02.2026 06:54 β€” πŸ‘ 12    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Important paper. Schools are high-risk environments for respiratory disease transmission MAINLY because classrooms are underventilated. This problem has a workable solution - it just needs political will. Air quality is as important as water quality for public health. MT @martinmckee.bsky.social

05.02.2026 22:59 β€” πŸ‘ 647    πŸ” 310    πŸ’¬ 19    πŸ“Œ 12

This trend is giving me life. College is cool, knowledge is great. The liberal arts is rad. Being well rounded is the GOAT.

Fund all colleges and universities. We should be throwing money at them. Make it affordable for all. Let people take underwater basket weaving if they choose.

31.01.2026 12:35 β€” πŸ‘ 894    πŸ” 195    πŸ’¬ 20    πŸ“Œ 22

Yeah, more men are confident they could take on a bearβ€”or beat Serena Williams at tennis, too. Doesn’t mean they’re right.

28.01.2026 09:25 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 1
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Charles Yang of Time for Three absolutely slaying me. I would lose my mind if I heard this live. Even crappy phone speakers made me scream and cry.

25.01.2026 16:36 β€” πŸ‘ 2574    πŸ” 729    πŸ’¬ 54    πŸ“Œ 79

@kateelliottsff.bsky.social: Maybe not relevant to the things you’re currently working on, but I saw this and immediately thought of you.

24.01.2026 08:27 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Powerful story from @jama.com on the long-term impact of critical illness, featuring patient stories as well as clinical insights from @jomcpeake.bsky.social & her fellowship. Watch the video here ja.ma/45egOLb & learn more about Jo’s work in the field bit.ly/4pHJYcP

21.01.2026 11:25 β€” πŸ‘ 3    πŸ” 3    πŸ’¬ 0    πŸ“Œ 0

As I tell my qualitative methods students: reviewers will inevitably ask you to add more evidence and cut 3,000 words.

24.01.2026 01:45 β€” πŸ‘ 91    πŸ” 9    πŸ’¬ 2    πŸ“Œ 0