Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 31/03/2025How about this: Become the self you’d be proud to be. Hang out with people and ideas that help you become that self. Act like that self every chance you get. (2/2) 030
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 31/03/2025𝗕𝗲 𝘆𝗼𝘂𝗿𝘀𝗲𝗹𝗳 by Seth Godin Which self? The self you were when you were two years old, almost out of diapers? The self you were when you were screaming with the fans at the big game? The self you were after a long night? (1/2) 120
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 28/02/2025▶️ playlist for: 𝗧𝗵𝗲 𝗙𝗼𝗿𝗲𝗶𝗴𝗻 𝗚𝗮𝘇𝗲 open.spotify.com/playlist/5K5... 041
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 28/02/2025𝗧𝗵𝗲 𝗹𝗼𝗻𝗲𝗹𝘆 𝘂𝗻𝗶𝗰𝗼𝗿𝗻 ... 𝘧𝘳𝘰𝘮 𝘚𝘦𝘵𝘩 𝘎𝘰𝘥𝘪𝘯 If there’s at least one unicorn in the world, it’s likely not the only one. And if one can make a valid English word from seven Scrabble tiles, it’s likely that more than one word can be found. 1/3 100
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 08/02/2025On misaligned incentives and consequences in urgent and emergency care (UEC) 🏥🚑🚑🚑 🚑... 🚑... .../thread #Medsky #EMedsky #EMsky 262
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 06/02/2025On what is not a service productivity improvement... ⚙️ 🏥🚑🚑🚑 🚑... /Thread... #Medsky #EMedsky #EMsky 162
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 31/01/2025⭐NHSE planning guidance published 30 January⭐ Much of investment to improve flow through ED to be targeted outside ED. Have a read and post your thoughts. 🏥🚑🚑🚑 🚑... #Medsky #EMedsky #EMsky 🔗https://www.england.nhs.uk/long-read/2025-26-priorities-and-operational-planning-guidance/ 010
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 30/12/2024With an important annual midnight looming, it's worth reflecting how our UEC systems (including A&E) are resourced at this hour. 🕛🌃 🎉🥳🪅 🚑... A thread .../1 #Medsky #EMedsky 142
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 20/12/2024Mitigating the harm from delayed initial A&E assessment when ambulances cannot offload... 🏥🫸 🚑🚑🚑 🚑... 🚑... A thread .../1 161
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 04/12/2024The Arrival by Shaun Tan weaves a beautiful, thought-provoking, human perspective on belonging. It teaches that our personal journeys are big but unseen, and it is how we treat each other that defines us. It is the perfect gift for reflection for this festive season. www.shauntan.net/arrival-book 130
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 02/12/2024You cannot staff an A&E like an outpatient clinic, but it's really hard not to. ☀️: 🚑... 🏥🚑 🚑... 🌖: 🏥🚑🚑 🚑... 🚑... A thread #Medsky #EMedsky .../1 2167
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 30/11/2024You cannot run an A&E like an outpatient clinic, but you can run it like a fire service... 🏥🔥 🚒💨 A thread .../1 #Medsky #EMedsky 12310
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 19/11/2024With multiple front doors into urgent and emergency care (UEC), why don't we measure performance at each? 🩼 & 🚑 = 👌🕓 / 💺 = 👎 #Medsky #EMedsky .../1 193
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 11/11/2024On specialty referral response times in urgent and emergency care. 👩⚕️📬... ⏳... 🧑⚕️📭 #Medsky #EMedsky .../1 👇 3108
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 08/11/2024The challenge with weekend discharges is probably closely linked to the state of the hospital's staff car park on a Friday afternoon. 🚗... 🚙... 🏥 🚑🚑🚑 🚑... #MedSky 180
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 06/11/2024Missing clinical voices in urgent and emergency care 🫥🩺 Clinicians are one of the three core groups necessary to lead change in healthcare. The others are nurses and managers. Each brings a particular perspective to the leadership table that is important for balance. 🩺+😷+🧑💼=⚖️ .../1 110
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 02/09/2024🏥🚑🚑🚑🚑😎 The harm from delay in urgent and emergency care is largely invisible. 📅 This is because the true effect is only seen after 30 days. Specifically: .../1 142
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 31/08/2024A&E's two workflows explained: 👆👇 You'll struggle to work out A&E flow if you don't separate it into these two workflows... .../1 111
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 22/08/2024🏥 Perhaps they can offload in Acute Assessment Units (AAUs) 🩺 Although design guidance is less clear about AAU turnover, the Society for Acute Medicine, recons around 12 hours is reasonable. Sadly we've seen the same decrease in turnover on AAUs. .../3 110
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 22/08/2024A quick 🧵 on why 🚑s get stuck at 🏥s TLDR: too little 🤏 Majors & Resus (M&R) capacity. 💉 M&R space is set through national design guidance. It is roughly calculated using attendances, priority and a 2-3 hour M&R turnover. It is your main designated bedded/ monitored space in A&E. .../1 100
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 20/08/2024Fascinating article, with plenty of application in healthcare (UEC in my perspective). 🏥 🚑 🔢 Where Data-Driven Decision-Making Can Go Wrong - Michael Luca and Amy Edmondson hbr.org/2024/09/wher... 000
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 18/08/2024Risking our lives in the river Stour 😯🥽🌊 000
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 18/08/2024Remember: 🚑 Ambulances ramp in front of A&Es. 🏥 Admitted caseload board in corridors and A&E majors and resus spaces. 👉 Neither has much to do with emergency medicine's productivity in A&E. 2/2 000
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 18/08/2024Productivity is most meaningfully assessed *across* the whole UEC pathway. 🏁 The operational default is to start by measuring productivity in A&E. And then get stuck there as productivity usually appears lower than expected. There is a reason for that, and that reason lies largely outside A&E. 1/2 100
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 15/08/2024Simplifying NHS planning guidance for UEC: 🚑 vs 🏥 The majority of the planning guidance for the UEC pathway is for improvements outside A&E, largely as reducing admission access block is seen as key to improve upstream flow (the targets listed in the planning guidance). 🧵... /1 110
Dr Stevan Bruijns 🏥🚑🤕🌍🏳️🌈 @codingbrown.bsky.social · 08/06/2024Our barefoot walkers are near the end of their 40 mile journey. Why is this mom and daughter walking 40 miles barefoot 👣? Have a read of their inspirational story and donate to their cause. gofund.me/400f47b7 231