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Carolyn Johnston

@drcjohn.bsky.social
875 followers 433 following 74 posts

Anaesthetist, associate medical director. NELA QI lead, THIS Institute Learning system Cores fellow. Tayto fan.

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Reposted by Carolyn Johnston
Iain Moppett OBE @iainmoppett.bsky.social · 26/01/2026
Emergency general surgeons, radiologists and ED colleagues. We’d love to hear your thoughts on some principles for the process around urgent abdominal CT. #SurgSky #EMSky #RadSky @drlindadykes.bsky.social @marydixonwoods.bsky.social @drcjohn.bsky.social www.thiscovery.org/landing/emlap
thiscovery.org
Share your views on proposed principles for timely CT scanning in acute abdomen pathways
This survey gives you the chance to offer feedback on key principles underlying a timely CT scan. This is part of a wider project aiming to improve the time it takes for a patient to receive an emerge...
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Reposted by Carolyn Johnston
THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 12/01/2026
Help improve timeliness of hospital CT scans for people on the acute abdomen pathways by sharing your feedback in a new THIS Institute & @rcoa-cri.bsky.social survey. We’d love to hear from you if you work in the ED, radiology, or surgery. Take part now: bit.ly/4sNw8Zx
A surgeon wearing a blue headcover and a mask is putting on white surgical gloves
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Reposted by Carolyn Johnston
THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 10/11/2025
Timeliness matters, but treatment delays are common, complex & tough to tackle. Join @drcjohn.bsky.social @rosielindsay.bsky.social @janekohara.bsky.social as they explore why delays in treatment persist, and what can be done to address them. Register now: ths.im/4nGd5wJ
THIS Space 2025 Why is improving timeliness so hard and what can we do about it? 25 November 13:00-13:50 Online conference
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Carolyn Johnston @drcjohn.bsky.social · 14/09/2025
BBC News - Spending without thinking is a risk with unlimited contactless cards - BBC News www.bbc.co.uk/news/article... I'm thinking about that button in Lucky Voice that says 'Chips'
bbc.co.uk
Spending without thinking is a risk with unlimited contactless cards
Spontaneous spending is likely to rise if the £100 limit on contactless cards is scrapped, academics say.
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Carolyn Johnston @drcjohn.bsky.social · 01/05/2025
www.theguardian.com/business/202... I honestly think that in the future, we will look on betting companies like we look on Purdue pharma now.
theguardian.com
Family owners of Bet365 weigh up potential £9bn sale of gambling empire
Company headed by Denise Coates holds talks with Wall Street banks about full or partial sale of assets
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Carolyn Johnston @drcjohn.bsky.social · 17/04/2025
We've been working over the last year to *really* understand the issues of timeliness in emergency general surgery.... @rcoa-cri.bsky.social @thisinstitute.cam.ac.uk
media.tenor.com
a man says houston we have a problem
ALT: a man says houston we have a problem
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Carolyn Johnston @drcjohn.bsky.social · 28/03/2025
I'm at @ageanaesthesia.bsky.social annual conference today in sunny Brighton! Talking about @thisinstitute.cam.ac.uk @rcoa-cri.bsky.social project to improve timeliness in emergency laparotomy...
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Reposted by Carolyn Johnston
Helen Buckingham @hbuckingham.bsky.social · 26/03/2025
This is a deeply depressing article. Change and innovation thrive in a culture which gives people the tools they need to do the job & supports positive risk-taking. If your hospital is inefficient because the ceiling is falling in or the IT is ancient, cutting the tariff won't drive improvements.
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Carolyn Johnston @drcjohn.bsky.social · 26/03/2025
I'll be presenting at the @roysocmed.bsky.social webinar in Emergency Laparotomy on 9th April- www.rsm.ac.uk/events/anaes... free to members and non members!
rsm.ac.uk
Emergency Laparotomy 2025
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Carolyn Johnston @drcjohn.bsky.social · 16/03/2025
www.theguardian.com/politics/202... very disappointing rhetoric. The only person making the diagnosis is the person talking to the patient, based on their understanding of ICD-11. Whether we have the *implication* of that diagnosis is right is another matter (that's what I think he means)
theguardian.com
Wes Streeting: there is overdiagnosis of mental health conditions
Health secretary says too many people are being ‘written off’ and that is driving ministers’ changes to welfare
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Reposted by Carolyn Johnston
AgeAnaesthesia @ageanaesthesia.bsky.social · 03/02/2025
This years #AAACONF programme includes a full NELA session you don't want to miss❗️ Register now to see Dr Louise Silva, Dr Ee-Neng Loh & Dr Carolyn Johnston present about the National Emergency Laparotomy Audit. emdevents.eventsair.com/aaa-2025/regpg
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Carolyn Johnston @drcjohn.bsky.social · 28/02/2025
"Oooh, you are awful....but I like you"
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Carolyn Johnston @drcjohn.bsky.social · 19/02/2025
Resident Drs- please take 5 mins to share your views on emergency laparotomy guidelines: are they easy to follow? Is it easy to escalate? You can help improve care (and get portfolio evidence for your contribution!) www.thiscovery.org/project/impr... @rcoa-cri.bsky.social @thisinstitute.bsky.social
thiscovery.org
Share your opinions and experiences of how emergency laparotomy guidelines work in practice
This survey aims to understand how clinical guidelines are interpreted and practiced.
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Carolyn Johnston @drcjohn.bsky.social · 18/02/2025
www.theguardian.com/commentisfre... This is a very good piece. I saw The Years and absolutely loved it. It did stop in the middle to let someone out. It deserves so much more than this notoriety. @katemaltby.bsky.social thank you for writing this.
theguardian.com
Trigger warnings may do more harm than good. Witness ‘the abortion play’ | Kate Maltby
Hit drama The Years has seen audience members fainting hysterically. Perhaps if we dispensed with the red flags, people would enjoy this fine play more
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Carolyn Johnston @drcjohn.bsky.social · 17/02/2025
This is what happens when you cut funding, but 'protect the front line'. www.theguardian.com/society/2025...
theguardian.com
Most NHS users in England affected by dysfunctional admin, report finds
About 64% of people had difficulties with health service last year relating to communication about care
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Reposted by Carolyn Johnston
Greg Fell @felly500.bsky.social · 09/02/2025
www.bbc.co.uk/sounds/play/... Broken food policy Henry Dimbleby (c11m) on the m multiple friction costs across multiple depts slow progress Depts with control over levers that determine health don’t care about health - in fact if they successfully achieve their goal poorer pop health may result
bbc.co.uk
The Food Programme - Broken Policies - BBC Sounds
Sheila Dillon looks into why healthy eating policies often fail and future strategy.
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Carolyn Johnston @drcjohn.bsky.social · 08/02/2025
Just 12 (ish) questions to help improve emergency general surgery 😎 we are looking at capability, opportunity and motivation to follow the guidelines. Please have a look at the survey and join the online community to share your thoughts on the results
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Carolyn Johnston @drcjohn.bsky.social · 31/01/2025
Our second survey is live! Looking at emergency laparotomy guidelines- are they easy to understand and does everyone want to follow them!? Please take 5 mins to help improve emergency laparotomy care (and get CPD evidence!) www.thiscovery.org/emlap/improv... @thisinstitute.bsky.social
thiscovery.org
Share your opinions and experiences of how emergency laparotomy guidelines work in practice
This survey aims to understand how clinical guidelines are interpreted and practiced.
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Reposted by Carolyn Johnston
AgeAnaesthesia @ageanaesthesia.bsky.social · 16/12/2024
Age Anaesthesia Association ASM 2025 will be taking place in Brighton! Sessions and speakers confirmed🎉 @scarlettmcnally.bsky.social @jkdhesi.bsky.social @elboghdadly.bsky.social Register now: emdevents.eventsair.com/aaa-2025/regpg #AAAConf #AAA2025 #Brighton
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Reposted by Carolyn Johnston
AgeAnaesthesia @ageanaesthesia.bsky.social · 30/01/2025
✨Speaker Spotlight✨ Dr Carolyn Johnston will be joining us at #AAA2025 Talk entitled : "Improving the timeliness of emergency laparotomy (THIS Institute)" @drcjohn.bsky.social Book now to receive early bird rates! emdevents.eventsair.com/aaa-2025/regpg #AAACONF
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Carolyn Johnston @drcjohn.bsky.social · 26/01/2025
There is simply no environmental, noise or air quality reason to build more at Heathrow. More people live under the Heathrow flight path than any other airport in Europe- nearly 700k people. That is more than the next 3 highest added together and x4 those living below Charles De Gaule....
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Reposted by Carolyn Johnston
THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 20/01/2025
Just published: our new Element looks at the key principles of measuring improvement and highlights the importance of using multiple measures and approaches to gathering data. Written by Alene Toulany and Kaveh Shojania from @tmu-medicine.bsky.social, and it's free to access: ths.im/4amXhJZ
A yellow banner with the title 'Measurement for Improvement' written in large text on the left side, followed by the authors' names, Alene Toulany and Kaveh G. Shojania, in smaller text. On the right side, a graphic shows a grid of dots with a blue dot at the bottom left, a red dot at the top right, and an arrow connecting them.
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Carolyn Johnston @drcjohn.bsky.social · 14/01/2025
Pic taken at another hospital, but could have also been ours (or also at my GP!)! Has anyone got value from check-in kiosks? Please help me with the key to your success! (Or give us all the confidence to abandon them)
Out of order check in kiosks
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Carolyn Johnston @drcjohn.bsky.social · 14/01/2025
Big day yesterday, as our department was @rcoanews.bsky.social #ACSA reaccredited for the *THIRD* time! From my time as ACSA lead, I know how much work is involved 🥴. Plaque on the wall already, so definitely more organised than I was 🤣🤣
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Carolyn Johnston @drcjohn.bsky.social · 14/01/2025
Duty floor anaesthetist day!
Step counter showing over 8000 steps
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Carolyn Johnston @drcjohn.bsky.social · 06/01/2025
Maybe I've missed it, but I've not seen any evidence/analysis that Advice and Guidance in general reduces demand in secondary care (if that's the key aim). Robust triage and good relationships between clinicians is preferable to a clunky impersonal interface via ERS
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Carolyn Johnston @drcjohn.bsky.social · 05/01/2025
www.theguardian.com/society/2025... I've been working on some of this for the last few years, it will be interesting to see the details. On self booking appointments on the app- I would love to see this, but it is fiendishly difficult in implementation (so has reasonable capital costs!)
theguardian.com
Cash incentives for GPs under Labour’s radical plan to cut NHS waiting lists
Doctors will be given £20 each time they consult with a specialist to see if there is an alternative to hospital visits
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Reposted by Carolyn Johnston
John McKenna @johnodreams.bsky.social · 01/01/2025
Correction: “The walls were painted by an anaesthetist who wanted to give patients something to look at while they waited for their surgeon to send a valid group and save.”
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Carolyn Johnston @drcjohn.bsky.social · 30/12/2024
This feels very accurate. Also in work-life (certainly my Dad's business) or contracting people like tradesmen, estate agents, instance brokers etc, a lot of emphasis is on personal connection. I find it very strange in England that this is not the case
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Carolyn Johnston @drcjohn.bsky.social · 26/12/2024
Wonderful to see @orangetreetheatre.bsky.social on this list! We've seen so many amazing productions there, and going again in January. Something magical about 'in the round' in a small venue www.thestage.co.uk/news/the-sta...
thestage.co.uk
The Stage Awards 2025: shortlist in full
Nominees for The Stage Awards 2025, in association with Tysers Live, have been announced
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Carolyn Johnston @drcjohn.bsky.social · 23/12/2024
What a great welcome home!! #tayto #crispmas www.linkedin.com/posts/tayto-...
linkedin.com
Tayto Group Limited on LinkedIn: Tayto Christmas giveaway at George Best Belfast City Airport
Tayto Christmas giveaway at George Best Belfast City Airport
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Carolyn Johnston @drcjohn.bsky.social · 15/12/2024
I enjoyed Kristina's short review of collaborative learning systems 😎 Why did I want to lead one? ✅Many of us are smarter than one of us ✅Complex problems need creative solutions ✅We've tried the old approach so many times ➡️it doesn't work, so try something new (see my pinned tweet to join us!)
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Reposted by Carolyn Johnston
Mary Dixon-Woods @marydixonwoods.bsky.social · 15/12/2024
What to understand what a collaborative learning system approach might look like for healthcare? @thisinstitute.bsky.social's approach explained here in just 7 mins by Kristina Wanyonyi-Kay www.youtube.com/watch?v=kxGx...
youtube.com
THIS Institute Core Learning Systems
YouTube video by THIS Institute
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Carolyn Johnston @drcjohn.bsky.social · 12/12/2024
Over 100 members of our emergency laparotomy online community 😎. Emergency medicine, surgery and anaesthesia all there in pretty equal numbers....but where are the radiologists? Please share and join to help improve care using new approaches: community.thiscovery.org/topics/46144/
community.thiscovery.org
Sign in - Thiscovery
Don't have an account? Register here
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Carolyn Johnston @drcjohn.bsky.social · 30/11/2024
Take 15 mins to make a difference to emergency laparotomy patients...we are using new methods to solve an old problem- please take a look and join our community to take part 🤝💪
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Reposted by Carolyn Johnston
Julie Ann Sosa, MD MA @jasosamd.bsky.social · 24/11/2024
Evidence is too often thin in general surgery: a call to generate more & better science to support clinical decisionmaking from @ucsfsurgery.bsky.social authors! @ucsfhealth.bsky.social @ucsfcancer.bsky.social @hannahdeckermd.bsky.social #SurgSky #MedSky jamanetwork.com/journals/jam...
jamanetwork.com
The Quality of Evidence Supporting Clinical Practice Guidelines in General Surgery
This meta-analysis assesses the strength and quality of clinical recommendations in practice guidelines published by professional societies.
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Carolyn Johnston @drcjohn.bsky.social · 18/11/2024
I only really drink this in airports...... (Well, one airport to be precise)
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Carolyn Johnston @drcjohn.bsky.social · 15/11/2024
A nice thing about being on here is refinding some excellent accounts that were being drowned out by the crap 😊 #medsky
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Carolyn Johnston @drcjohn.bsky.social · 14/11/2024
The big issue is why Tayto have so many onion based flavours (beef and, pickled, cheese and, spring onion) AND WHY THE LAST ONE ISN'T CALLED SCALLIONS?!?
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Carolyn Johnston @drcjohn.bsky.social · 13/11/2024
I'm at #EGS2024 today, talking about @thisinstitute.bsky.social EmLap timeliness project today. www.thiscovery.org/emlap/improv... (The best joke about an anaesthetist talking to surgeons will get a mention in the talk 😂😂)
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Carolyn Johnston @drcjohn.bsky.social · 12/11/2024
Join us to help improve the timeliness of emergency surgery! We are using new methods to solve an intractable problem: join the online community and share your experience on the link below.... www.thiscovery.org/project/impr...
thiscovery.org
Share your views on emergency laparotomy pathways and how they can be improved
This project aims to understand how pathways for emergency laparotomy are working as the first stage in seeking to streamline care and improve outcomes
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Reposted by Carolyn Johnston
Anaesthesia @anaesjournal.bsky.social · 11/11/2024
What supports mattered to UK anaesthesia trainees following a patient safety incident? • Proximal debrief with a senior colleague • Private, psychologically safe environment • No expectation to continue working buff.ly/40IYmJ4
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Carolyn Johnston @drcjohn.bsky.social · 08/11/2024
www.thiscovery.org/emlap/improv... Please have a look and share with *anyone* working on emergency laparotomy pathways, to help us use new methods to improve care 🤓
thiscovery.org
Share your views on emergency laparotomy pathways and how they can be improved
This project aims to understand how pathways for emergency laparotomy are working as the first stage in seeking to streamline care and improve outcomes.
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Reposted by Carolyn Johnston
Carolyn Johnston @drcjohn.bsky.social · 20/10/2024
Your experience matters! Join an online community looking at ways to improve the timeliness to emergency abdominal surgery. We're looking for healthcare professionals working on the emergency laparotomy pathway. Find out more rcoa.ac.uk/research/resea… @thisinstitute.bsky.social
rcoa.ac.uk
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Carolyn Johnston @drcjohn.bsky.social · 20/10/2024
Your experience matters! Join an online community looking at ways to improve the timeliness to emergency abdominal surgery. We're looking for healthcare professionals working on the emergency laparotomy pathway. Find out more rcoa.ac.uk/research/resea… @thisinstitute.bsky.social
rcoa.ac.uk
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Carolyn Johnston @drcjohn.bsky.social · 19/09/2024
What a great day at @thisinstitute.bsky.social fellows day. So many clever, interesting people doing fantastic work.
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Carolyn Johnston @drcjohn.bsky.social · 28/08/2024
Dire Straits.
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