iiinova — where your digital self keeps evolving

Jo Kitchen @jokitchen.bsky.social · 12/10/2025

Yes, but not the latest one yet. I found her podcast great too- this one is where Brene and Adam Brown talk about finding their values, it feels like a BTS! podcasts.apple.com/gb/podcast/d...

podcasts.apple.com

Brené and Adam Grant on Finding Our Strong Ground

Podcast Episode · Dare to Lead with Brené Brown · 17/09/2025 · 59m

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Lou Rodrigues (she/her) @lourodrigues.bsky.social · 10/09/2025

Check out the analytics for #QISky yesterday when we held our second chat! Invite your colleagues & teams! Let's create an active, supportive & learning community to help deliver the improvements that matter! There ain't no party like a QI party! @jokitchen.bsky.social @naomi-burden.bsky.social

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Thanks to everyone who’s joined us this evening, our hour is up & it’s been amazing to see all the connections, ideas and great work already happening!

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

This was my main thought too after the webinar today #QISky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

There is energy for #QISky chat, even after the 9-5!

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Q4: The serendipitous finding new ideas, tools and info rather than having to go looking #qisky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Question 5: What have you gained from joining today's #QISky chat? What will you take away and do differently as a result of participating? #QIweek2025 #AHPQI #qisky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Question 4: What would a values-driven QISky community offer on BSky that's missing somewhere else? #QIweek2025 #AHPQI #qisky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

I really appreciate this perspective- starting from the opinion that everyone is trying to do the right thing rather than being obstructive #qisky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Question 3: How do values based leaders navigate the politics and power dynamics to achieve desired results? #QIweek2025 #AHPQI #qisky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

For me I’ve learnt from painful experience that when I go too fast then we find out all the gaps as we go which is then much more time consuming to go back and fix then planning and exploring beforehand #QISky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Good to have you here! We are learning together #QISky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Ah, learning as we go here- the pressure for quick wins not wine! Although wine making should not be quick either 😂

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

The difference between being told to do something and being involved in planning the change is huge #dowith #qisky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Question 2: How do we balance the pressure for quick wine with the deeper values of dignity, equity and sustainability? #QIweek2025 #AHPQI #qisky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

I’ve always had a lot of hope that we can improve healthcare in meaningful ways & QI gives me the skills to be able to do that. #QISky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Whoop whoop great to see you Gemma! I’m the #AHPQI network facilitator based on wet Cornwall. #QISky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Not sure what your values are- have a look at the list here and start by circling any that resonate with you and then narrow them down to two. brenebrown.com/resources/dar...

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Let's get started.... Question 1: Brene Brown reminds us that living into our values matters. What drew you to Quality Improvement, and what values have kept you passionate about it?

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Good evening and welcome to the #QISky crew! We are excited for to get chatting about leadership and quality improvement as part of #QIWeek2025 with the #AHPQI network and @lourodrigues.bsky.social Say hi, let us know you’re here, and where you’re joining us from & don’t forget the #qisky

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

⏰ It’s just under 1 hour till our #QISky chat on leadership & improvement in healthcare, follow the wonderful @lourodrigues.bsky.social @naomi-burden.bsky.social and join the conversation

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

⏰ It’s 2 hours till our #QISky chat on leadership & improvement in healthcare, follow the wonderful @lourodrigues.bsky.social @naomi-burden.bsky.social and join the conversation

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Jo Kitchen @jokitchen.bsky.social · 09/09/2025

Day 2 of #QIweek and I’ve saved some time to follow the links on the latest #evidence4QI over breakfast, does it count as CPD?

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Jo Kitchen @jokitchen.bsky.social · 06/09/2025

Really excited about restating the #QIsky conversation, especially when it’s #QIweek2025

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Dr Andrea Gibbons @andreadgibbons.bsky.social · 04/09/2025

Join us next week for our #qiweek2025 Spotlight series! We're showcasing how QI teams are driving improvement Each day a different team will share their work 🔗 Sign up tinyurl.com/qiweek , use QR code or email hello@theqihub.com @lourodrigues.bsky.social @terriporrett.bsky.social

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Jo Kitchen @jokitchen.bsky.social · 04/09/2025

Plus an extra #AHPQI event which didnt make it onto the list in time on Patient Safety Culture hosted by the Midlands region. events.teams.microsoft.com/event/c0457e...

events.teams.microsoft.com

Microsoft Virtual Events Powered by Teams

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Jo Kitchen @jokitchen.bsky.social · 04/09/2025

Hello #qisky 👋 Do you know that’s it’s #qiweek next week? Are you planning to go to any of the events? Or planning one yourself?

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Jo Kitchen @jokitchen.bsky.social · 23/04/2025

NEW AHPQI event for Midlands AHPs: May 8th @ 13:00 Appreciative Inquiry with Daniel Hodgkiss and time to connect with other AHPs passionate about QI. #QIsky

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fabnhsstuff.bsky.social @fabnhsstuff.bsky.social · 22/04/2025

🎙️Something exciting is coming... A brand new podcast exploring the voices, ideas and change makers across health care. Each episode offers a deep dive into the realities of healthcare. Stay tuned 👀 ow.ly/n28550VEXB6 #FabStuffPodcast @roylilley1.bsky.social @terriporrett.bsky.social

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Gill Phillips @whoseshoes.bsky.social · 26/03/2025

I’m enjoying the Kimg’s Fund event – the launch of the ‘Do with, not do to’ movement. My fave quote so far is from the fabulous @clentonf.bsky.social: “we (people) need to create the conditions to lead our gloriously ordinary lives” @thekingsfund.bsky.social #WhoseShoes #coproduction #DoWith

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Jo Kitchen @jokitchen.bsky.social · 03/04/2025

It went quiet and then I accidentally turned off notifications… #AHPQI network has some new podcast episodes, the #Dowith movement had a fab launch event and #QIweek 2025 is being planned for September with @adh76.bsky.social

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Jo Kitchen @jokitchen.bsky.social · 02/04/2025

Our Offer A six-week program with up to 25 prospective core connectors covering our aims and objectives below. This will include six 1 hour of online group training and minimum six 1-hour self-directed learning.

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Jo Kitchen @jokitchen.bsky.social · 02/04/2025

We are looking for AHPs who: Have an interest in Quality Improvement (QI) and healthcare transformation Are eager to contribute to the growth of a collaborative network. Are excited to help shape the future of AHPQI and have the habits of an improver

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Jo Kitchen @jokitchen.bsky.social · 02/04/2025

Applications now open for the AHPQI core connector program 2025. DM me for the full info! forms.office.com/pages/respon...

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Jo Kitchen @jokitchen.bsky.social · 01/04/2025

It’s sunny and it’s #GreenerAHP week which makes it all feel very hopeful. Lots of events going on, with practical ideas of change, and I’m looking forward to recording a podcast episode about a current project to return and reuse equipment.

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Jo Kitchen @jokitchen.bsky.social · 01/04/2025

The future is arriving in Physio! Some light reading for this afternoon…

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Jo Kitchen @jokitchen.bsky.social · 06/03/2025

Sharing the QI starter pack for new QI enthusiasts in this space @copescotland.bsky.social go.bsky.app/Fv8Gtik

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Sid Beech @sidqi.bsky.social · 21/01/2025

Join us for a lovely webinar on the "systems QI practitioner" programme co-design 🌟 We are aiming to create a free training programme to upskill staff to do QI across boundaries. q.health.org.uk/get-involved... via @theqcommunity.bsky.social @robind100.bsky.social @jenni-improvement.bsky.social

q.health.org.uk

How can we better improve across boundaries? Co-design of the Systems…

Join this Q Exchange 6 project webinar on 5 February 2025 to learn more from the team working on the Systems QI Practitioner Programme. Book now!

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Jo Kitchen @jokitchen.bsky.social · 13/01/2025

First podcast episode of 2025 released today. It’s a good one; co-design, real good listening and a significant improvement in number of falls and ambulance need. open.spotify.com/episode/4ZMr...

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Jo Kitchen @jokitchen.bsky.social · 07/01/2025

Thrilled to announce the launch of our North West #AHPQI network. For all AHPs—from QI novices to seasoned ninjas—looking to learn, connect, and collaborate to make meaningful improvements in healthcare. Follow the link below to register & be part of the change!

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Jo Kitchen @jokitchen.bsky.social · 05/12/2024

This is exciting, QI + stories ⭐️⭐️⭐️

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Angie Logan @angie-logan.bsky.social · 03/12/2024

#UKSF24 starts today & I have 2 posters: 1) Systematic review on optimising adherence in inpatient rehabilitation trial protocols 2) Scoping review of stroke services within the Philippines #Stroke #StrokeRehab

Poster title: optimising adherence to inpatient rehabilitation trial protocols: a mixed message systematic review

Background: millions of pounds are spent on research evaluating rehabilitation interventions for people after stroke but results can be negatively affected by endurance to the trial protocols.

Adherence is a key variable influencing the outcome of clinical trials.
Researchers need to identify ways to optimise adherence in the planning, design, and delivery of/rehab trials to ensure the funds are well used and that trials accurately determine treatment effects and patient safety

Methods:
a mixed methods systematic review data was synthesised and integrated using the consolidated framework for implementation research 2.0

summary of main findings: 27 papers included 17 of those in stroke, other conditions included neurological, surgical, intensive care, osteoarthritis, cardio respiratory, and acute medical elderly.

The variability of adherence measures makes comparison between studies difficult, 63% of studies reported the number of sessions.
22 studies reported the duration of sessions e.g. minutes
Only 26% of studies used pre-specified appearance measures.

Multiple barriers and facilitators were identified across the domains of capability, opportunity and motivation.

Key messages:
adherence to inpatient rehab trial protocols is multidimensional and multifactorial, spanning the innovation, the inner setting, outer setting, individuals, and the implementation.

Understanding factors affecting a appearance and how these interact with one another is key in the design, implementation, and reporting or future impatient rehab trial protocols

Lack of consensus on appearance measures and levels makes meaningful comparisons between trials difficult.

Appearance level traffic light system would enable triallist to consider the needs to implement changes during the trial to improve an appearance or stop the trial.

A scoping review of stroke services within the Philippines.

Access to stroke care & rehab services & the subsequent impact on stroke outcomes in the Philippines, a lower and middle income country, is unclear. Understanding gaps in service delivery & underpinning research from acute to chronic stages stroke will allow future targeting of resources.

Methods: 70 papers were included. Data was extracted using structure, process, outcome.

Results:
Structure: gaps such as low number of neurologist, CT scanners were identified. Other gaps such as lack of/protocols and pathways, lack of infrastructure for emergency medical services, low number of acute stroke ready hospitals, Stroke Unit and rehabilitation facilities.
Potential solutions such as non-neurologist being trained to help stroke survivors, and mobile stroke units.

Process: gaps such as delayed arrival to hospitals, lack of training among health workers, poor community/awareness, lack of rehab for inpatient, outpatient and community.
potential solutions are use of telemedicine to reach geographically isolated regions, increase awareness of stroke symptoms and seeking emergency help, increase knowledge and importance of stroke rehab, TeleRehab.

Outcomes: gap such as number of stroke survivors with disability not reported, low government insurance coverage with high out-of-pocket expenses, limited data on carer strain & no data on Cara burden.
Potential solutions are to upgrade PhilHealth to cover reperfusion therapies, intra operable/registry representing real situations across rural & urban (disability as well as demographics).

Key messages
High prevalence stroke risk factors, high incidence of stroke and younger adult adults, TeleRehab developed in response to the COVID-19 pandemic but no data on implementation and sustainability, like all established/pathways and national registry,Barangay health workers’ knowledge about a key stroke is fair-good but knowledge and skills about drug rehab unknown.

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