Carl Horsley
@carlhorsley.bsky.social
Intensivist at Middlemore; Resilient Healthcare + Te Ao Māori; Clinical lead for System Safety @HQSCNZ ; MSc HF & System Safety, Lund. All musings my own
#medsky #safetysky #icu
#medsky #safetysky #icu
Pinned
Carl Horsley
@carlhorsley.bsky.social
· Jun 18
The Future of Patient Safety: A Journey from Human Error to System Safety
YouTube video by Perioperative Medicine Monash University
youtu.be
Delighted to share the keynote talk from the Monash Patient Safety and Human Factors conference.
It examines what do we mean by “patient safety?”, exploring the roots of current approaches and how they leave us blind to changing risk and our increasingly brittle systems.
youtu.be/cvGXYtNZ1o8?...
It examines what do we mean by “patient safety?”, exploring the roots of current approaches and how they leave us blind to changing risk and our increasingly brittle systems.
youtu.be/cvGXYtNZ1o8?...
I'm finding the whole discourse about how we should be focused on "what is good for business" really disturbing.
While societies need well-functioning economies within them, we should not mistake the economy for society
What do we want? Are we pursuing our own dreams or being sold other people's?
While societies need well-functioning economies within them, we should not mistake the economy for society
What do we want? Are we pursuing our own dreams or being sold other people's?
December 8, 2025 at 8:31 AM
I'm finding the whole discourse about how we should be focused on "what is good for business" really disturbing.
While societies need well-functioning economies within them, we should not mistake the economy for society
What do we want? Are we pursuing our own dreams or being sold other people's?
While societies need well-functioning economies within them, we should not mistake the economy for society
What do we want? Are we pursuing our own dreams or being sold other people's?
Reposted by Carl Horsley
Boom.
The Australien Government has made an ad about the Social Media Ban for Under-16s, and it's surprisingly honest and informative.
Honest Government Ad | Social Media Ban
YouTube video by thejuicemedia
www.youtube.com
December 8, 2025 at 5:27 AM
Boom.
Reposted by Carl Horsley
UN CERD warns NZ is backsliding on racial equality: Māori land, Tiriti commitments, hate speech, youth justice, health equity, and human rights institutions face serious risks.
UN sounds alarm on NZ racism and Māori rights
UN CERD warns NZ is backsliding on racial equality: Māori land, Tiriti commitments, hate speech, youth justice, health equity, and human rights institutions face serious risks.
www.teaonews.co.nz
December 7, 2025 at 2:33 AM
UN CERD warns NZ is backsliding on racial equality: Māori land, Tiriti commitments, hate speech, youth justice, health equity, and human rights institutions face serious risks.
Reposted by Carl Horsley
'Pitiful' decision on emissions targets will cost the country, former climate commissioner says
'Pitiful' decision on emissions targets will cost the country, former climate commissioner says
Critics say the government has placed short-term economic growth ahead of the long-term consequences - but a methane scientist says the government's response is reasonable.
www.rnz.co.nz
December 4, 2025 at 6:30 AM
'Pitiful' decision on emissions targets will cost the country, former climate commissioner says
Be a good ancestor
It's hard seeing such uninspirational short term thinking. Making things worse for our kids because we weren't prepared to act.
Society is more than just an economy.
www.rnz.co.nz/news/politic...
It's hard seeing such uninspirational short term thinking. Making things worse for our kids because we weren't prepared to act.
Society is more than just an economy.
www.rnz.co.nz/news/politic...
Government rejects all of Climate Change Commission's emissions target recommendations
It comes despite a Climate Change Commission warning that New Zealand is being hit sooner and more severely than expected.
www.rnz.co.nz
December 4, 2025 at 1:18 AM
Be a good ancestor
It's hard seeing such uninspirational short term thinking. Making things worse for our kids because we weren't prepared to act.
Society is more than just an economy.
www.rnz.co.nz/news/politic...
It's hard seeing such uninspirational short term thinking. Making things worse for our kids because we weren't prepared to act.
Society is more than just an economy.
www.rnz.co.nz/news/politic...
Austerity spiral
www.rnz.co.nz/news/politic...
www.rnz.co.nz/news/politic...
Government finances worse than expected as tax take falls
Treasury figures show a bigger deficit than forecast.
www.rnz.co.nz
December 4, 2025 at 1:05 AM
Austerity spiral
www.rnz.co.nz/news/politic...
www.rnz.co.nz/news/politic...
Reposted by Carl Horsley
Can I let you in on a little secret?
Billionaire philanthropy isn’t charity.
It’s PR to distract you from low wages, labor exploitation, and a tax system that’s rigged for the rich.
Billionaire philanthropy isn’t charity.
It’s PR to distract you from low wages, labor exploitation, and a tax system that’s rigged for the rich.
December 3, 2025 at 5:11 PM
Can I let you in on a little secret?
Billionaire philanthropy isn’t charity.
It’s PR to distract you from low wages, labor exploitation, and a tax system that’s rigged for the rich.
Billionaire philanthropy isn’t charity.
It’s PR to distract you from low wages, labor exploitation, and a tax system that’s rigged for the rich.
Govt warned new methane target aligned with 'catastrophic' warming - Newsroom share.google/35dACLXORuVl...
Govt warned new methane target aligned with 'catastrophic' warming
Newly released documents reveal the Govt's new methane target is associated with 2.7C of warming – a level labelled 'catastrophic' by the UN.
share.google
December 4, 2025 at 12:52 AM
Govt warned new methane target aligned with 'catastrophic' warming - Newsroom share.google/35dACLXORuVl...
Reposted by Carl Horsley
The Government’s health reforms will remove independent monitoring of Māori health and centralise the functions of local Māori health boards.
newsroom.co.nz/2025/12/02/l...
newsroom.co.nz/2025/12/02/l...
Law change advances to strip powers from Māori health boards
The Government's health reforms will remove independent monitoring of Māori health and centralise the functions of local Māori health boards.
newsroom.co.nz
December 2, 2025 at 11:53 PM
The Government’s health reforms will remove independent monitoring of Māori health and centralise the functions of local Māori health boards.
newsroom.co.nz/2025/12/02/l...
newsroom.co.nz/2025/12/02/l...
Reposted by Carl Horsley
What could go wrong?
My @smh @theage cartoon.
My @smh @theage cartoon.
December 2, 2025 at 8:58 PM
What could go wrong?
My @smh @theage cartoon.
My @smh @theage cartoon.
Reposted by Carl Horsley
The NZ Endocrine Society have released a statement calling for "the repeal of this unethical ban at the earliest opportunity". If it wasn't political, the govt would be listening to these expert statements. www.endocrinology.org.nz/nzse-positio...
New Zealand Society of Endocrinology - NZSE position on the ban of gonadotropin-releasing hormone analogues for the treatment of gender dysphoria or incongruence
www.endocrinology.org.nz
December 1, 2025 at 7:40 PM
The NZ Endocrine Society have released a statement calling for "the repeal of this unethical ban at the earliest opportunity". If it wasn't political, the govt would be listening to these expert statements. www.endocrinology.org.nz/nzse-positio...
Reposted by Carl Horsley
Worldwide mortality experience since the beginning of the COVID-19 pandemic (2020-2024) shows excess deaths over that period in almost every country measured. Australia (+6%) was below average, and New Zealand (+0.1%) the lowest we measured.
December 2, 2025 at 6:18 AM
Worldwide mortality experience since the beginning of the COVID-19 pandemic (2020-2024) shows excess deaths over that period in almost every country measured. Australia (+6%) was below average, and New Zealand (+0.1%) the lowest we measured.
Timeliness is not the overriding marker of the quality of care we should be focused on.
Quality is related to how well care meets the differentiated needs of those who seek care.
This goes back to the original description from Deming.
Don't mistake a measure for the aim .
Quality is related to how well care meets the differentiated needs of those who seek care.
This goes back to the original description from Deming.
Don't mistake a measure for the aim .
December 2, 2025 at 4:13 AM
Timeliness is not the overriding marker of the quality of care we should be focused on.
Quality is related to how well care meets the differentiated needs of those who seek care.
This goes back to the original description from Deming.
Don't mistake a measure for the aim .
Quality is related to how well care meets the differentiated needs of those who seek care.
This goes back to the original description from Deming.
Don't mistake a measure for the aim .
Reposted by Carl Horsley
Health NZ should use the $500 million that @clrenney.bsky.social pointed out has not been spent.
youtu.be/RqdjXKSIMi4
youtu.be/RqdjXKSIMi4
November 28, 2025 at 1:37 PM
Health NZ should use the $500 million that @clrenney.bsky.social pointed out has not been spent.
youtu.be/RqdjXKSIMi4
youtu.be/RqdjXKSIMi4
Reposted by Carl Horsley
We've just published the programme for the Capital City Complex Systems Symposium 2026, and registrations are open 👀
#cccss26 #complexsystems
www.tepunahamatatini.ac.nz/conferences/...
#cccss26 #complexsystems
www.tepunahamatatini.ac.nz/conferences/...
Capital City Complex Systems Symposium 2026
The Capital City Complex Systems Symposium 2026 explores cutting-edge knowledge of complex systems & complexity & how this knowledge is used to drive system change.
www.tepunahamatatini.ac.nz
November 27, 2025 at 11:17 PM
We've just published the programme for the Capital City Complex Systems Symposium 2026, and registrations are open 👀
#cccss26 #complexsystems
www.tepunahamatatini.ac.nz/conferences/...
#cccss26 #complexsystems
www.tepunahamatatini.ac.nz/conferences/...
Reposted by Carl Horsley
Reposted by Carl Horsley
#NZpol
Absolutely unacceptable given rising unemployment overall + losing plane after plane of good people offshore!
PSA's Fleur Fitzsimons:
"These figures show that delays in recruitment are a deliberate cost-saving tactic, driven by the government's failure to fund the health system properly."
Absolutely unacceptable given rising unemployment overall + losing plane after plane of good people offshore!
PSA's Fleur Fitzsimons:
"These figures show that delays in recruitment are a deliberate cost-saving tactic, driven by the government's failure to fund the health system properly."
Wellington Hospitals waiting up to six months for Health NZ approval to recruit
Data obtained under the Official Information Act shows 219 recruitment requests took more than two months to be approved, 91 waited more than 20 weeks, and 45 roles applied for in March were still vac...
www.rnz.co.nz
November 26, 2025 at 11:35 PM
#NZpol
Absolutely unacceptable given rising unemployment overall + losing plane after plane of good people offshore!
PSA's Fleur Fitzsimons:
"These figures show that delays in recruitment are a deliberate cost-saving tactic, driven by the government's failure to fund the health system properly."
Absolutely unacceptable given rising unemployment overall + losing plane after plane of good people offshore!
PSA's Fleur Fitzsimons:
"These figures show that delays in recruitment are a deliberate cost-saving tactic, driven by the government's failure to fund the health system properly."
Reposted by Carl Horsley
No, sorry, I mean, fucking Christ, how many nurses is that we could have kept in ANZ? How many radiologists/radiographers is it? Enough to clear the eight-month wait list for a basic CT?
As Craig Renney revealed to a shocked Dr Gary Payinda, Te Whatu Ora underspent its wages budget by $500m which has been signed off by Willis & returned to general coffers. Let that sink in. The money was there, but they deliberately underspent. On orders?
November 27, 2025 at 1:06 AM
No, sorry, I mean, fucking Christ, how many nurses is that we could have kept in ANZ? How many radiologists/radiographers is it? Enough to clear the eight-month wait list for a basic CT?
Reposted by Carl Horsley
“NZ is like mainly two large islands?”
“Yeah”
“So you must have a good ferry link”
“Our ferries are old and break down often”
“So you’ve got big tugs?”
“Minister of Transport just cancelled the tug. Said it wasn’t needed”
“Oh I guess the water is pretty calm”
“Rough as guts. Sunk a ferry once.
“Yeah”
“So you must have a good ferry link”
“Our ferries are old and break down often”
“So you’ve got big tugs?”
“Minister of Transport just cancelled the tug. Said it wasn’t needed”
“Oh I guess the water is pretty calm”
“Rough as guts. Sunk a ferry once.
November 24, 2025 at 11:16 PM
“NZ is like mainly two large islands?”
“Yeah”
“So you must have a good ferry link”
“Our ferries are old and break down often”
“So you’ve got big tugs?”
“Minister of Transport just cancelled the tug. Said it wasn’t needed”
“Oh I guess the water is pretty calm”
“Rough as guts. Sunk a ferry once.
“Yeah”
“So you must have a good ferry link”
“Our ferries are old and break down often”
“So you’ve got big tugs?”
“Minister of Transport just cancelled the tug. Said it wasn’t needed”
“Oh I guess the water is pretty calm”
“Rough as guts. Sunk a ferry once.
Reposted by Carl Horsley
Mike Hosking is wrong about the results of the UK Covid Inquiry this morning. The inquiry found an earlier lockdown could have saved 23k lives. It did find that "stringent restrictions short of a mandatory lockdown" if imposed earlier could have avoided a lockdown – which is diff from "unnecessary".
November 23, 2025 at 10:48 PM
Mike Hosking is wrong about the results of the UK Covid Inquiry this morning. The inquiry found an earlier lockdown could have saved 23k lives. It did find that "stringent restrictions short of a mandatory lockdown" if imposed earlier could have avoided a lockdown – which is diff from "unnecessary".
Reposted by Carl Horsley
Politicians constantly claim that the government must “live within its means”, just like any family.
In this video, I explain why the household analogy is not only wrong — it is the foundation of austerity.
youtu.be/Q03GKwMxmAo?...
In this video, I explain why the household analogy is not only wrong — it is the foundation of austerity.
youtu.be/Q03GKwMxmAo?...
Why the government is nothing like a household
YouTube video by Richard J Murphy
youtu.be
November 23, 2025 at 7:07 AM
Politicians constantly claim that the government must “live within its means”, just like any family.
In this video, I explain why the household analogy is not only wrong — it is the foundation of austerity.
youtu.be/Q03GKwMxmAo?...
In this video, I explain why the household analogy is not only wrong — it is the foundation of austerity.
youtu.be/Q03GKwMxmAo?...
Efficiency thoroughness tradeoff and the law of stretched systems...
November 23, 2025 at 6:07 PM
Efficiency thoroughness tradeoff and the law of stretched systems...
Reposted by Carl Horsley
Jaimie Veale, the founding president of PATHA and Director of the Trans Health Research Lab at Waikato has written an excellent op-ed for the Conversation: "The government has placed a burden of proof on puberty blockers that we do not place on other paediatric care."
Puberty blockers: why politicians overriding doctors sets a dangerous precedent
The government’s ban on puberty blockers undermines clinical expertise and targets trans youth with a policy that lacks evidence, consistency and fairness.
theconversation.com
November 21, 2025 at 3:06 AM
Jaimie Veale, the founding president of PATHA and Director of the Trans Health Research Lab at Waikato has written an excellent op-ed for the Conversation: "The government has placed a burden of proof on puberty blockers that we do not place on other paediatric care."
Reposted by Carl Horsley
Very proud to have been able to contribute to this response from the NZNO College of Child and Youth Nurses to the puberty blocker ban. I'm glad our union and college have our back and are willing to stand up to this transphobic government.
www.nzno.org.nz/about_us/med...
www.nzno.org.nz/about_us/med...
Puberty blocker ban will hurt young people: Child and Youth nurses
The decision to ban new prescriptions for puberty blockers will hurt young people, the NZNO College of Child and Youth Nurses (CCYN) Tapuhitia Ngā Mokopuna Mō Apōpō says. Minister of Health Simeon Br...
www.nzno.org.nz
November 20, 2025 at 3:21 AM
Very proud to have been able to contribute to this response from the NZNO College of Child and Youth Nurses to the puberty blocker ban. I'm glad our union and college have our back and are willing to stand up to this transphobic government.
www.nzno.org.nz/about_us/med...
www.nzno.org.nz/about_us/med...