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Reposted by Karolina Kuberska

Tanja Bueltmann @tanjabueltmann.net · 10d

When I was a teenager there was a bus direct from my hometown in Germany to London - we had a British army base, and this direct bus connection was one of the benefits of that. One summer I went on that bus to go volunteer in an old people's home in Southend-on-Sea. I had just turned 18 and was... 🧵

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Karolina Kuberska @kkuberska.bsky.social · 9d

Hey, @royal-mail.bsky.social I think your bot is broken haha

A screenshot of AI tracking assistance on Royal Mail website. I wrote "there are no options" to which the assistant responds "please select one of the options" to which I responded "there are no options" to which the assistant responded "please select one of the options" - this is going in circles

Reposted by Karolina Kuberska

Lisa Diedrich @lisadiedrich.bsky.social · Aug 22

Historian of tech @histoftech.bsky.social on how AI hype is a way of gaming the system by "reengineering society around the technology." The goal is to "create an environment—a labor environment, a regulatory environment, a user environment—that will bring that unlikely thing closer to reality."

Rachel Auslander @rachelauslander.bsky.social · Aug 21

I spoke with @histoftech.bsky.social about AI hype, how tools are used to amass power and reshape systems, expertise, and more! www.fastcompany.com/91384078/not...

Historian Mar Hicks on why nothing about AI is inevitable

The author of Programmed Inquality peers through the AI hype by recalling the rise of past technologies.

www.fastcompany.com

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Reposted by Karolina Kuberska

Caroline Mitchell @dclovesgp.bsky.social · Jul 10

#PrimaryCare #GeneralPractice #FamilyMedicine Fabulous collegiate scholarship in clinical education, research and policy at #SAPCCardiff25 international conference- mostly funded by #NIHR highlights: Oxford team delivering useful relevant PC research ready to implement in the #UK10yearHealthPlan -

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Reposted by Karolina Kuberska

Sonja Drimmer @sonjadrimmer.bsky.social · Jul 9

This is a laundry list of rhetorical strategies to defend the adoption of a given technology for the purposes of advancing an ideology & economic regime: inevitability, unquestioning praise of “innovation,” buy-in from concerned stakeholders, assurances that partnership is not capitulation. 1/n

Randi Weingarten 🖇️📚✊🇺🇸 @rweingarten.bsky.social · Jul 8

Today we launched the National Academy for AI Instruction with UFT, Microsoft, OpenAI & Anthropic to offer free, high-quality AI training to educators. Some of you have expressed legitimate reservations about AI and tech companies. I want to speak to you directly. 🧵

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Karolina Kuberska @kkuberska.bsky.social · Jul 7

Read our paper about what hospital respiratory clinicians think about offering rescue packs to patients discharged following #COPD exacerbation.

Respiratory clinicians consider a variety of factors and prioritise more immediate risks over the more distant ones.

www.tandfonline.com/doi/full/10....

Reposted by Karolina Kuberska

Ola Howell @olahowell.bsky.social · Jul 3

Very important work! We’ve been recommending COPD rescue packs for over a decade in the UK national guideline, but the first RCT assessing their efficacy has only started this year 🤯

This publication is part of the bigger research programme and lends an insight into clinicians’ perspective.

Karolina Kuberska @kkuberska.bsky.social · Jul 3

What do respiratory clinicians think about offering “rescue packs” to patients discharged after #COPD exacerbation?

It's not always simple to decide what would be best for each patient.

Read our paper:
www.tandfonline.com/doi/full/10....

Or a summary: www.thisinstitute.cam.ac.uk/research/out...

Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study

“Rescue packs” for COPD exacerbations, consisting of a course of antibiotics and steroids, have become part of self-management strategies for many patients living with COPD. Currently, in the UK, r...

www.tandfonline.com

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Karolina Kuberska @kkuberska.bsky.social · Jul 3

What do respiratory clinicians think about offering “rescue packs” to patients discharged after #COPD exacerbation?

It's not always simple to decide what would be best for each patient.

Read our paper:
www.tandfonline.com/doi/full/10....

Or a summary: www.thisinstitute.cam.ac.uk/research/out...

Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study

“Rescue packs” for COPD exacerbations, consisting of a course of antibiotics and steroids, have become part of self-management strategies for many patients living with COPD. Currently, in the UK, r...

www.tandfonline.com

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Karolina Kuberska @kkuberska.bsky.social · Jul 3

Good care for people with #dementia is very important.

Here's a paper in which @instagraham.bsky.social and I argue that visual identifiers used for hospitalised people with dementia may not be a useful indicator of the quality of care.

onlinelibrary.wiley.com/doi/10.1111/...

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Reposted by Karolina Kuberska

Dr Alex Fitzpatrick @animalarchaeology.com · Jul 2

Feeling slightly thrown for a loop finding out about recent changes to the skilled worker visa late last night and not reall seeing much chatter about it elsewhere…

But again, most British citizens do not care about immigrants, so shouldn’t be surprised 😮‍💨

www.ein.org.uk/news/major-c...

Major statement of changes to the Immigration Rules raises Skilled Worker thresholds and ends overseas recruitment of care workers

138-page statement of changes to the Immigration Rules begins White Paper's "complete reset" of the immigration system

www.ein.org.uk

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Reposted by Karolina Kuberska

Dr Jay Watts (they/she) @shrinkatlarge.bsky.social · Jun 29

NEW FROM ME -

Britain is abandoning international medical consensus on disability.

Every other developed nation recognizes cumulative impairment as genuine severity.

We're about to become an anomaly—and the logic of 4+ suggests it was deliberate.

tinyurl.com/mwwb5xv4

Who Will Count as Disabled Tomorrow?

The dangerous redefinition of welfare disguised as Labour's compassionate reform.

tinyurl.com

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Karolina Kuberska @kkuberska.bsky.social · Jun 30

Our paper highlighted the awareness of multiple risks that colours hospital-based respiratory clinicians’ views on offering rescue packs on hospital discharge to patients with #COPD exacerbation.

Read our paper to find out more!
doi.org/10.1080/1541...

@asthmaandlung.org.uk #rescuepacks #AMR

Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study

“Rescue packs” for COPD exacerbations, consisting of a course of antibiotics and steroids, have become part of self-management strategies for many patients living with COPD. Currently, in the UK, r...

doi.org

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Karolina Kuberska @kkuberska.bsky.social · Jun 30

📢New publication📢

Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study
doi.org/10.1080/1541...

@instagraham.bsky.social @profhurst.bsky.social @monabafadhel.bsky.social

A diagram of clinicians’ considerations around offering rescue packs to patients discharged following COPD exacerbation
There are three nested ovals depicting different levels of considerations, with text inside.
The largest oval has the heading “Macro-level considerations” and includes three text boxes: antibiotic stewardship; preventing hospital admissions; and pressures in the NHS.
The middle oval has the heading “Meso-level considerations” and includes three text boxes: following national guidance and audit requirements; hospital clinicians’ access to patients’ primary care records; and local access to primary care.
The smallest oval has the heading “Micro-level considerations” and includes two text-boxes: patient’s self-management skills and empowering patients.

Screenshot of the paper's pdf.
Title: Respiratory Clinicians’ Views on Offering “Rescue Packs” to Patients Discharged After COPD Exacerbation: Qualitative Interview Study
Authors: Karolina Kuberska, Graham Martin, John R. Hurst, Mona Bafadhel
Abstract
“Rescue packs” for COPD exacerbations, consisting of a course of antibiotics and steroids, have become part of self-management strategies for many patients living with COPD. Currently, in the UK, rescue packs are guideline-recommended but not routinely offered on hospital discharge. They are, however, commonly prescribed by primary care teams. This study examined hospital-based respiratory clinicians’ views on offering patients rescue packs following hospitalisation for COPD exacerbations. We conducted 24 individual and joint semi-structured interviews via telephone or videocall with 30 clinicians (respiratory consultants, respiratory registrars and specialist nurses) in 20 UK hospitals to understand variation in practice around, and views on, offering rescue packs to discharged COPD patients. Interview data were analysed using the constant comparative method. Clinicians’ views on offering rescue packs were a mixture of concerns and recognition of potential benefits. Concerns included antimicrobial resistance, individual overuse of antibiotics, and potential side effects of steroids, especially in patients with poorer understanding of their own condition, with lower self-management skills, or who found it difficult to access primary care. Recognised benefits included the potential to prevent future exacerbations, empowering patients by supporting COPD self-management, and circumventing the difficulties of securing an urgent primary care appointment. There was a consensus that supporting patients in self-management of COPD was key to effective care. Given the increasing role of self-management for patients living with COPD, it is vital to ensure that patients are able to appropriately use rescue packs.

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Reposted by Karolina Kuberska

Aberdeen Centre for Evaluation (formerly HSRU) @ace-aberdeen.bsky.social · Jun 25

Research participants needed📢
Do you have experience recruiting patients into clinical trials in the UK and Ireland? Do you think recruitment targets are motivating? Are they communicated well? Then we would love to hear from you as a participant in our focus group study.

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Reposted by Karolina Kuberska

the algorithms + miscarriage project @paul-ord.bsky.social · Jun 16

The Algorithms + Miscarriage Project is now seeking participants!

Experiences with algorithms after miscarriage? Why not share your story?

*Please share widely*

#miscarriage #pregnancyloss #algorithm #socialmedia #onlinesafety

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Reposted by Karolina Kuberska

Disability Rights UK @disrightsuk.bsky.social · Jun 10

🚨A welcome Government U-Turn on the winter fuel payment, which they have restored to 7.5 million pensioners.

These cuts should never have been proposed in the first place - to save another embarrassment, the Government should reverse their disability benefit cut plans now too.

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Reposted by Karolina Kuberska

THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · Jun 6

Our research examines features from identifiers used for patients with dementia and compares with other common types of visual identifier.

Full paper: buff.ly/EB9jTZL

THIS summary: ths.im/4dAgitK

What Is an Identifier Good for? Issues in Using Visual Identifiers to Improve Care for People With Dementia in Hospital

Aims To examine practical, ethical, and organisational implications of the use of a key technology deployed in the care of hospitalised people with dementia—visual identifiers—through a comparative ...

buff.ly

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Karolina Kuberska @kkuberska.bsky.social · May 30

This paper was a long time coming and I am so pleased to see it out!

@instagraham.bsky.social and I argue that the use of visual identifiers for hospitalised people with dementia comes with many well-documented issues and that perhaps it's time to rethink what we can expect from such identifiers.

THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · May 30

Our paper compares features from identifiers used for patients with dementia to other common types of visual identifier.

Full paper: buff.ly/EB9jTZL

THIS summary: ths.im/4dAgitK

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Reposted by Karolina Kuberska

Department of Public Health and Primary Care @dphpc.bsky.social · May 9

What Is an Identifier Good for?
Issues in Using Visual Identifiers to Improve Care for People With Dementia in Hospital

📢New research paper from Karolina Kuberska and Graham Martin onlinelibrary.wiley.com/doi/10.1111/...

#DementiaCare @thisinstitute.cam.ac.uk

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Karolina Kuberska @kkuberska.bsky.social · May 9

And a great editorial:

Identifying patients with additional needs isn’t enough to improve care: harnessing the benefits and avoiding the pitfalls of classification

Natalie Armstrong, Elizabeth Sutton, Sarah Chew, Carolyn Tarrant

qualitysafety.bmj.com/content/33/3...

@bmj.com BMJ Q&S

ORCID

orcid.org

Karolina Kuberska @kkuberska.bsky.social · May 9

Qual study:

Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care

qualitysafety.bmj.com/content/32/1...

E Sutton, N Armstrong, @louiselocock.bsky.social @acutefrailty-doc.bsky.social, C Tarrant

@bmj.com BMJ Q&S

Visual identifiers for people with dementia in hospitals: a qualitative study to unravel mechanisms of action for improving quality of care

Background Hospitalised people with dementia (PwD) experience worse care and more patient safety incidents than non-dementia patients. Visual identifiers are commonly used to identify patients who hav...

qualitysafety.bmj.com

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Karolina Kuberska @kkuberska.bsky.social · May 9

Participatory approach

Using experience-based co-design (EBCD) to develop high-level design principles for a visual identification system for people with dementia in acute hospital ward settings

bmjopen.bmj.com/content/13/5...

AS Macdonald, K Kuberska, N Stockley, B Fitzsimons

@bmj.com BMJ Open

bmjopen.bmj.com

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Karolina Kuberska @kkuberska.bsky.social · May 9

For a discussion of ethical principles around using visual identifiers:

A Principle-Based Approach to Visual Identification Systems for Hospitalized People with Dementia

by T.V. Brigden, C. Mitchell, K. Kuberska & A. Hall

@bioethicalinquiry.bsky.social

link.springer.com/article/10.1...

A Principle-Based Approach to Visual Identification Systems for Hospitalized People with Dementia - Journal of Bioethical Inquiry

A large proportion of hospital inpatients are affected by cognitive impairment, posing challenges in the provision of their care in busy, fast-paced acute wards. Signs and symbols, known as visual ide...

link.springer.com

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Karolina Kuberska @kkuberska.bsky.social · May 9

For info on how visual identifiers are used in UK hospitals:

Visual identifier systems for patients with cognitive impairment in healthcare settings: a survey of practice in UK hospitals
by @kkuberska.bsky.social @marydixonwoods.bsky.social, @instagraham.bsky.social in @intjnlopn.bsky.social

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Karolina Kuberska @kkuberska.bsky.social · May 9

This paper follows a series of other papers examining the use of visual identifiers for people with dementia that came out of the DA VINCI study (Developing a visual identification method for people with cognitive impairment in institutional settings)
www.thisinstitute.cam.ac.uk/research/pro...

Developing a visual identification method for people with cognitive impairment in institutional settings

www.thisinstitute.cam.ac.uk

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