#realisticmedicine
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rachaelrodger.bsky.social
A #QI approach to improving IV #gentamicin management in the acute setting.
#patientsafety #realisticmedicine #pharmacytechnician

@nhsggc.bsky.social

doi.org/10.1093/jaca...
P25 A quality improvement initiative to improve IV gentamicin management and promote a multidisciplinary approach to patient-centred care in the acute setting
AbstractBackground. Gentamicin is an aminoglycoside antibiotic with a narrow therapeutic index requiring therapeutic drug monitoring (TDM) to optimize dosi
doi.org
September 18, 2025 at 8:07 AM
trishaelliott.bsky.social
This is really interesting and will chime with lots of clinicians experience, all over the world.

Thank you, @ericaborgstrom.bsky.social for sharing it.

#MedSky
#PalliativeCare
#RealisticMedicine
#Communication
August 22, 2025 at 11:12 AM
clabinjoh.bsky.social
Scottish government are partnering with Sprink to deliver this fantastic conference on Value based Health and Care with fantastic speakers from around the world including our own CMO.

Early bird options and NHS discounts until 17th August.

www.sprink.co.uk/2025-global-...

@RealisticMedicine
2025 Global Forum
APPROVED FOR 12 CPD CREDITS BY THE FEDERATION OF THE ROYAL COLLEGES OF PHYSICIANS OF THE UK. Remote attendance available until 17 August at 50% off early bird in-person fee. Use code GF2025REMOTE1. 20...
www.sprink.co.uk
August 13, 2025 at 8:16 AM
fraserg.bsky.social
@careopinion.org.uk are honoured this year to be featured in the CMO Sir Gregor Smith's Casebook, which shows examples of #RealisticMedicine and #ValuesBasedHealthAndCare provided across Scotland. You can find us on page 21, amongst the other wonderful examples www.gov.scot/binaries/con...
June 27, 2025 at 8:28 AM
drchriswilliams.bsky.social
Realistic Medicine Casebook. Packed with inspirational examples of the adoption of #realisticmedicine principles across health and care in Scotland. www.gov.scot/publications...
Realistic Medicine and Value Based Health and Care Casebook
The Realistic Medicine Casebook shows how teams across Scotland are putting Realistic Medicine into practice. It’s a practical guide offering inspiration and support for those adopting its principles ...
www.gov.scot
June 17, 2025 at 9:50 AM
danharley3.bsky.social
Encouraging signs that design and QI can work powerfully together in the NHS. This paper from NHS Tayside shows how design tools can support more person-centred, creative, and collaborative improvement.

👉 cofink.co.uk/wp-content/u...

#NHSQI #DesignThinking #RealisticMedicine
June 13, 2025 at 6:02 PM
danharley3.bsky.social
Design meets healthcare 🚑🎨

Interesting example from NHS Tayside of how design thinking strengthens quality improvement by promoting creativity, collaboration,& truly patient-centred care.

Read more: cofink.co.uk/wp-content/u...

#QI #DesignThinking #RealisticMedicine #NHSScotland
June 13, 2025 at 5:53 PM
jamesfm55.bsky.social
Had a great time at the #RealisticMedicine event last week. So it's lovely to see @careopinion.org.uk discussed in the Scottish CMO casebook.

www.gov.scot/publications...
May 19, 2025 at 1:36 PM
tomsholl.bsky.social
#realisticmedicine?
February 22, 2025 at 7:28 PM
suzeclarissa.bsky.social
Follow @drtanya.bsky.social for an advent calendar of excellent tips for interacting with the NHS as a patient #patientinformation #healthcareinformation #realisticmedicine
December 2, 2024 at 12:00 PM
iainmoppett.bsky.social
Triage and decision making: having a head injury is frightening for patients and for those close to them. We should be doing our best to ensure they understand what is going on and what the options are. #RealisticMedicine #SDM @scarlettmcnally.bsky.social @trishaelliott.bsky.social 6/
Text box with these words: Neurosurgical triage, shared decision-making, and inter-hospital transfer Shared decision-making Following the diagnosis of a cSDH, efforts should be made to share decisions around treatment options with patients and their advocates. They should be provided with sufficient information to inform decision-making, including an understanding of the risks and benefits of different treatment options. Indications for surgery Surgery should be considered in patients with symptomatic cSDH Consider surgery in patients with minimal or no symptoms of a cSDH, but with radiological evidence of a large volume cSDH with mass effect (e.g. significant midline shift >5 mm).
November 18, 2024 at 10:06 PM
trishaelliott.bsky.social
We should do it much more!

I actually like “BRAIN” even better.

*Benefits
*Risks
*Alternatives?
*Instinct (patient & doc)
*Nothing (what if we do nothing)

Lots more in here:

#RealisticMedicine

realisticmedicine.scot
Realistic Medicine – Shared decision making, reducing harm, waste and tackling unwarranted variation
Shared decision making, reducing harm, waste and tackling unwarranted variation
realisticmedicine.scot
November 17, 2024 at 11:06 AM
trishaelliott.bsky.social
Not enough room for all the hashtags…

#MedSky
#RealisticMedicine
#ChoosingWisely
#NHSCrisis
#WaitingLists
trishaelliott.bsky.social Trisha Elliott @trishaelliott.bsky.social · Nov 17
This is a very helpful piece in the @bmj.com from @scarlettmcnally.bsky.social on improving shared decision making in medicine (here specifically, surgery).

When we talk about waiting list numbers, I’d be keen to know whether everyone on them has had a thorough review as described.

#MedSky
At one of my first meetings as a council member of the Royal College of Surgeons of England, we approved a report called Access All Ages. It encouraged less ageist thinking and bias among healthcare staff that might lead to them denying older people surgery. But sometimes an operation isn't the best option. Among patients who have surgery, 14% express regret and 15% experience complications, which are at least four times as likely if they're frail or physically inactive. The Centre for Perioperative Care has published information on the importance of exercise before surgery, but that alone may not be enough. We need shared decision making, including asking patients what matters to them. The public should be primed to ask about BRAN-the benefits, risks, and alternatives to surgery and the likely result from doing nothing. A slew of data supports this approach, especially from the Perioperative Care of Older People Undergoing Surgery (POPS) initiative. After discussion with a geriatric medicine team completing a comprehensive assessment and using shared decision making with a POPS approach, 14.8% of patients decided against surgery. Most of these then had their health improved through other means: adjusted medication, lifestyle advice, or other interventions.
November 17, 2024 at 10:26 AM
trishaelliott.bsky.social
I’m enjoying reading “Sod Seventy” by Muir Gray.

About to start the chapter on choosing and using healthcare wisely…

Muir reminds us that, for multiple reasons, doctors themselves are cautious users of healthcare services.

#ChoosingWisely
#RealisticMedicine
The more we know about our health, the more power we have. It is astonishing how many tests and treatments are now available to the medical profession. The sad fact is that many of us are receiving too much medical intervention-treatments that are of little benefit, and may, in fact, be doing us harm. Muir Gray Sod Seventy!: The Guide to Living Well #kindlequotes
November 11, 2024 at 11:56 PM
kieranholland.bsky.social
As @ClareGerada highlights, gold-plated clinical guidance for ideal conditions is not practical clinical guidance for local conditions. The best care pathways support clinician and patient to agree what is relevant and achievable: https://t.co/4iUYkd2BPp

#realisticmedicine
November 18, 2024 at 7:41 AM
emmavardy2.bsky.social
Spot on. #RealisticMedicine
October 17, 2024 at 7:36 PM
christiplady.bsky.social
It all depends on what we value most. So many decisions are financial rather than what matters most.
The thing I love about #realisticmedicine is that when we do what matters most for patients, the evidence is we spend less.
It's all gone back to front in pathway driven care.
August 24, 2024 at 10:03 AM
trishaelliott.bsky.social
From the Chief Medical Officer:

“If we attempt … to design and promote a system of transactional care, we run the risk of losing the art of care - the human connection that makes care caring - and promoting moral injury to our staff.”

#RealisticMedicine
#MedSky

www.gov.scot/binaries/con...
www.gov.scot
August 24, 2024 at 9:17 AM
trishaelliott.bsky.social
Good to see proton pump inhibitors (drugs like omeprazole and lansoprazole) discussed here in the British Medical Journal.

They aren’t harmless, in a multitude of ways, yet many people end up on them long term.

#Deprescribing #RealisticMedicine

Link here:

www.bmj.com/content/383/...
WHAT YOU NEED TO KNOW • Discuss with patients the importance of lifestyle modification for the long term management of acid reflux disorders • Discuss with patients that a prescription may be stopped even if it has improved symptoms • Side effects of proton pump inhibitors (PPIs) include gastrointestinal disturbance, higher rate of fractures, and increased susceptibility to Clostridium difficile infection • Review new prescriptions of PPIs at four weeks, and regularly thereafter, assessing for improvement in symptoms and quality of life
November 21, 2023 at 11:15 PM
jrboehnke.bsky.social
#NRSconf17
Does #realisticmedicine include the patient voice and patient reported outcomes?
November 17, 2024 at 11:49 AM
ianmthompson.bsky.social
#nhsscot17 what matters to you? helping to support conversations needed to realise #RealisticMedicine
February 1, 2025 at 6:12 AM
ianmthompson.bsky.social
#nhsscot17 Dave Caesar talks about how to collaborate to realise #RealisticMedicine
February 1, 2025 at 6:12 AM
ianmthompson.bsky.social
Dr Sue Arnott introduces patient centred Long Term Condition management using House of Care and #realisticmedicine at #snugday17
February 1, 2025 at 6:17 AM