Carolyn Johnston

Carolyn Johnston

@drcjohn.bsky.social

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

877 followers433 following74 posts

Carolyn Johnston reposted

Iain Moppett OBE
@iainmoppett.bsky.social

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.orgShare your views on proposed principles for timely CT scanning in acute abdomen pathwaysThis 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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Carolyn Johnston reposted

Helen Buckingham
@hbuckingham.bsky.social

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.

Andy Cowper@hpiandycowper.bsky.social

‘NAUGHTY NHS!’ www.thetimes.com/article/96fa...

thetimes.comWes Streeting: This government will force the NHS to moderniseWe are taking steps to equip the health service to cope with our changing society and make it affordable, productive and fit for the future
Carolyn Johnston
@drcjohn.bsky.social

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.comWes Streeting: there is overdiagnosis of mental health conditionsHealth secretary says too many people are being ‘written off’ and that is driving ministers’ changes to welfare
Carolyn Johnston
@drcjohn.bsky.social

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.orgShare your opinions and experiences of how emergency laparotomy guidelines work in practiceThis survey aims to understand how clinical guidelines are interpreted and practiced.
Carolyn Johnston
@drcjohn.bsky.social

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.comTrigger warnings may do more harm than good. Witness ‘the abortion play’ | Kate MaltbyHit drama The Years has seen audience members fainting hysterically. Perhaps if we dispensed with the red flags, people would enjoy this fine play more

Carolyn Johnston reposted

Greg Fell
@felly500.bsky.social

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.ukThe Food Programme - Broken Policies - BBC SoundsSheila Dillon looks into why healthy eating policies often fail and future strategy.
Carolyn Johnston
@drcjohn.bsky.social

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

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

Can you offer insights into how pathways to emergency laparotomy work in practice? We have worked with @rcoa-cri.bsky.social to launch a new survey: https://ths.im/3Cqd7H7 Have your say!

ths.imShare your opinions and experiences of how emergency laparotomy guidelines work in practiceThis survey aims to understand how clinical guidelines are interpreted and practiced.
Carolyn Johnston
@drcjohn.bsky.social

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.orgShare your opinions and experiences of how emergency laparotomy guidelines work in practiceThis survey aims to understand how clinical guidelines are interpreted and practiced.
Carolyn Johnston
@drcjohn.bsky.social

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....

The Guardian@theguardian.com

Rachel Reeves indicates support for third runway at Heathrow

theguardian.comRachel Reeves indicates support for third runway at HeathrowChancellor says runway would mean fewer planes circling London, and points to moves towards sustainable flying Rachel Reeves has indicated her support for building a third runway at Heathrow, arguing that it would have environmental benefits such as…
Carolyn Johnston
@drcjohn.bsky.social

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)

Carolyn Johnston
@drcjohn.bsky.social

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

Carolyn Johnston
@drcjohn.bsky.social

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.comCash incentives for GPs under Labour’s radical plan to cut NHS waiting listsDoctors will be given £20 each time they consult with a specialist to see if there is an alternative to hospital visits

Carolyn Johnston reposted

John McKenna
@johnodreams.bsky.social

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

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

Our World in Data@ourworldindata.org

In some countries, far more people consider friends very important than in others

Carolyn Johnston
@drcjohn.bsky.social

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!)

Mary Dixon-Woods@marydixonwoods.bsky.social

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.comTHIS Institute Core Learning SystemsYouTube video by THIS Institute
Carolyn Johnston
@drcjohn.bsky.social

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 🤝💪

Carolyn Johnston@drcjohn.bsky.social

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.orgShare your views on emergency laparotomy pathways and how they can be improvedThis project aims to understand how pathways for emergency laparotomy are working as the first stage in seeking to streamline care and improve outcomes

Carolyn Johnston reposted

Julie Ann Sosa, MD MA
@jasosamd.bsky.social

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.comThe Quality of Evidence Supporting Clinical Practice Guidelines in General SurgeryThis meta-analysis assesses the strength and quality of clinical recommendations in practice guidelines published by professional societies.
Carolyn Johnston
@drcjohn.bsky.social

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?!?

Ciaran Martin@ciaranm.bsky.social

I suppose I’ve got to address the tiresome Tayto issue. Yes it’s weird that two different world class crisp companies have the same name but operate separately in the two different parts of Ireland. And yes northern cheese’n’onion is the iconic and stand out packet. But… 4/15

Carolyn Johnston
@drcjohn.bsky.social

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.orgShare your views on emergency laparotomy pathways and how they can be improvedThis project aims to understand how pathways for emergency laparotomy are working as the first stage in seeking to streamline care and improve outcomes