Top Tweets for #SolveChat
We implemented @projsolve w 40 learners across 14 programs (year 2 cut short by covid), using Safety Culture as our CSCA & the double diamond as the improvement model. Check out #solvechat for the archived twitter chat series. Many hurdles but a promising #meded innovation!
@RJmdphilly Yes. Another view: The problem is that wellness is framed as a problem a champion can solve. Champion versus complex, multi-dimentional, social-structural, individual-environment experience? Doesn't seem like the right solution for the problem. #solvechat
A3- I think the role of scholarship in healthcare would be a sort of investment, ideally leading to less money wasted away if the reform is done right. #Solvechat
@projsolve #solvechat solutions are implemented and data is collected over a period of time, then evaluated for efficacy. For example, sepsis alerts were implemented and over time it was found that time to fluids/abx were improved.
@projsolve #solvechat Hmmm simply put, both articles are saying “be better.” A purest might say you’re sacrificing methodologic rigor, but I’m sure a balance can be struck as suggested in the Annals article.
@projsolve #solvechat I think the difficulty here tends to be how to apply solutions from elsewhere to your own situation/institution. A variety of small logistical differences between facilities compound to make solutions difficult to translate.
@TheAishG @AlanJCard @projsolve #solvechat Or even better, write it down and see if someone has already done something about it that worked. An idea that you can (steal) build off of and apply to your situation
@AlanJCard @TheAishG @projsolve I always envisioned a @MedEdPORTAL for QI initiatives. So you could actually get scholarship points for your work but also really share the tools used for local improvement. #solvechat
@AlanJCard @projsolve That's a great idea and reminds me of a piece of advice I had from a mentor - if you see something that bugs you, write it down, because you might be able to do something about it later.
Lordy, I hope everyone has a lot to say tomorrow! Special thanks to @TheAishG @AlanJCard @karynbaum for keeping us going tonight! #solvechat 🦗 🦗 🦗
Done for tonight - #SolveCHAT will stay “Open” for further comments and discussion for 24 hours, after which the chat will be archived. Feel free to chime in or add your thoughts through tomorrow night. Thank you all for your thoughtful discussion!
@projsolve #solvechat maybe not just a portal for QIs that have been done, but also just problems or thoughts - maybe someone has an idea but doesn't know what to do about it. A list of current issues and see if someone else can bring something new to the table.
@projsolve I'd love a "low threshold" version of meded portal for qi. Just post what did and what you found w/ key words/context #solvechat
time. Our discussions at the time centered around maybe having a resident "away clinic" day when you'd travel to particular areas for these things with a few basic supplies. Probably, studying readmission rates would come much later. #solvechat (forgot to tag before!)
#solvechat I can only speak from my intern year. We'd have a lot of patients who had multiple hospital visits due to inadequate access to healthcare when needed - usually wound/ access site checks, medication refills - small issues at first that became big when not addressed on
#solvechat I prefer the idea of protected time rather than financial incentives. Financial incentives may put way too much pressure, may lead to more "convenient" results, and lead to a greater frustration and burnout in case of negative results.
@TheAishG When you see problems in health care as a provider, is that where your minds go? How can we nudge front line docs to engage? #solvechat
#solvechat I am a fan of the first paper and how it talks of keeping social factors in mind. In the end, that's your goal, to help your people. There are sooo many factors that can often prevent well thought studies from being "incomplete" statistically - often related to
@projsolve I view scholarship as a possible "carrot" to get some academic credit for the effort involved. #solvechat
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