Ben Shippey

"Disagreeable giver". Rocking the boat but loving the mission. Trying to make healthcare better one conversation at a time.

[Ben Shippey @rallydoc]

An idea. ‘Microharm’. Healthcare spends huge effort investigating ‘big bad’ - rare adverse events like death, or loss of limb. Could we be better by focussing more on common, avoidable ‘microharms’ like delay, thirst, pain and distress?

Over to you…

[Ben Shippey @rallydoc]

@RingGo_parking Four day response time.

👏🏼

[Ben Shippey @rallydoc]

Been trying to communicate with @RingGo_parking all day to correct information in their database that I can’t correct with their app.

Spectacularly awful UI and ‘virtual assistant’.

[Ben Shippey @rallydoc]

@andymoz78 @DrNeilStone I’ve just returned to Twitter… That post might keep me here!

I’m humbled by your comment. It was a privilege to have played a small part in the development of some wonderful intensivists (like you) over the years.

[Ben Shippey @rallydoc]

@doctimcook @Anaes_Journal 😂

[Ben Shippey @rallydoc]

After twenty years of banging on about this, I have given up hope that healthcare will ever take HF/E seriously…

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔓Implementing human factors in anaesthesia.

"...we lament the insufficient representation of HF professionals involved in the coproduction of these guidelines and the absence of any reference to professionally qualified HF expertise."

🔗https://t.co/Fk6OrrZMjS

[Ben Shippey @rallydoc]

@doctimcook @Anaes_Journal Can I come and work where you are, then?

[Ben Shippey @rallydoc]

@Alastair__Ross @ga5manwilliams @DrGrays_Elgin @NHSGrampian @Scotambservice @Scot_STAR @EMRSscotland I try quite hard to be inoffensive. Don’t always achieve it…

[Ben Shippey @rallydoc]

@ga5manwilliams @Alastair__Ross @DrGrays_Elgin @NHSGrampian @Scotambservice @Scot_STAR @EMRSscotland Bless you! Keen to help if I can.

[Ben Shippey @rallydoc]

@andibuttri @KenCatchpole New TIVA pumps require an additional confirmation step before they will start. No warning that they haven’t started. So the ‘old’ sequence of button presses on a pump which is nearly identical to the old one results in no drug delivery…

We need a #setuptofail hashtag!

[Ben Shippey @rallydoc]

@kmozolowski You know what ‘getting off at Haymarket’ mean though?

😂

You OK? Been a while!

[Ben Shippey @rallydoc]

Anyone else think that doing a prehospital RSI with ketamine and roc, then placing a 7,0 tube is a bit like ‘getting off at Haymarket’?

[Ben Shippey @rallydoc]

@KateBurkeNHS @MKHospital There are vegetables in that one picture than we see in a year in Dundee…

Can Frank come for a visit? Please?

[Ben Shippey @rallydoc]

@addictedtosmacc Yes. But only the easy ones. We leave the tricky ones to the real superheroes.

[Ben Shippey @rallydoc]

@KenCatchpole I read them… (maybe not all of them)

[Ben Shippey @rallydoc]

@KenCatchpole And you are right. Well done. Keep going!

[Ben Shippey @rallydoc]

@KenCatchpole While whitewashing with a thin layer of non-technical skills masquerading as HF/E.

Before adding another checklist/sticker/checkpoint/online module. Increasing complexity and clinician workload in the expectation that this one extra step will ensure it ‘never happens again’…

[Ben Shippey @rallydoc]

@KenCatchpole Usually followed by the lazy suggestion that staff need better/more frequent/additional education.

[Ben Shippey @rallydoc]

@KenCatchpole I call it ‘blame at a remove’.

(You’re shit because your) HF/SA/comms/DM were impaired.

[Ben Shippey @rallydoc]

@AirwayLegend @doctimcook @NicholasChrimes @UniversalAirway @SafeAirway @AndyHiggsGAA @Anaes_Journal Please stop equating ‘human factors’ with ‘humans are incompetent’. You are inaccurate, and you damage progress towards safer care when you do.

HF (ergonomics) is the science which explores the interaction between humans and their environment. Not an explanation of errors.