tim stephens
@_tim_stephens
Mixed-methods researcher, improvement scientist & critical care nurse. Simulation aficionado. Interested in improving patient care in both the UK and in LMICs.
Quite pleased with this piece of work. No hospital implemented the pathway fully but we found that using a multifaceted approach to improvement and having support to collect @NELANews data was associated with more care processes improved. qualitysafety.bmj.com/content/early/…
What did we learn about clinical decision making during the uncertain times of COVID-19? And are we ready for next time? bmjopenrespres.bmj.com/content/12/1/e… @Zudin_P @JohnProwle @ProfSchaller @NydahlPeter @DrMCecconi @CCPMG_TEAM @fazzini_b @alesantinimd
Nice little study demonstrating the concept of “work as imagined vs work as done” regarding key critical care based practices… @Zudin_P @Davido744 @TantamKate @CCPMG_TEAM doi.org/10.1177/175114…
Minimum dataset for surgical patients in Africa. Have a look at the dataset. Let's see if we can get this established across Africa. It would allow risk adjusted tracking of surgical outcomes doi: 10.1007/s00268-022-06815-3 rdcu.be/cZMAB @HylaKluyts #APORG @AfricanSOS
Calling all aneasthesia and ICM trainees who worked on an ICU during COVID-19...Please take 10 mins to help us understand more about the influences on decsion-making during the pandemic: smartsurvey.co.uk/s/Z4C0OC/ @RAFTrainees
Looking for input from nurses, doctors and physios about clinical decision making in critical care during COVID-19. Please share your experiences & contribute to our study here (takes around 10 mins): smartsurvey.co.uk/s/Z4C0OC/
This thread gave me a warm fuzzy feeling and also brought tears to my eyes. Kindness is in short supply sometimes. But when I’m kind, everyone wins. Happy Friday everyone 😺
My 23rd patient today was a toddler with a cough and runny nose. He has been having symptoms, off and on, for three weeks. Mom is so tired. Her friend's son went to urgent care, got an antibiotic, and got better. This mom would like one for her son, too. 1/7
Just wondering if other Trusts are cutting Bank pay for critical care and theatres nurses or just mine? Apparently the cut is based upon NHSE pay caps but our senior team won’t share the guidance. Anyone know anything about this? @BACCNUK @WeNurses @theRCN
My professional & academic interests intersect in this study…how on earth did we make decisions during the madness of the COVID-19 waves? Questionnaire based upon findings from focus groups with colleagues…how transferable are these across the wider critical care community?
What human & system factors influenced decision-making in ICU during COVID-19? Please share your experiences & contribute to this Barts Health / QMUL led study here: smartsurvey.co.uk/s/Z4C0OC/
Agree and work on shared decision making shows that patients may take different and more conservative decisions when clinicians take time to explain risks and benefits of treatment options
What human & system factors influenced decision-making in ICU during COVID-19? Please share your experiences & contribute to this Barts Health / QMUL led study here: smartsurvey.co.uk/s/Z4C0OC/
Important study (and super useful 🧵!) to advance our understanding of monkeypox. Amazing research collaboration in action..! @QMULBartsTheLon
📢 Published today in @NEJM to aid #monkeypox diagnosis: A global collaborative case series led by @ShareEastLondon @QMUL describing 528 confirmed infections from 43 centres in 16 countries + an image library. @rcgp @RCPhysicians bit.ly/3PGg7js @JohnPThornhill🧵
Published yesterday # Ravi Oodit @ErasSociety @OlleLjungqvist @PedenCarol ERAS for LMIC huge potential outcome improvement and financial savings for surgical patients with great need in LMIC
Will #covid19 initiate an overdue focus on mental health support for health care workers? New editorial by @_tim_stephens & colleagues @QMULWHRI @CCPMG_TEAM bjanaesthesia.org/article/S0007-…
My editorial with @DrJoBillings & @emilyvailmd on a new sobering study of the effects of COVID-19 on the mental health of ICU teams, with the biggest impact on nurses… @BACCNUK @teamaccu bjanaesthesia.org/article/S0007-…
