Great to welcome the CMO to @nhsforthvalley.bsky.social. An inspiring afternoon showcasing our Realistic Medicine approach in action — from value‑based care and PROMs/PREMs to primary care pathways, paediatric simulation and the Hive. Proud of the work across our teams. #RealisticMedicine
Our DCMO visited NHS Dumfries and Galloway to see how Realistic Medicine and Value Based Health & Care are improving outcomes across the region. From shared decision making to frailty, chronic pain and effective prescribing, teams showed care focused on what matters most. #RealisticMedicine #VBHC
A #QI approach to improving IV #gentamicin management in the acute setting.
#patientsafety #realisticmedicine #pharmacytechnician
@nhsggc.bsky.social
doi.org/10.1093/jaca...
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
@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...
Realistic Medicine Casebook. Packed with inspirational examples of the adoption of #realisticmedicine principles across health and care in Scotland. www.gov.scot/publications...
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
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
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...
Follow @drtanya.bsky.social for an advent calendar of excellent tips for interacting with the NHS as a patient #patientinformation #healthcareinformation #realisticmedicine
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).
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/
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
Not enough room for all the hashtags…
#MedSky
#RealisticMedicine
#ChoosingWisely
#NHSCrisis
#WaitingLists
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
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
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
Spot on. #RealisticMedicine
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.
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...
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
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/...
#NRSconf17
Does #realisticmedicine include the patient voice and patient reported outcomes?
#nhsscot17 what matters to you? helping to support conversations needed to realise #RealisticMedicine
Dr Sue Arnott introduces patient centred Long Term Condition management using House of Care and #realisticmedicine at #snugday17
