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Carl Horsley

@carlhorsley.bsky.social

1.1K followers 520 following 160 posts

Intensivist at Middlemore; Resilient Healthcare + Te Ao Māori; Clinical lead for System Safety @HQSCNZ ; MSc HF & System Safety, Lund. All musings my own #medsky #safetysky #icu

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Carl Horsley @carlhorsley.bsky.social · Jun 18

Delighted to share the keynote talk from the Monash Patient Safety and Human Factors conference.

It examines what do we mean by “patient safety?”, exploring the roots of current approaches and how they leave us blind to changing risk and our increasingly brittle systems.

youtu.be/cvGXYtNZ1o8?...

The Future of Patient Safety: A Journey from Human Error to System Safety

YouTube video by Perioperative Medicine Monash University

youtu.be

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Carl Horsley @carlhorsley.bsky.social · 1d

We have seen 90 patients waiting for a ward bed in ED. And 100 patients arriving in a 3 hour period.

The extra staff will be nice but need to fund primary care, community care and long term infrastructure.

140 new hospital beds coming in 'rapid-build' wards | The Post share.google/sgUv6kghiUXB...

140 new hospital beds coming in 'rapid-build' wards

New modular 28-bed wards will be provided to five hospitals: Middlemore in Auckland, Waikato, Wellington, Nelson and Hawke’s Bay.

share.google

Reposted by Carl Horsley

josh farkas 💊 @pulmcrit.bsky.social · 8d

New blog: Fresh dueling guidelines about post-arrest care from the AHA and ESICM

💔 BP targets
💔 Who needs an emergent cath?
💔 O2 targets
💔 pan-CT scans
💔 temp targets
💔 neuroprognostication

Which guideline do I love? 😍 You'll have to read the post to find out.

emcrit.org/pulmcrit/202... #EMIMCC

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Reposted by Carl Horsley

THIS Institute (The Healthcare Improvement Studies Institute) @thisinstitute.cam.ac.uk · 11d

The patient safety specialist role was introduced in 2020, bringing new forms of expertise to improve safety in the NHS. We looked at the challenges specialists faced in trying to define their role and advance their status.

Full paper: ths.im/47jOmI8
THIS summary: ths.im/47l8t8A

A clinician takes notes during a consultation with a patient who is sitting on a bed

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Critical Care Reviews @criticalcarereviews.com · 13d

There are now just under 50 days to CCR Down Under 2025.

The programme is out - 8 superb trial results coming up.

Join us in Melbourne, in person or virtually, to discuss the best critical care trials in the world!

criticalcarereviews.com/meetings/ccr...

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Reposted by Carl Horsley

Grant Jacobs BioinfoTools/NotJustDNA 🔬🧬🖥️✍️📚 @notjustdna.bsky.social · 14d

#NZ Measles

“The person was at Auckland City Hospital's emergency department for nearly 10 hours from 10.30am on Friday.”

– if you were there, check if you’re vaccinated, and watch for symptoms.

www.rnz.co.nz/news/nationa...

New measles case spent hours in Auckland City Hospital while infectious

The person was at Auckland City Hospital's emergency department for nearly 10 hours on Friday, but Health NZ says there is a low risk of spread to the community.

www.rnz.co.nz

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Reposted by Carl Horsley

Mike Hudema @mikehudema.bsky.social · 20d

Repeat after me. A habitable planet is more important than the profits of a few fossil fuel companies.

Pass it on.

#ActOnClimate

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Reposted by Carl Horsley

Dr Eric Levi @drericlevi.bsky.social · 22d

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Kirsty Johnston @kirstyjohnston.bsky.social · 23d

Can’t wait to see the regulatory impact statement that outlines the impact of this decision on everyone who isn’t a farmer

www.rnz.co.nz/news/nationa...

Government lowers methane target, rules out methane taxes

The government is lowering its biogenic methane target for the next 25 years and is ruling out agricultural taxes on methane emissions.

www.rnz.co.nz

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Newsroom NZ @newsroom.co.nz · 24d

Sir Geoffrey Palmer and Chris Finlayson offer praise for the Waitangi Tribunal – and damning criticism of the coalition Government. Sam Sachdeva reports.

Hell hath no fury like an attorney-general scorned

newsroom.co.nz

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The Spinoff @thespinoff.bsky.social · 25d

Nation upset at the inevitable result of its own actions

Step one: push people out of work and onto the streets. Step two: get mad at people being out of work or on the streets...

thespinoff.co.nz

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Reposted by Carl Horsley

Sharon Murdoch @domesticanimal.bsky.social · 25d

Govt to cut #JobSeeker benefit for 18 & 19 year olds who’s parents earn over $65,000, even if the teens have a disability or health condition. With #CostOfLiving & the job shortage they’re cranking up stress levels to 11, all to meet a target.
My #cartoon today about hard-nosed #NZpol

Cartoon. Title: “Job Seeee-e-e-e” Image shows PM Christopher Luxon at the open hatch of a small plane, high above farmland. He’s leaning out, and holding up a parachute pack, labelled “Job Seeker” He’s calling out to someone falling from the plane, “And I’ve kept your parachute because you kids from low-income homes need some motivation” Then he adds, “Don’t let that disability slow you down!”

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Melanie D’Arrigo @darrigomelanie.bsky.social · 27d

I feel like this photo of masked, armed men pepper spraying a pastor protecting his community is going to be a defining picture of this moment in America for a long, long time.

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Sharon Murdoch @domesticanimal.bsky.social · 27d

The Govt wants to cut Health NZ staff working on alcohol harm & end its research & social marketing campaigns. Sixty five organisations have signed an open letter to the PM, calling for alcohol industry to be excluded from policy making.
My #cartoon today #NZpol #alcohol #Health #PublicHealth

Cartoon. Title: “Sponsored by the Alcohol Lobby”. Mental Health Minister Matt Doocey and Assoc Justice Minister Nicole McKee, drinking together. McKee hands her beer to Doocey and says, “Hold my beer” “I’m going to sort out these Public Health boffins. Lower right it says, “Govt ignores expert advice on alcohol”

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Reposted by Carl Horsley

George Monbiot @georgemonbiot.bsky.social · 27d

No sudden rupture is now required for the far right to take power in this country. For what we're seeing is a steady normalisation of extremists by the Conservative and Labour Parties, BBC, Telegraph, Mail and others. A shift once considered unthinkable beings to look acceptable, even inevitable.🧵

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Rhea Liang @liangrhea.bsky.social · 27d

Woohoo Dr Jamie Lee Rahiri! 🎉🎉🎉
Can someone convince her to get on Bluesky? We SO need her voice here.
www.auckland.ac.nz/en/news/2025...

Jamie-Lee Rahiri named L’Oréal-UNESCO fellow - The University of Auckland

Championing Māori health equity and cultural safety in surgery has seen Dr Jamie-Lee Rahiri named 2025 L’Oréal–UNESCO For Women in Science Fellow.

www.auckland.ac.nz

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Reposted by Carl Horsley

Sassy Little Hobbit @sassypolitico.bsky.social · 29d

It is completely unconscionable to require job losses for the economy to function (supposedly) and then to blame them for their own unemployment that they DID NOT CHOOSE.

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Dr Bex @drbex.bsky.social · 29d

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Musical Chairs @musicalchairs.bsky.social · Oct 4

OECD comparison of changes in unemployment relative to 2019 average. Second image shows all oecd countries. I remain baffled by the media not asking the obvious questions here: 'How have we fked up so badly? Who is accountable?'

Image shows NZ unemployment climbing relative to other countries and groups of countries.

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Carl Horsley @carlhorsley.bsky.social · Oct 3

Welcome to the Law of Stretched Systems...

www.researchgate.net/profile/Davi...

Every system is stretched to operate at its capacity; as soon as there is some improvement, for example in the form of new technology, it will be exploited to achieve a new intensity and tempo of activity

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Musical Chairs @musicalchairs.bsky.social · Oct 3

Begging media folk to do their job here.

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Prof Gavin Yamey @gavinyamey.bsky.social · Oct 2

Vaccination during pregnancy was associated with lowered maternal risks of COVID infection, stillbirth, preterm birth (including a 34% lower risk of severe preterm birth before 28 weeks), neonatal intensive care admission, & congenital anomalies

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Ian Weissman, DO @drianweissman.bsky.social · Oct 1

COVID-19 vaccination during pregnancy conferred benefits for mother and baby without increased risk, according to an umbrella review of meta-analyses comprising more than 1.2 million women.
www.medpagetoday.com/meetingcover...

Mom's COVID Shot Aided Baby, Too, Large Review Confirmed

Vaccination during pregnancy was safe for both mom and baby

www.medpagetoday.com

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Reposted by Carl Horsley

Dylan Reeve @dylanreeve.com · Oct 2

A good thing for New Zealanders to consider every time a local politician starts to make noises about moving toward privatized healthcare, or a "competitive insurance market"

Senator Reverend Raphael Warnock @warnock.senate.gov · Oct 1

I was sent this by a Georgian this morning. 2025 premiums vs 2026 premiums for someone making $65k a year.

Republicans in Washington did this.

This is what I'm fighting to stop. This is what’s at stake in this shutdown fight.

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Chris Slane @slanecartoon.bsky.social · Sep 28

Every new funding announcement is no new funding #nzpol www.nzherald.co.nz/the-listener...

Chris Slane’s political cartoon of the week

Chris Slane’s take on current events.

www.nzherald.co.nz

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Guy Body @bodycartoon.bsky.social · Sep 28

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Te Pūnaha Matatini @tepunahamatatini.bsky.social · Sep 28

🚨Deadline extended 🚨 Get your abstracts in for the Capital City Complex Systems Symposium 2026 by Tuesday 7 October → forms.gle/vdMooRs2srtz...

#cccss26 #complexsystems 🧪

Renata Muylaert presents at the Capital City Complex Systems Symposium.

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