Carl Horsley
@carlhorsley.bsky.social
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
#medsky #safetysky #icu
Pinned
Carl Horsley
@carlhorsley.bsky.social
· Jun 18
The Future of Patient Safety: A Journey from Human Error to System Safety
YouTube video by Perioperative Medicine Monash University
youtu.be
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?...
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?...
Reposted by Carl Horsley
Hospitals asked to save $510 millions despite $538 million going unspent
Hospitals asked to save $510 millions despite $538 million going unspent
The "underspend" was due in part to unfilled vacancies and the fact Health NZ has yet to settle collective contract disputes.
www.rnz.co.nz
December 19, 2025 at 6:40 AM
Hospitals asked to save $510 millions despite $538 million going unspent
Reposted by Carl Horsley
Okay I found it, buried deep: the RIS is in this document, pg33 of the PDF www.health.govt.nz/system/files...
December 18, 2025 at 7:45 AM
Okay I found it, buried deep: the RIS is in this document, pg33 of the PDF www.health.govt.nz/system/files...
A focus on targets and financial savings was at the heart of MidStaffs.
I'm worried we have not learnt the lessons of listening to staff and patients and understanding the interdependencies needed for high quality care.
There is no frontline, back office split. There is only the healthcare team.
I'm worried we have not learnt the lessons of listening to staff and patients and understanding the interdependencies needed for high quality care.
There is no frontline, back office split. There is only the healthcare team.
December 16, 2025 at 7:55 PM
A focus on targets and financial savings was at the heart of MidStaffs.
I'm worried we have not learnt the lessons of listening to staff and patients and understanding the interdependencies needed for high quality care.
There is no frontline, back office split. There is only the healthcare team.
I'm worried we have not learnt the lessons of listening to staff and patients and understanding the interdependencies needed for high quality care.
There is no frontline, back office split. There is only the healthcare team.
No surprise here. Using race as a wedge issue to hide the damaging neoliberal policies that are at ACT's core.
The erosion of society by gross inequality. It's the hoarding of wealth which is the key issue.
ACT to reignite Treaty principles debate in 2026 | RNZ News share.google/KarhSNd4I3P9...
The erosion of society by gross inequality. It's the hoarding of wealth which is the key issue.
ACT to reignite Treaty principles debate in 2026 | RNZ News share.google/KarhSNd4I3P9...
David Seymour promises to reignite Treaty principles debate in 2026
The ACT leader made the comments in a sit-down interview with RNZ reflecting on 2025 and looking ahead.
share.google
December 15, 2025 at 6:52 PM
No surprise here. Using race as a wedge issue to hide the damaging neoliberal policies that are at ACT's core.
The erosion of society by gross inequality. It's the hoarding of wealth which is the key issue.
ACT to reignite Treaty principles debate in 2026 | RNZ News share.google/KarhSNd4I3P9...
The erosion of society by gross inequality. It's the hoarding of wealth which is the key issue.
ACT to reignite Treaty principles debate in 2026 | RNZ News share.google/KarhSNd4I3P9...
Solving complex problems requires a diversity of viewpoints and experiences.
You can be both well-meaning and highly intelligent, yet completely blind to other ways of understanding and solving a problem.
That's why "requisite variety" matters.
You can be both well-meaning and highly intelligent, yet completely blind to other ways of understanding and solving a problem.
That's why "requisite variety" matters.
Sidelining key part of health workforce means problems won’t be solved
OPINION: If we are to ever move beyond our current struggles there need to be some fundamental changes to how we lead and fund health services and indeed how we think about them.
www.thepost.co.nz
December 15, 2025 at 12:18 AM
Solving complex problems requires a diversity of viewpoints and experiences.
You can be both well-meaning and highly intelligent, yet completely blind to other ways of understanding and solving a problem.
That's why "requisite variety" matters.
You can be both well-meaning and highly intelligent, yet completely blind to other ways of understanding and solving a problem.
That's why "requisite variety" matters.
Reposted by Carl Horsley
Reposted by Carl Horsley
Step by step - the utter profligate, vandalous waste emblematic of the so-called "austerity" pushed by the coalition currently in power.
mountaintui.substack.com/p/i-rex-ferr...
mountaintui.substack.com/p/i-rex-ferr...
i-Rex ferries would have arrived today
NZ previously secured next-gen, hybrid ferries for 40% less than market price during Covid. The cancellation of these partially built 2026 ferries resulted in a loss of $700m to more than $1bn
mountaintui.substack.com
December 12, 2025 at 11:10 PM
Step by step - the utter profligate, vandalous waste emblematic of the so-called "austerity" pushed by the coalition currently in power.
mountaintui.substack.com/p/i-rex-ferr...
mountaintui.substack.com/p/i-rex-ferr...
Reposted by Carl Horsley
Larry Ellison, the world’s 2nd-richest man, predicts an AI surveillance state where “we’re constantly recording & reporting everything.”
Are we headed toward a future where every call, text, email & search is tracked by billionaires?
That's not democracy. It's authoritarianism.
Are we headed toward a future where every call, text, email & search is tracked by billionaires?
That's not democracy. It's authoritarianism.
December 8, 2025 at 8:10 PM
Larry Ellison, the world’s 2nd-richest man, predicts an AI surveillance state where “we’re constantly recording & reporting everything.”
Are we headed toward a future where every call, text, email & search is tracked by billionaires?
That's not democracy. It's authoritarianism.
Are we headed toward a future where every call, text, email & search is tracked by billionaires?
That's not democracy. It's authoritarianism.
Reposted by Carl Horsley
I say this as someone whose entire job is finding the narrow use cases in which AI is actually useful:
All the fear about AI, all the reluctance to adopt it, is entirely legitimate, and a product of the fact that it's been foisted on the public with no consideration of its negative externalities.
All the fear about AI, all the reluctance to adopt it, is entirely legitimate, and a product of the fact that it's been foisted on the public with no consideration of its negative externalities.
I continue to have no sympathy left for whinging about how the public are rude about AI and feel threatened by it when the biggest players in the AI space have spent years very vocally and constantly *threatening the public*
December 10, 2025 at 4:38 PM
I say this as someone whose entire job is finding the narrow use cases in which AI is actually useful:
All the fear about AI, all the reluctance to adopt it, is entirely legitimate, and a product of the fact that it's been foisted on the public with no consideration of its negative externalities.
All the fear about AI, all the reluctance to adopt it, is entirely legitimate, and a product of the fact that it's been foisted on the public with no consideration of its negative externalities.
Well, this seems like a timely reminder of Auntie Ruth's legacy
Juggernaut 2: The inside story of the Mother of All Budgets
Juggernaut 2: The inside story of the Mother of All Budgets
Ruth Richardson tells the story of the Mother of All Budgets – what she was hoping to achieve, and how it got that indelible name....
thespinoff.co.nz
December 9, 2025 at 8:26 AM
Well, this seems like a timely reminder of Auntie Ruth's legacy
Reposted by Carl Horsley
Our society should not be operating with productivity being the priority. Honestly we should be providing for as little 'work' as necessary, as little work as people want to do, and instead maximising what people desire & find joy in their lives, regardless of whether it is economically contributive
December 9, 2025 at 12:16 AM
Our society should not be operating with productivity being the priority. Honestly we should be providing for as little 'work' as necessary, as little work as people want to do, and instead maximising what people desire & find joy in their lives, regardless of whether it is economically contributive
Reposted by Carl Horsley
This Bill threatens every worker in New Zealand. Brooke van Velden's Employment Relations Amendment Bill has come back from Select Committee - and she's made it EVEN WORSE for workers. #nzpol
union.org.nz/employment-b...
union.org.nz/employment-b...
Employment bill is worst attack on workers in decades - NZCTU
The NZCTU Te Kauae Kaimahi is condemning select committee changes to the Employment Relations Amendment Bill, which would give bad employers an even greater ability to exploit workers.
union.org.nz
December 8, 2025 at 10:34 PM
This Bill threatens every worker in New Zealand. Brooke van Velden's Employment Relations Amendment Bill has come back from Select Committee - and she's made it EVEN WORSE for workers. #nzpol
union.org.nz/employment-b...
union.org.nz/employment-b...
I'm finding the whole discourse about how we should be focused on "what is good for business" really disturbing.
While societies need well-functioning economies within them, we should not mistake the economy for society
What do we want? Are we pursuing our own dreams or being sold other people's?
While societies need well-functioning economies within them, we should not mistake the economy for society
What do we want? Are we pursuing our own dreams or being sold other people's?
December 8, 2025 at 8:31 AM
I'm finding the whole discourse about how we should be focused on "what is good for business" really disturbing.
While societies need well-functioning economies within them, we should not mistake the economy for society
What do we want? Are we pursuing our own dreams or being sold other people's?
While societies need well-functioning economies within them, we should not mistake the economy for society
What do we want? Are we pursuing our own dreams or being sold other people's?
Reposted by Carl Horsley
Boom.
The Australien Government has made an ad about the Social Media Ban for Under-16s, and it's surprisingly honest and informative.
Honest Government Ad | Social Media Ban
YouTube video by thejuicemedia
www.youtube.com
December 8, 2025 at 5:27 AM
Boom.
Reposted by Carl Horsley
UN CERD warns NZ is backsliding on racial equality: Māori land, Tiriti commitments, hate speech, youth justice, health equity, and human rights institutions face serious risks.
UN sounds alarm on NZ racism and Māori rights
UN CERD warns NZ is backsliding on racial equality: Māori land, Tiriti commitments, hate speech, youth justice, health equity, and human rights institutions face serious risks.
www.teaonews.co.nz
December 7, 2025 at 2:33 AM
UN CERD warns NZ is backsliding on racial equality: Māori land, Tiriti commitments, hate speech, youth justice, health equity, and human rights institutions face serious risks.
Reposted by Carl Horsley
'Pitiful' decision on emissions targets will cost the country, former climate commissioner says
'Pitiful' decision on emissions targets will cost the country, former climate commissioner says
Critics say the government has placed short-term economic growth ahead of the long-term consequences - but a methane scientist says the government's response is reasonable.
www.rnz.co.nz
December 4, 2025 at 6:30 AM
'Pitiful' decision on emissions targets will cost the country, former climate commissioner says
Be a good ancestor
It's hard seeing such uninspirational short term thinking. Making things worse for our kids because we weren't prepared to act.
Society is more than just an economy.
www.rnz.co.nz/news/politic...
It's hard seeing such uninspirational short term thinking. Making things worse for our kids because we weren't prepared to act.
Society is more than just an economy.
www.rnz.co.nz/news/politic...
Government rejects all of Climate Change Commission's emissions target recommendations
It comes despite a Climate Change Commission warning that New Zealand is being hit sooner and more severely than expected.
www.rnz.co.nz
December 4, 2025 at 1:18 AM
Be a good ancestor
It's hard seeing such uninspirational short term thinking. Making things worse for our kids because we weren't prepared to act.
Society is more than just an economy.
www.rnz.co.nz/news/politic...
It's hard seeing such uninspirational short term thinking. Making things worse for our kids because we weren't prepared to act.
Society is more than just an economy.
www.rnz.co.nz/news/politic...
Austerity spiral
www.rnz.co.nz/news/politic...
www.rnz.co.nz/news/politic...
Government finances worse than expected as tax take falls
Treasury figures show a bigger deficit than forecast.
www.rnz.co.nz
December 4, 2025 at 1:05 AM
Austerity spiral
www.rnz.co.nz/news/politic...
www.rnz.co.nz/news/politic...
Reposted by Carl Horsley
Can I let you in on a little secret?
Billionaire philanthropy isn’t charity.
It’s PR to distract you from low wages, labor exploitation, and a tax system that’s rigged for the rich.
Billionaire philanthropy isn’t charity.
It’s PR to distract you from low wages, labor exploitation, and a tax system that’s rigged for the rich.
December 3, 2025 at 5:11 PM
Can I let you in on a little secret?
Billionaire philanthropy isn’t charity.
It’s PR to distract you from low wages, labor exploitation, and a tax system that’s rigged for the rich.
Billionaire philanthropy isn’t charity.
It’s PR to distract you from low wages, labor exploitation, and a tax system that’s rigged for the rich.
Govt warned new methane target aligned with 'catastrophic' warming - Newsroom share.google/35dACLXORuVl...
Govt warned new methane target aligned with 'catastrophic' warming
Newly released documents reveal the Govt's new methane target is associated with 2.7C of warming – a level labelled 'catastrophic' by the UN.
share.google
December 4, 2025 at 12:52 AM
Govt warned new methane target aligned with 'catastrophic' warming - Newsroom share.google/35dACLXORuVl...
Reposted by Carl Horsley
The Government’s health reforms will remove independent monitoring of Māori health and centralise the functions of local Māori health boards.
newsroom.co.nz/2025/12/02/l...
newsroom.co.nz/2025/12/02/l...
Law change advances to strip powers from Māori health boards
The Government's health reforms will remove independent monitoring of Māori health and centralise the functions of local Māori health boards.
newsroom.co.nz
December 2, 2025 at 11:53 PM
The Government’s health reforms will remove independent monitoring of Māori health and centralise the functions of local Māori health boards.
newsroom.co.nz/2025/12/02/l...
newsroom.co.nz/2025/12/02/l...
Reposted by Carl Horsley
What could go wrong?
My @smh @theage cartoon.
My @smh @theage cartoon.
December 2, 2025 at 8:58 PM
What could go wrong?
My @smh @theage cartoon.
My @smh @theage cartoon.
Reposted by Carl Horsley
The NZ Endocrine Society have released a statement calling for "the repeal of this unethical ban at the earliest opportunity". If it wasn't political, the govt would be listening to these expert statements. www.endocrinology.org.nz/nzse-positio...
New Zealand Society of Endocrinology - NZSE position on the ban of gonadotropin-releasing hormone analogues for the treatment of gender dysphoria or incongruence
www.endocrinology.org.nz
December 1, 2025 at 7:40 PM
The NZ Endocrine Society have released a statement calling for "the repeal of this unethical ban at the earliest opportunity". If it wasn't political, the govt would be listening to these expert statements. www.endocrinology.org.nz/nzse-positio...
Reposted by Carl Horsley
Worldwide mortality experience since the beginning of the COVID-19 pandemic (2020-2024) shows excess deaths over that period in almost every country measured. Australia (+6%) was below average, and New Zealand (+0.1%) the lowest we measured.
December 2, 2025 at 6:18 AM
Worldwide mortality experience since the beginning of the COVID-19 pandemic (2020-2024) shows excess deaths over that period in almost every country measured. Australia (+6%) was below average, and New Zealand (+0.1%) the lowest we measured.