Mixed-methods researcher, improvement scientist & critical care nurse. Simulation aficionado. Interested in improving patient care in both the UK and in LMICs.
LONDON
Joined January 2012
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tim stephens retweeted
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
tim stephens retweeted
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 – at Wales, United Kingdom
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tim stephens retweeted
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
tim stephens retweeted
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/S0…
tim stephens retweeted
I am very proud to have been a part of this challenging project. I read the paper again, think about where it started, amazed at what it became, there is a best way to eat an elephant: in a team
doi.org/10.1016/j.bja.2021.0… @_tim_stephens @VickeryNiki @Graham_P_Martin @rupert_pearse
A ‘generic fix’ for surgical mortality in Africa didn't work in ASOS-2. Future projects need interventions co-designed with local teams using proven implementation strategies
@BJAJournals @BruceBiccard @rupert_pearse @VickeryNiki @_tim_stephens
bit.ly/3sFLKi
tim stephens retweeted
Fantastic piece of work. Shows the value of studying complex interventions and why things work and do not. Similar issues with burden of measurement occurred in the EPOCH study @_tim_stephens
#ASOS2 trial process evaluation was published in @BJAJournals. This linked tweetorial explains the implementation lessons of these findings. Understanding the performance of a pan-African intervention to reduce postoperative mortality bjanaesthesia.org/article/S0…
tim stephens retweeted
Thread describing the process evaluation of the #ASOS2 trial from @BruceBiccard.
Changing and measuring care stressed the limited resources of surgical teams in Africa. Co-design of interventions and support of team members key to successful practice change. – at Halifax, Nova Scotia
#ASOS2 trial process evaluation was published in @BJAJournals. This linked tweetorial explains the implementation lessons of these findings. Understanding the performance of a pan-African intervention to reduce postoperative mortality bjanaesthesia.org/article/S0…
tim stephens retweeted
#ASOS2 trial process evaluation was published in @BJAJournals. This linked tweetorial explains the implementation lessons of these findings. Understanding the performance of a pan-African intervention to reduce postoperative mortality bjanaesthesia.org/article/S0…
tim stephens retweeted
Our national service evaluation on mechanically ventilated patients in the UK is out! @ICS_updates 1/3
#COVID19 in adults on invasive MV, UK data:
➡️overall mortality 43.3% ⬆️ if refractory hypoxaemia & non-response to proning
Progressive resp failure? major association w mortality yet evidence based #ARDS interventions ie PP often not/too late implemented bit.ly/3uEzZJR
tim stephens retweeted
Nursing staff are burnt out, exhausted and considering leaving the career they love. A 1% pay award will drive them to the door. They deserve a significant pay rise. Support our campaign #FairPayForNursing rcn.org.uk/get-involved/camp…
tim stephens retweeted
WATCH📽️: @Beckyellissmith, sister from @teamaccu is featuring in this evening's @BBCNewsnight, where she reflects on the past year and looks to the future.
If you'd like to join Becky at @RoyalLondonHosp apply below⬇️
B5: orlo.uk/1rtoc
B6: orlo.uk/NT8bF
tim stephens retweeted
Stay home. That’s the easy bit.
This is a critical care patient. You cannot learn to look after patients as sick as this in a couple of days! ICU nursing is a speciality that demands significant knowledge and skill! Look after ICU nurses who are really struggling right now STAY AT HOME @BACCNUK
tim stephens retweeted
Many established risk factors for surgery are more prevalent in people with socioeconomic deprivation, but these do not sufficiently explain the increased risk of poorer outcomes. (1/2)
Social factors are major determinants of health and perioperative outcomes but are frequently overlooked.
Socioeconomic deprivation increased age-adjusted risk of dying within 3 years after elective surgery. @BJAJournals @YizeWan @rupert_pearse
bit.ly/35MyqPW
tim stephens retweeted
I like that the words, "ICU bed" , "Ventilators" , "anaesthesiologists" , "Intensivists" , "ICU nurses" , are trending on people's lips. In Uganda. #StayhomeUG
tim stephens retweeted
I am a surgeon with 2 days of sudden and profound #anosmia. OH say I’m fit for work. No need for #COVID testing.
After discussion with ID colleagues it seems this is much more prevalent than previously thought - Surely its worth investigating this properly?
tim stephens retweeted
Surgical safety checklist demonstration during #SAFE Operating Room course at #BUFHS in #Uganda. Improving standards of training by incorporating Safer Anaesthesia from Education into training curricula. #Sustainability @AAU_ICSU @AAGBI @RCSnews @SaferSurgery @MinofHealthUG
tim stephens retweeted
Health insurance without high quality health systems is like a car without an engine. Resembles transport but doesn’t get you to your destination. #QuESTNetwork @HQSSCommission – at Brookline, MA
I hope that the primary health care component of #AyushmanBharat will get adequate resources, so that more health and wellness centres become functional. Good health essential for economic progress. @nsitharaman @PMOIndia @WHOSEARO @NITIAayog @drharshvardhan @MoHFW_INDIA
tim stephens retweeted
Very important discussion at #Afrosurg on #Quality of #Care. With limited resources to provide surgical care, it encouraging to see so much emphasis placed on quality of care. High-quality Health Systems in the Sustainable Development Goals Era: pubmed.ncbi.nlm.nih.gov/3019…
tim stephens retweeted
Our Chole-QuIC project significantly improved early surgery rates for patients with gallstone-related conditions - ow.ly/IC7f50wOqJB. The study is published in @BJSurgery: ow.ly/dnjt50wOqJA @JonnyBamber @ianbeckingham @_tim_stephens @Graham_P_Martin #CholeQuICER
tim stephens retweeted
@LeonALIVE presenting why process evaluation is important in understanding the findings of pragmatic trials #ASOS2 @AfricanSOS Thanks to mentorship of @_tim_stephens and @rupert_pearse Check out @EPOCHTrial
