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Iain Moppett OBE

@iainmoppett.bsky.social

Human, doctor, anaesthetist, academic - in that order. Director Centre for Research & Improvement at RCoA. Editor Anaesthesia. #HipFracture #AnSky #PatientSafety Views own. Work for University of Nottingham and Nottingham University Hospitals.

353 Posts1399 Follower444 Folgt
Rhea Liang@liangrhea.bsky.social · last wk.

35.4% of pts with very high risk died within 48 hours of surgery, and 77.2% of those changed to end-of-life/comfort care in that time. This is clearly nonbeneficial. We all (pts and relatives included) need to get better at deciding when *not* to operate. jamanetwork.com/journals/jam...

Nonbeneficial Emergency Surgery in Older Adults at Risk for Early Mortality

This cross-sectional study examines the incidence of and factors associated with early mortality among older adults undergoing emergency general surgery as a marker of nonbeneficial surgery.

jamanetwork.com

Trisha Elliott@trishaelliott.bsky.social · 2w ago

The badges and the merchandise are nice (I actually don’t have any) but the important part of the campaign is to get people to say the words out loud: “Hello, my name is xxx. I’m here to *insert what you’re going to discuss or do”*. And perhaps also “what would you like me to call you?”. 🧵 7/n

Trisha Elliott@trishaelliott.bsky.social · 2w ago

And whether you work in healthcare, or any public facing organisation, please remember the importance of treating people with compassion and care. A good introduction of who you are and what your role is goes a long way. 🧵 6/n

Andy Conway Morris@andymoz78.bsky.social · last mo.

There is a risk here that, by definition, we only hear from survivors (and possibly families of those who don’t survive may be less inclined to take part?). Interventions that focus on recovery are only of benefit to those who survive, and we shouldn’t think we have exhausted modifiable mortality.

Pete Turton@peteturton85.bsky.social · last mo.

Honestly I’m not criticising it, these priorities suit the work I do, no complaints from me on that score!! It’s just interesting that we’ve had so many negative studies recently and maybe the priorities are a changing

RCoA Centre for Research & Improvement@rcoa-cri.bsky.social · last mo.

There is still time to apply to be a mentee or mentor for the 2026/27 Quality Network Career Development Programme! Don't miss out on this exciting opportunity to develop leadership skills & engage in national level projects 🙌 🕐Closing date: Monday 6th July 2026

Royal College of Anaesthetists@rcoanews.bsky.social · 2mo ago

Our RCoA Centre for Research & Improvement are recruiting mentees & mentors for the 2026/27 Quality Network Career Development Programme 🙌 It's an opportunity for AiTs, SAS docs, specialty docs, & CESR fellows to develop leadership skills. Find out more & apply 👉 https://ow.ly/NNWA50ZaIj2

RCoA Quality Network Career Development Programme
Alasdair MacLullich@amaclullich.bsky.social · last mo.

Delirium is very common, affecting about 1 in 4 older people in the hospital. Yet many members of the public have never heard of it or don't link it to a medical condition. Professionals should always use the term "delirium" & provide clear explanations.

Rhea Liang@liangrhea.bsky.social · 2mo ago

This is fabulous. Table 1 provides age-positive language to replace terms that introduce bias, such as 'geri' or 'demented'. Extra for experts is Table 2, suggesting *processes* towards diagnostic precision instead of catch-alls like 'pleasantly confused'. #MedEd

TABLE 1 Age-negative language and suggested age-positive alternativesTABLE 2 Words that may result in adverse healthcare outcomes through implicit bias, anchoring bias, premature diagnostic closure or ageism. Poor historian Assess for delirium or cognitive impairment; assess hearing and communication; where indicated, seek collateral history. Pleasantly confused Begin with descriptive terms to describe the behaviour, such as 'patient lying in bed without agitation or `'patient not verbally responding to questions'. Then use more precise language to describe the confusional state. For example: • Acute confusion, 'patient might have delirium • Chronic confusion, patient living with dementia • Acute-on-chronic confusion, 'patient experiencing delirium superimposed on dementia' Mechanical fall Use (Fall) as the diagnosis and describe the circumstances of the fall in the setting of extrinsic factors (e.g., contribution to fall of ill-fitting shoes or slippery or uneven surface), or intrinsic factors (e.g., contribution to fall due to cardiogenic syncope), or fall with multifactorial extrinsic and intrinsic contributors Acopia and social admission Describe presenting issues, the older person's comorbidities, degree of frailty, psychosocial context and the caregiver's concerns Celling of care Use the term 'Goals of care' or 'Care preference'
Rhea Liang@liangrhea.bsky.social · 2mo ago

Words and Language Matter: Improving Older Person's Healthcare Outcomes Through Use of Age-Positive Language onlinelibrary.wiley.com/doi/10.1111/...