Prof Marie Bismark @mbismark Twitter profile

Pinned Tweet

Prof Marie Bismark

@mbismark

2 years

So true.

43

491

2K

Last Seen Profiles

@cobbins_brison

@tobixoxooo

@takaharu_ooi

@tekaldas

@SouthernWater

@Seleneliff

@AramakingAmiral

@AlecHitchman1

@starsedibles

@portalmonsterrr

@LILMEANKATHLEEN

@delmiyaa

@TOMAGameStudio

@tbsagb

@YIMBYLAND

@CricketWales

@ABDebatt

@itsmyasingh

@MDMPolitica

@UltraBoys90

@kmg4424

@pets0210

@JKIIOS

@Pausales10

@Claudiashein

@PlanoMoms

@the_new_paper_

@live_eurospace

@tatishotwife

@MostaFCOfficial

@thecaravanindia

@geass_game

@genryuotobe

@sdhutrj6505

@trescoball

@summerbunno

Prof Marie Bismark

@mbismark

2 years

My elderly dad has COVID. Within 48 hrs New Zealand healthcare system provided: -in-person assessment by GP -phone advice from hospital physician -twice daily calls from nurses -calls to all members of household -offer of financial support, mobility aids, groceries Just amazing.

314

4K

20K

Prof Marie Bismark

@mbismark

2 years

Due to sick leave and annual leave in our team, I was the sole person rostered to do the work of five clinicians on New Years Eve. A nurse saw the roster gaps and volunteered to work on their rostered day off so that I wouldn’t be left on my own. Nurses are the best humans.

85

639

8K

Prof Marie Bismark

@mbismark

4 years

I’ve been desperately missing my mum - who lives in New Zealand - during the pandemic. This week my garden turned into a meadow of white irises despite me never having had any in my garden before. Mum tells me that she quietly planted them the last time I saw her in December ‘19.

197

321

6K

Prof Marie Bismark

@mbismark

2 years

In a Sydney conference room with 50+ health lawyers, listening to a panel on COVID-19 risk assessment and infection control, I am the only person wearing any kind of mask.

285

860

6K

Prof Marie Bismark

@mbismark

3 years

Anyone else feeling nauseous with anxiety over what is being allowed to unfold in NSW, and the implications for children, teens, and Indigenous communities? Or just me?

398

595

5K

Prof Marie Bismark

@mbismark

10 months

In my 40s, with 3 teenage children, I dreamed of studying psychiatry. On the days when I felt too old to be starting all over again, I remembered my mum’s words: “In 10 years time, you’ll be 10 years older. The only question is whether you’ll have followed your dream your not.”

437

399

5K

Prof Marie Bismark

@mbismark

2 years

At the age of 36, with three primary school kids, I quit my job as a corporate lawyer to start doing health research. 5 years later, I submitted my doctoral thesis. This week, I heard that I’ve been promoted to full Professor @UniMelbMDHS . You’re not too old to do what you love!

220

189

5K

Prof Marie Bismark

@mbismark

2 years

Things I learned from studying patient complaints for twenty years (a thread) …

191

1K

5K

Prof Marie Bismark

@mbismark

2 years

Yes. This.

29

1K

4K

Prof Marie Bismark

@mbismark

1 year

My mum and dad have been married for over 50 years. Dad is in hospital with multiple fractures and my 80-year-old mum (who is only recently out of hospital herself) is adamant that she’s spending tonight in the hospital with him so that they can wake up together on Christmas Day.

157

113

4K

Prof Marie Bismark

@mbismark

3 years

Reading the world news feels so unreal here in New Zealand where hugs are safe, leaders are trustworthy, migrants are welcome, and politics is focused on building a better future.

53

544

4K

Prof Marie Bismark

@mbismark

2 years

I’m curious about those who call me a “dumbass”“intellectual void” for wearing a mask. I worked as a doctor on COVID wards and wrote a book on the pandemic. I have a public health PhD & a Fellowship from @HarvardChanSPH . Are their insults founded in arrogance, misogyny, or fear?

21

481

4K

Prof Marie Bismark

@mbismark

2 years

Thank you to everyone who is still wearing a mask in public. You will likely never know the face or name of the person whose life you saved, but breaking chains of transmission still matters.

329

1K

3K

Prof Marie Bismark

@mbismark

3 years

@helenhainesindi @ketaminh My 21 yr old son lost his job in tourism due to the pandemic. He did a four week course to retrain as a wind turbine technician. Seven job offers in the final week of his course, and now earning a six figure salary. I wish more young people knew about jobs in renewable energy.

45

845

3K

Prof Marie Bismark

@mbismark

2 years

My teenage daughter and her friends all wanted to do RAT tests before they catch up tonight for New Years Eve. Every nearby pharmacy is completely sold out. Not only are we not supporting people to do the right thing, but we’re making it almost impossible.

77

306

3K

Prof Marie Bismark

@mbismark

2 years

Often, a patient’s hurt and anger is not about the injury itself, but the failure of clinicians to do “the right thing” afterwards. Usually, “the right thing’ is simply what we teach our children: be honest, say sorry, try to fix it, don’t do it again.

35

262

3K

Prof Marie Bismark

@mbismark

5 years

Today, at the age of 45, I officially finished Year 1 of my psychiatry registrar training ... 18 years after I stepped out of clinical work “for a little while” to have a baby. Sometimes dreams just take a little while.

88

170

3K

Prof Marie Bismark

@mbismark

1 year

For the second time in a month, I’m in hospital with an acutely unwell parent experiencing delirium. Different parent. Different hospital. The differences in care are subtle but make an enormous difference.

110

515

3K

Prof Marie Bismark

@mbismark

2 years

I finished up as a junior Dr at Wellington Hospital in 2001 with a newborn, planning a few months of mat leave. But life took other turns & I dropped out of psych training. Today my 21 yr old kid dropped me at the same hospital so that I can complete my final months of training.

44

45

2K

Prof Marie Bismark

@mbismark

2 years

I kept my daughter safe from COVID for 2 years while I was providing acute hospital care during the pandemic. One week at University and she’s infected. I worry so much about the burden of relatively rare long-term consequences when multiplied by enormous numbers of young people.

52

359

2K

Prof Marie Bismark

@mbismark

1 year

I offered to work a 14-hour shift in emergency mental health on Christmas Day because I know it’s a hard day for many people. Loneliness, poverty, substance use, abusive family dynamics, grief … so many hurts and vulnerabilities are supercharged at this time of year. Be kind.

71

173

2K

Prof Marie Bismark

@mbismark

1 year

The lovely woman checking tickets on the train from Geelong is pausing after every ticket to make eye contact with the passenger and give them a warm smile. People who do ordinary jobs in extraordinary ways are just the best.

34

103

2K

Prof Marie Bismark

@mbismark

2 years

I often wonder how much visitor restrictions have diminished care over the last 2 years. “Visitors” in hospitals & aged care do so much more than visit - they provide information, offer hope and comfort, notice changes, advocate & question. We lose so much when we lock them out.

88

309

2K

Prof Marie Bismark

@mbismark

3 years

Sound advice.

16

483

2K

Prof Marie Bismark

@mbismark

9 months

When my husband leaves for work early, he leaves a thermos of hot tea and my favourite cup on the bench for when I wake up, and that might just be my definition of true love.

62

48

2K

Prof Marie Bismark

@mbismark

1 year

I spent 81 of the last 96 hours in the hospital either working in emergency mental health or caring for my dad. And this morning dad got up and walked to the nursing station and back! The best Christmas gift I could wish for.

43

40

2K

Prof Marie Bismark

@mbismark

2 years

Second opinion please: a (symptomatic) family member is adamant this is negative and I’m sure I can see a line.

1K

40

1K

Prof Marie Bismark

@mbismark

3 years

Would anyone be interested to read a book about the experiences of healthcare workers in Australia during the pandemic, in their own words? (Please just say “yes” so that I have a reason to hang in there and keep writing til it goes to the publisher at the end of July.)

459

117

1K

Prof Marie Bismark

@mbismark

2 years

A small group of refugees will be released from Park Hotel tonight after years of detention by Australian govt. If you’re able to help one of these men by funding a mobile phone plan for a few months ($50/month) it would make a world of difference. DM me for details. Thank you!

111

365

1K

Prof Marie Bismark

@mbismark

2 years

As one of only a small handful of delegates wearing an N95 mask, I am a bit worried about hundreds of Australia’s top corporate leaders being together in a room together for today’s Australian Governance Summit in Melbourne.

120

219

1K

Prof Marie Bismark

@mbismark

2 years

I’m with one of my refugee friends at the Royal Dental Hospital. He spent 9 years in off-shore and Park Hotel detention for the “crime” of seeking safety as a 14 year old child. Between fillings he says “All the people here are so nice. I’m not used to people being nice.” 😢

30

246

1K

Prof Marie Bismark

@mbismark

2 years

In Melbourne and feeling sick with worry for people who are elderly, have chronic illnesses, don’t speak English, aren’t well enough to spend 6+ hours in testing queues, called ambulances and couldn’t get through … People will die at home in the next week who should have lived.

30

226

1K

Prof Marie Bismark

@mbismark

2 years

My Dad doesn’t have health insurance (only 1/3 of adults do in NZ as the public system offers good care). Out-of-pocket costs for his COVID care: $10 for medications. Overall cost of NZ health system: $4200 per capita per year (cf $4900 in Australia, $5,300 in UK, $11,000 in US).

20

220

1K

Prof Marie Bismark

@mbismark

2 years

Update from Melbourne: ED staff telling me “COVID is everywhere”. New “hot zones” being created in the hospital to treat COVID-positive patients. Nurses close to tears outside the staff testing clinic when told that it has closed for the day.

24

329

1K

Prof Marie Bismark

@mbismark

2 years

Two quick questions from my hospital orientation this morning: 1. If 80% (4/5) of the junior doctors in a New Zealand hospital orientation are from the UK, who is staffing the wards in the NHS? 2. It’s 2022. How can fax still be the only permitted way for some forms to be sent?

52

125

1K

Prof Marie Bismark

@mbismark

2 years

‘We’ve sat in meeting after meeting telling you what we need is better staffing, reliable parking, safe hours, appropriate teaching, better supervision & support, adequate sleep & meal breaks, and all you’ve offered is fruit and decorative plants [and] meditation.’ -The Registrar

27

204

1K

Prof Marie Bismark

@mbismark

1 year

If all goes smoothly, I’ll finally complete my training to become a psychiatrist in May, a few months before my 50th birthday. I started what should have been a 5 year training program in 1999 before life took me in other directions. I’m glad I took a path less travelled.

59

33

1K

Prof Marie Bismark

@mbismark

3 years

Sometimes I feel distracted & disconnected, only able to think as far as the end of the day. I worry that I’ve lost my motivation & inspiration. And then I remember that we’re in the midst of the worst global health crisis in a century. And maybe just getting through is enough.

28

121

1K

Prof Marie Bismark

@mbismark

2 years

Hospitals are funny places. I picked up my ID card for the hospital where I’ll be doing on-call shifts. Tried to use it to access the staff toilet. No luck. Told “Oh you’ll have to fill in a different form & get your manager to sign it if you want swipe access for the bathrooms.”

120

96

1K

Prof Marie Bismark

@mbismark

2 years

Among serious, preventable adverse events only 4% resulted in patient complaints. Patients who were elderly, socioeconomically deprived, or of Pacific ethnicity were much less likely to complain suggesting disparities in access to complaints processes.

14

101

1K

Prof Marie Bismark

@mbismark

5 years

Man at party: I worry that feminism is emasculating men. My 19 yr old son: Mum, do you have a few pads and tampons I can chuck in my first aid kit in case anyone needs them while we’re on our overnight glacier hike?

26

68

1K

Prof Marie Bismark

@mbismark

1 year

Our consultant vacancies are still unfilled & we will not have a registrar for the rest of 2023. Leaving me as the sole (part-time) public sector adult psychiatrist for a population of >50000 people. But the organisation has given us a "worry tree" to cope with workplace stress.

78

215

1K

Prof Marie Bismark

@mbismark

2 years

This week I will make the final payment on 6 months of phone plan payments for 42 men who were detained in off-shore refugee camps for 9 years. Huge thanks from me - and the Park Hotel refugees - to all the incredibly generous people on Twitter who donated to make this possible.

11

148

1K

Prof Marie Bismark

@mbismark

3 years

Between seeing patients in ED today, I analysed responses from >700 health workers who had suicidal ideation during 2nd wave of the pandemic. And I thought about all the healthcare & research that could be funded for $4.5 million rather than detaining 2 little girls from Biloela.

6

246

1K

Prof Marie Bismark

@mbismark

6 years

Kiwis telling it like it is.

10

281

978

Prof Marie Bismark

@mbismark

1 year

Delirium care (8) My dad asked me to please add one more thing to this list. He said it would be super-helpful if they could add the name of the hospital to this clock calendar as when he wakes up in an unfamiliar room the first thing he wants to know is “Where on earth am I?”

29

56

999

Prof Marie Bismark

@mbismark

2 years

My 76 year old friend Peter Green has been arrested for writing the word “shame” in chalk on the walls of the Park Hotel where the Australian government are unlawfully holding refugees, some of whom have been detained since childhood.

Elderly activist to face Magistrates Court over chalk graffiti at Park Hotel on nine-year anniver...

Coincidentally, he will face the Melbourne Magistrates Court on the ninth anniversary of when former Prime Minister Keven Rudd announced, “asylum seekers who come here by boat without a visa will...

www.innercitynews.com.au

70

407

963

Prof Marie Bismark

@mbismark

3 years

I’m back in Wellington! And just when I thought I couldn’t love New Zealand any more, this is the question on my 2 week managed self-isolation form.

33

70

966

Prof Marie Bismark

@mbismark

2 years

Have people in New Zealand always been this nice? Popped into a hairdressers for shampoo & she said “would you like me to quickly style your hair for free?” Bought a cuppa at a cafe & they gave me a free muffin. Phone went flat & two strangers offered me theirs to make a call.

80

62

955

Prof Marie Bismark

@mbismark

5 years

My colleague Allison Milner was a brilliant researcher, a generous colleague, and a loving mum. She led Australia’s largest study of suicide by doctors, among many other research projects which made a difference in the world. She will be deeply missed.

'Humble, generous, and caring': Woman killed by falling tree remembered

The woman killed when a large elm tree fell in Parkville has been identified as Allison Milner, an associate professor at the University of Melbourne.

www.theage.com.au

66

143

939

Prof Marie Bismark

@mbismark

10 months

I’m the only adult psychiatrist for an area of 750km2 (close to the size of Canberra) & a population of 60,000 people with over 300 clients who all have moderate to severe mental illness. I’m employed 0.5FTE. A hospital manager has suggested “prioritising tasks” as a solution.

101

176

950

Prof Marie Bismark

@mbismark

2 years

4 main motives influence a patient’s decision to take medico-legal action. These include: 1. correction (system change to protect others) 2. restoration (compensation, corrective treatment) 3, communication (explanation, apology) 4. sanction (discipline)

13

76

938

Prof Marie Bismark

@mbismark

2 years

The way a clinician handles an adverse event at the outset can influence a patient’s decision about what action to take. An apology may prevent the problem escalating and help restore trust to their relationship.

The power of apology - PubMed

In the aftermath of an adverse event, an apology can bring comfort to the patient, forgiveness to the health practitioner, and help restore trust to their relationship. According to the Health and...

pubmed.ncbi.nlm.nih.gov

8

105

934

Prof Marie Bismark

@mbismark

2 years

Today in a Melbourne hospital: queue for staff testing extending down the street, most Drs I talk to have a close friend or family member who has tested positive, hospital pharmacy has no rapid antigen tests, patients fasted for theatre for days and still waiting. #COVID19vic

24

246

901

Prof Marie Bismark

@mbismark

2 years

Today was hard. So I sent a bunch of thank you notes to interns who had done a good job with their patients and cc’ed in their consultants.

17

11

859

Prof Marie Bismark

@mbismark

3 years

During the pandemic I’ve provided mental health care: 1) across hospital wards (cancer, trauma etc) 2) in ED & ICU after suicide attempts 4) to pregnant women & new mums 5) in addiction medicine I see and feel the impact of lockdown every day. It is still the right thing to do.

25

178

821

Prof Marie Bismark

@mbismark

2 years

On paper I’m kind of a junior doctor’s worst nightmare aren’t I? The eldest daughter who flew in from overseas, is a Professor in the Faculty of Medicine, did a Harvard Fellowship on medical malpractice, teaches patient rights at law school, and won’t leave her mother’s bedside?

26

27

817

Prof Marie Bismark

@mbismark

2 years

Dear Melbourne friends, We’re trying to find safe homes for 33 refugees who were recently released after 9 years of detention. (6 have found homes so far.) If you have a granny flat or vacant apartment that one of our friends might be able to use please let me know. Thank you!

26

724

799

Prof Marie Bismark

@mbismark

1 year

Three hours in ED with no pain relief. That’s not right is it? (Shared with permission)

122

81

799

Prof Marie Bismark

@mbismark

2 years

Feeling a deep sense of grief today as I process the news about omicron. My parents have cancelled their visit to Melbourne, I’m not leaving the house without an N95 mask, I’ve pulled out of social events. Doing everything I can to stay well for my children and my patients.

59

88

756

Prof Marie Bismark

@mbismark

2 years

There were >10,000 new COVID cases in NSW today. I’m healthy & vaccinated so infection wouldn’t kill me, but I could pass it to a vulnerable person or develop long-COVID. Face masks, esp N95s, are a minimal inconvenience & greatly reduce risk of infection. Easy decision for me.

15

96

762

Prof Marie Bismark

@mbismark

1 year

Something I love about New Zealand’s (taxpayer-funded) public hospitals is the way they provide three-meals-a-day to carers who are staying overnight in the hospital with a family member. Fish and chips on the menu tonight because it’s Friday.

25

52

752

Prof Marie Bismark

@mbismark

2 years

So if the Prime Minister knows that omicron infection can lead to long-COVID and that infection doesn’t provide any assurance of long-term immunity, what on earth is the point of wilfully exposing millions and millions of people to illness?

41

200

753

Prof Marie Bismark

@mbismark

2 years

You know what made me dissolve into tears today? Receiving caring & thoughtful messages of concern about how we’re coping in the hospital, from a young refugee who was held in detention by Australia for 9 years. If only Australia had shown similar care when he was seeking safety.

9

100

743

Prof Marie Bismark

@mbismark

1 year

Less than 2 minutes waiting for my Uber outside a restaurant after a board dinner. Two drunk guys come up to me: “You look very pretty. You want a fuck?” #notallmen but somehow it’s always men.

83

55

741

Prof Marie Bismark

@mbismark

1 year

Our health system in New Zealand is under so much strain. Posters like this on every ward.

33

204

725

Prof Marie Bismark

@mbismark

2 years

Many hospitals exclude patients and families from care improvement processes, and treat suggestions for improvement as a threat or a distraction from “real” work. In your organisation, are complaints viewed as a burden or as a gift?

10

77

724

Prof Marie Bismark

@mbismark

2 years

My dear friend Salah - an engineer who lost 10 years of his life to Australia’s brutal refugee policies - invited my family to dinner last night to celebrate an offer of resettlement in Canada. If you have friends in Vancouver who might be able to help welcome him let me know.

28

184

718

Prof Marie Bismark

@mbismark

1 year

The one and only time my teenagers have been impressed by any of my achievements, was the day @jacindaardern followed me on Twitter. Thank you to an extraordinary woman for her courageous, principled, and compassionate leadership through extraordinary times.

15

50

724

Prof Marie Bismark

@mbismark

2 years

Complaints by patients have the potential to be an important window on healthcare quality. For every adverse event complained of, dozens more lie below the waterline.

Realising the research power of complaints data

MM Bismark, DM Studdert, Clinical Correspondence, 2010 - Cited by 15

scholar.google.com.au

3

75

720

Prof Marie Bismark

@mbismark

4 years

The difference between Australia and New Zealand’s responses to COVID-19 in two texts. Which of these is more likely to save lives?

34

275

694

Prof Marie Bismark

@mbismark

2 years

A joyful reminder that love, hope, and adventure still exist in the time of COVID. My daughter and her partner of five years became engaged today while walking the Tongariro Crossing in New Zealand.

15

9

696

Prof Marie Bismark

@mbismark

11 months

My lovely - and very patient - parents who finally get to celebrate me becoming a “proper doctor” (i.e. completing clinical specialty training) over 30 years after they sent me off to medical school in 1992.

26

17

696

Prof Marie Bismark

@mbismark

2 years

Official @SydneyAirport : You don’t have to wear a mask anymore. Me: And I don’t have to get COVID again if I can help it. Official: It’s just one of those things - everyone is always going to get it. It will always be around. Me: And I’ll always value taking care of people.

30

69

662

Prof Marie Bismark

@mbismark

2 years

The highest yield question I ask in a mental health assessment: “If you could wave a magic wand, and have some things in your life be different in 6 months time, what would you wish for?” And then we talk about the next small steps we can take to turn those wishes into plans.

35

61

645

Prof Marie Bismark

@mbismark

2 years

Update from Melbourne: - Doctors & nurses in critical roles working in hospital with COVID-positive family at home - Supermarkets sold out of paracetamol and other basic items - Referrals for palliative care told there will be delays in providing care - Elective surgery on hold

35

180

647

Prof Marie Bismark

@mbismark

2 years

Medicine needs more doctors like Michael. “Medical registrar Dr Michael Lam helped fulfil a dying patient’s wish to hear live classical music one last time. Dr Lam studied at the Shanghai Conservatory and plans to specialise in palliative care.”

26

72

638

Prof Marie Bismark

@mbismark

2 years

I had a thousand people follow me in the last 24 hours because of this thread, and I don’t know how to break it to you all that it will be the year 2042 before I can do another summary thread of “my last 20 years of research”. Welcome anyway! It’s lovely to meet you all.

Prof Marie Bismark

@mbismark

2 years

Things I learned from studying patient complaints for twenty years (a thread) …

191

1K

5K

24

25

646

Prof Marie Bismark

@mbismark

8 months

I thought I would be striking all alone today. Until a member of our Kapiti community who I had never met before turned up with a hug, a sign, and a lunch for me. People are kind. 💕

24

73

612

Prof Marie Bismark

@mbismark

1 year

Delirium care (1) Hospital A - no clock or calendar in the room Hospital B - clock and calendar clearly visible at all times.

7

41

600

Prof Marie Bismark

@mbismark

2 years

I’ve been doing lots of mental health home visits lately, and am struck by the immeasurable wealth of information we gain when we have the honour of meeting with patients in their own environment rather than ours.

23

44

584

Prof Marie Bismark

@mbismark

3 years

I was just interviewed for a dream role & said to the panel “if there’s an applicant who is indigenous, or from a background that would bring more diversity to your leadership team, I’d be glad to see them appointed.” Because sometimes giving someone a seat means giving up yours.

24

25

576

Prof Marie Bismark

@mbismark

2 years

It’s only February, but this is the most important paper that I will publish this year. Healthcare workers have given their all during the pandemic in Australia. We are not OK.

20

267

558

Prof Marie Bismark

@mbismark

2 years

Sadly, my lovely dad now has COVID. No thanks to the extended family member who refused to accept that their +ve test was +ve. The NZ health system (and friends & neighbours) have been amazing in supporting me and mum to care for dad at home. I’m thankful I can be here with him.

43

27

564

Prof Marie Bismark

@mbismark

2 years

A full list of my research papers is available on Google Scholar. We publish open access wherever possible so they should be freely available. Thanks to my co-authors from Auckland, Melbourne, Stanford, & Harvard who have worked with me on this research over the last 2 decades.

23

34

565

Prof Marie Bismark

@mbismark

2 years

Two people in my household now have COVID & I am still providing clinical care under a critical worker exemption (with daily tests & a fit-tested N95 mask). I wish I could quarantine but patients need care, colleagues are sick with COVID, & the idea of “surge capacity” is a myth.

Andrew Hewat

@AndrewHewat

2 years

More than 6,600 HCWs in Victoria are off work today, either furloughed as contacts or infected. With a surge in demand. That is not a system "under strain" but a system floundering. This is a health workforce crisis within a health crisis.

8

86

321

21

110

536

Prof Marie Bismark

@mbismark

2 years

Yesterday I said I wore a mask in a crowded room in a city with 10,000 new COVID cases/day. In response men accused me of being a: -terrified freak -virtue signalling idiot -crazy lady who needs to relax & live a bit more What I do with my own body seems to invoke a lot of rage.

13

66

516

Prof Marie Bismark

@mbismark

4 years

Jacinda Ardern, the 39-year-old Prime Minister of NZ, is forging a path of her own. Her messages are clear, consistent, sobering and soothing. And her approach isn’t just resonating with her people on an emotional level. It is also working remarkably well.

15

171

515

Prof Marie Bismark

@mbismark

1 year

Delirium care (6) Hospital A - fluids given over 12 hours overnight which means frequently beeping machines Hospital B - fluids given over 4 hours between 6pm and 10pm which means a much less disturbed sleep.

6

20

521

Prof Marie Bismark

@mbismark

2 years

Patient complaints can feel like random events, but at a population level there are patterns. Some specialities (eg psychiatry and surgery) are more likely to receive complaints and a small group of doctors receive a disproportionate share of complaints.

9

39

517

Prof Marie Bismark

@mbismark

2 years

The distribution of complaints among doctors is highly skewed: in Australia 3% of doctors account for 49% of complaints. Efforts to identify high-risk doctors coupled with effective interventions, could help reduce adverse events & patient dissatisfaction.

Identification of doctors at risk of recurrent complaints: a national study of healthcare complai...

Objectives (1) To determine the distribution of formal patient complaints across Australia's medical workforce and (2) to identify characteristics of doctors at high risk of incurring recurrent...

qualitysafety.bmj.com

7

66

515

Prof Marie Bismark

@mbismark

1 year

Dad has been in hospital 15 days and he has only just mentioned to me that he thinks the beds that look like this have corpses in them! No wonder he’s been so keen to get home.

64

34

505

Prof Marie Bismark

@mbismark

1 year

Delirium care (2) Hospital A - pt alone overnight other than regular observations. Hospital B - explicit discussion about whether we would prefer a 4-bed room opposite the nursing station or for a family member to stay overnight in a single room with a foldout couch-bed provided.

1

25

514

Prof Marie Bismark

@mbismark

3 years

My daughter had 5% deducted from her mark for her school speech because she “talked for too long” on her topic of women’s reproductive rights and I don’t think I’ve ever been prouder of her performance at school.

13

9

503

Prof Marie Bismark

@mbismark

1 year

Delirium care (5) Hospital A - little interest in the nature of the confusion Hospital B - care taken to understand patient’s experience, with nurses taking note of phrases that helped to settle frequent worries (eg “your wife is safe, you don’t need to worry about her”)

3

24

504

Prof Marie Bismark

@mbismark

7 months

After 4 months as the sole psychiatrist for adults in Kapiti (a region the size of Canberra with a population of 60,000) we had a 2nd consultant & a registrar start today! Our clinic cleaner, who kept me going on the hardest days, was so happy that she teared up when I told her.

25

24

488

Prof Marie Bismark

@mbismark

2 years

Risk of medical negligence claims is higher among doctors who work long hours, have low life satisfaction, or have had a recent serious illness. Creating more supportive work environments and improving doctors’ health could help improve patient safety.

Vocational and psychosocial predictors of medical negligence claims among Australian doctors: a...

Objective To understand the association between medical negligence claims and doctors’ sex, age, specialty, working hours, work location, personality, social supports, family circumstances, self-ra...

bmjopen.bmj.com

11

63

487

Prof Marie Bismark

@mbismark

1 year

Most importantly they’re both doing well and slowly on the mend. Thank you to @TeWhatuOra for the care provided. And I’m looking forward to the day when the best of every hospital is shared across New Zealand.

3

10

481

Prof Marie Bismark

@mbismark

8 months

I feel uncomfortable about striking alone on Tuesday - but the reality is that I’m the sole remaining public sector psychiatrist for adults on the Kapiti Coast (population 60,000). Which is perhaps all the more reason to support the strike? @ASMSNZ

21

70

473