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Tweets of the Week, 31 August 2018

The Horizons team features many influential Twitter users. This curates a wealth of insights, knowledge, and information about transformation in health and care from other thought leaders across the world.

(Tip: to read an article or watch a video mentioned in a tweet, click on the red text. To view the original tweet, click on the image).


Would you like to be part of @JaneMCummings #Expo18NHS session about shaping perceptions of nursing and midwifery for the future, but can't be in Manchester? No problem, join in here on Twitter instead! 10.45am, Thursday 6 September #perceptions

The first phase of #ProjectA has come to a close, with hundreds of ideas submitted! A huge thank you to everyone who took part. The next phase involves considering which ideas to take forward and turn into actions - watch this space!

We hosted a tweet chat about frailty on behalf of the Empowering People and Communities Taskforce. It was a really interesting chat, demonstrating how complex the issue of frailty is. Thank you to everyone who took the time to join.

Healthcare improvement:

Simon Sethi reflects on incredible improvements made in the healthcare system in Rwanda:

A beautiful and important poem about being in the shoes of a patient in an operating theatre.

When we talk about safety in healthcare, we usually mean preventable physical harm to patients. In this piece, @theihi says we should also include emotional, psychological & sociobehavioural harm in the definition.

An outstanding paper on studying complexity in health services research. The focus of the paper is research but the same "paradigm" issues apply in terms of our mindset on implementing improvement.

The impact of cognitive bias in decision making in acute paediatrics: 

An aphorism is "a short saying that's intended to express a general truth". This article lists 18 aphorisms from the father of modern quality improvement, Dr Deming. Click on one for more detailed explanations:


Are you facing a problematic situation? According to this flowchart, there are four basic strategies: you can force the situation, collaborate, adapt or exit:

Results time is always a stress point and for some the choices change but there is #NoWrongPath. We must inspire our future generations with our own route and path to success.

Leigh's reflections on facing challenges in life.


Implementing innovations is much harder than thinking them up in the first place. A big source of resistance is "organisational routines": the knowledge, systems, processes & practices that constitute “how we get things done” in the workplace. Read more.

parkruns are a social movement, created out of a desire to change lives. Read more.


If you're interested in making a difference in your community, consider joining the Leadership for Empowered and Healthy Communities Programme.

ATTIC (Activities for Transforming Teams & Igniting Change). This is a brilliant resource from @BCPSQC in Canada. It's 30+ activities designed to inspire small changes that can have a much bigger effect on our teams, systems and/or organisations:

Big changes are rippling across virtually every aspect of society. Here are 'the vectors of disruption' set out on a single infographic according to @rossdawson 

The 'industrial age' focused on efficiency, planning & rational analysis is declining. A new kind of agile leadership is emerging; seeking opportunities, rapid experimentation & decisiveness. And it's all about leadership mindset. Read more.

The stages of growth in a learning organisation; from enabling learning to maintaining to growing it. The most significant distinction between the stages is the extent to which formal learning mechanisms help or hinder the learning culture. Read more.

Five ways to break down barriers when meeting new people.

A great definition of a team!

Social Media

We've had some great discussions on Twitter about "finding the 3%", the small number of influencers who drive conversations with 85% of the workforce. But how can you spot the influencers & what behaviours should you encourage?

Thoughts on the teens who don't use social media.

And finally...

Fresh on the heels of "Boaty McBoatface", citizens of Brussels were invited to name 28 streets. Some chosen names are below. If you crowdsource a solution, beware the consequences...