@KerUnit

The Knowledge and Evaluation Research Unit works on making care fit through evidence-based medicine, shared decision making, and minimally disruptive medicine

 Rochester, MN
carethatfits.org
Joined November 2014
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Key paper from our LUMC-Mayo Clinic's @KerUnit collab showing (a) shared decision making (SDM) present in about 90% of diabetes encounters and (b) how clinicians and patients dance across forms of SDM to make care fit ebm.bmj.com/content/early/20… @MarleenKunneman @ihargraves
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I am so proud of my team and awed by the work they do. Delivering the right care, at the right time, in the right place. And living by the @MayoClinic mission - the needs of our patients always come first.
Mayo Clinic
@MayoClinic
14 Dec 2022
Mayo Clinic’s community paramedics travel across southeast Minnesota, providing care to patients in their homes. Those visits help prevent serious illnesses. @StarTribune details this innovative program. bit.ly/3PsFJl5

'Untapped opportunity' as Mayo Clinic expands at-home care with paramedic program

Community paramedic models keep people out of hospitals, where there has been a shortage of beds.

startribune.com
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Awards like this are only possible because of my many wonderful colleagues and collaborators over the years. A sincere Thank You to them all!
Bond University@BondUniversity
16 Dec 2022
A big congratulations to Professor Tammy Hoffmann, recipient of the Excellence in Women in Research Award at @ElsevierConnect's Scopus Researcher Awards (ANZ). The awards honour the principles of equality, diversity, and inclusion, and research integrity. @Tammy_Hoffmann
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To learn more, support, and join this movement for care, visit patientrevolution.org @patientrev 12/12

The Patient Revolution

The Patient Revolution is a global movement of patients, clinicians, philanthropists, and other care activists driving change from within the healthcare industry.

patientrevolution.org
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In a world marred by war, incompetence, greed, and hateful intolerance, our belief in care may be naive. And yet, we believe that a radical commitment to care, for + about + with each other, and for our planet, is our compass out of this pandemic fog. 11/12
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This will entail rehabilitating experienced but hurt clinicians and rekindling the motivation of compassionate people pursuing careers in healthcare, preparing them to care with both competence and compassion. And a radical shift in culture and policies. 10/12
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A radical commitment to care and its re-humanisation is our compass out of this pandemic fog. This demands a stubborn, long hauled, and creative effort to eradicate cruelty, make time to care, and make healthcare services simpler, easier to use, and more respectful. 9/12
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Importantly, it fails to address the fundamental problem with industrialised healthcare: the depletion of care. Industrial healthcare is not designed to support careful and kind care; the pandemic has shown us the need to act differently. 8/12
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But more of the same will lead to healthcare that is increasingly dehumanised, transactional, generic, burdensome, and cruel. 7/12
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Some see the way out of this fog as turning towards a higher tech, lower skilled, and even more industrialised healthcare. They see speeding up the flow of the production line as the answer to current healthcare challenges, such as ever rising demand and reduced resources. 6/12
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Instead of a before and an after, a thick fog now envelops and disorients patients and healthcare professionals. 5/12
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Covid-19 and its pandemic fog arrived as industrialised healthcare was reaching its apogee. A “new normal” was heralded beyond the covid-19 pandemic, but no threshold or dawn has become apparent in the transition from the pandemic to the post-pandemic world. 4/12
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Industrial healthcare has exhausted caregivers and patients and morally injured, burned out, and spent clinicians, making it humanly unsustainable. 3/12
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Relentlessly pursued, industrialised healthcare turns patients into widgets and clinicians into production line workers, the work of caring reduced to processing people through the system. 2/12
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This thread excerpts the article I co-authored with @DrDominiqueAllw titled, “Careful, kind care is our compass out of the pandemic fog” published in @bmj_latest 1/12 @patientrev
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I am truly honored for this recognition by @Chabad - a community defined by generosity, compassion, and love for all people. It is up to each of us to bring light into the world, dispelling the darkness, one day and deed at a time
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This just out in open access: Shared decision making as a method of care (includes description of four different forms of #SDM that clinicians use in practice to respond to patients’ problematic situations) ebm.bmj.com/content/ebmed/ea….
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I was asked to prepare a very brief introduction to GRADE for new members of a WHO guideline panel. The 11.5 minute result could be useful for any guideline group wanting to give their panel members a brief bird’s eye view of the GRADE process. vimeo.com/779978267

Brief Introduction to GRADE for WHO Dr. Gordon Guyatt, McMaster...

This is "Brief Introduction to GRADE for WHO Dr. Gordon Guyatt, McMaster University Dec 9 2022" by Clarity- McMaster on Vimeo, the home for high quality videos and the people who love them.

vimeo.com
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Replying to @KerUnit
@KerUnit at #DIScience22 bringing work on the implementation of #SDM in #EHR and clinical workflows. @AcademyHealth @NCI_ImplSci
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I am deeply grateful for the honor and privilege of being awarded the @CityofRochMN Mayor’s Medal of Honor this year for my community paramedic team’s work bringing health, healing, and hope to our community and especially the most vulnerable 🙏❤️
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