THREAD: Amazing article how McLaren improved their F1 pitstop times by undertaking a deeper understanding of their teams. & how this relates to healthcare.
They used eye tracking tech to identify the pit crew wasnt focused on the car entering the pit 1/ wired.com/story/book-exc…
Once issues were identified they implemented several design and training strategies:
1. specific actions for each team member 2. train to focus on wheels 3. painted wheel nuts orange
Net result = record setting speed for pit stops and more wins. Impressive work
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This is the detailed approach that we must take in healthcare to get those 1% gains (and in fact, probably opportunity for 5-10%) gains.
We use simulation to help understand issues and subsequently design solutions that work....
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And if they don't work, that's fine. At least we've trialed them and we know they don't work before costs incurred for widespread implementation
And, sometimes what we think is the problem isn't...but requires direct observation coupled with clinician feedback.
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My take relates to crisis management & influencing behavior 1/
I’m not qualified to comment on whether school closure should continue or not. (personally, as a parent of a 4yr old...please re-open! but not the point here)
Some considerations
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1. Transparency: when reports are leaked, there’s high prob for misunderstanding. Transparency in the long run is often the preferred approach (except maybe national security) but it is very true that lack of transparency fosters further mistrust. bit.ly/397ihX8
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2/ Why does it matter? Somewhat self evident, but we want to design & test a process that optimizes the number of people who be vaccinated while also ensuring a pleasant & safe experience
Great clip from "the Founder"... example of design #simulation
3/ We began with core objectives/principles for the project.
This informed the blueprints for the design of the space
But we all know, things may look good on paper, but don't necessarily translate to real-life
More importantly, people's behavior can be difficult to predict
THREAD: 5yrs ago we began the TRUST study. Excited to see it finally published in @BMJ_Qual_Saf . This kicked off my interest in using simulation to support patient safety and simulation-informed clinical design.
My mentor, @HumanFact0rz taught me the importance of pitching an idea to the right people. When we started simulation for systems eval & patient safety was uncommon
This SR/MA provides a more fulsome look at the data including this brand new evidence.
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The results?
In pooled analysis, TXA likely has no effect on mortality or disability.
A few considerations when I try to contextualize the clinicaly relevance. Not all TBI are equal. GCS 3 =/= GCS 12. A SDH is not the same as SAH or EDH etc. So their are limitations here
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For example, my kids go to school, so they are exposed to ~20-30 people/day. An all or nothing approach says it doesn’t matter how I socialize because I can’t achieve perfection (isolate the way public health advises) since my kids are in school.
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