This is how We Think

Hello, it has been a while for me to post here. Here I am.

I first watched Professor Richard Miller’s talk ” This is How We Dream” back 2009. It is still relevant for today’s world and healthcare industry. Please enjoy .

To learn more about Richard Miller you can visit his page or blog.

What healthcare can learn from nuclear power industry?

Just came back from 2014 Symposium on Human Factors and Ergonomics in Health Care in Chicago. I attend a session presented by experts from AAMI, the Association for the Advancement of Medical Instrumentation  titled Safety and Risk in Health Care and Nuclear Power: Learning From Each Other .     By learning from nuclear power industry,  healthcare industry can use technology effectively and efficiently with systems engineering, human factor approaches. The re-engineered  new healthcare delivery system should integrate people, technology, process, organization and external environment. The cross industry collaboration is critical to transform the healthcare delivery.  Simulation will play more important roles on training, assessment, usability testing and process redesign.

You can read more from AAMI monograph,Risk and Reliability in Healthcare and Nuclear Power: Learning from Each Other”

“The future is already here. It’s just not evenly distributed yet.” —William Gibson


“In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists.”

“In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists.”Eric Hoffer

Simulation is serious play.

This Is How We Dream: Incremental vs fundamental change by social networking tools

This is fasicianting talk by Dr. Richard E. Miller, Professor of English  about  humanities, technology, English learning, writing.  Don’t forget the part 2.

“In Praise of Fresh Air” and Medical Simulation 2.0

Finished the #IMSH2012  this Wednesday Feb 1. On my way home, ads inside newspaper did got my attention and inspiration.  That was the new brand and logo promotion from J.C. Penney by Ron Johnson (previous Apple executive) (Disclosure,  I don’t have  personal financial conflict of interest).  The key message is ” In praise of fresh air”.  The IMSH2012 draw near 3000 people around the world.   Beyond the fresh air we had at San Diego, I had chance to talk old and new friends.  Their insights made me thinking: What is the next 10 years for medical simulation community?

Simulation Game for Transfusion Medicine: Transformative Fusion of Innovative Blood Management Technologies

Dr.Mark Ereth, Professor of Anesthesiology introduced new iPad application TransFuse in today’s Mayo Clinic’s third annual Social Media Summit. It is created in collaboration with the Center of Innovation at Mayo Clinic to educate and challenge clinicians as to the best blood transfusion threshold practices.

Stay Hungry Stay Foolish

THERP and SLIM for Human Reliability Assessment #HRA

I read about Technique for Human Error Rate Prediction (THERP) and Success Likelihood Index Method (SLIM) used for human reliability assessment (HRA).  These are technique used in other high reliability industries for: error identification, error quantification and error reduction.  Healthcare needs to learn from others to apply systems approach to reduce medical errors.

Modeling for the Decision Process to Implement an Educational Intervention: An Example of a Central Venous Catheter Insertion Course

Just read a paper regarding “decision analytic model of the theoretical impact of an educational intervention to improve the safety” .  This paper demonstrate a system approach (computer modeling and simulation) for health care institutions to estimate the costs and benefits of  proposed interventions (medical simulation training or others).   There is another paper also found even minimal improvement in hand hygiene compliance could lead to substantial savings for hospital.

How about technology solutions (RFID or other RTLS based solutions) to improve hand hygiene compliance ? Joint Commission Resources just published four leading hospitals using RFID solutions to fight HAIs (healthcare assoicated infections) .  Does HIT solutions more cost effective ?  Researchers  start to evaluate technology solutions for the century-old challenge.   Future Study is need to study how to deliver effective and efficient interventions to improve healthcare delivery.  Peter Pronovost’s paper suggests education might not be the strongest risk-reduction intervention in anesthesia.  Multidisciplinary systems approach to modify the latent risk factors  can enable a  design of  more robust system to reduce human errors and improve patient outcome.

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