Dispatches from the Front: 29 July 2012

... From Ken Friends, In some of the return e-mails, several have asked I not include or discuss the "un-pleasantries of war" in my "Dispatches".  To those kind souls, my advice is to simply delete all future e-mails from me. Unfortunately, I am not in a pleasant place to accommodate such a request.  The truth …

Kenny in the field 14 July 2012

Afghanistan_PIX It has taken awhile, attached are a few photographs I requested from the combat photographer assigned to our command. He is a talented young soldier and a good man. As you can see from the photos, life here is far from pleasant. My living conditions are much better than theirs.  The thing I look …

“It boiled down to courage and tenacity”: My “Inbox Interview” with Howard Cohen, Community Manager at DISA Forge.mil and Technologist by Chris Maher

I was interviewed a few weeks back by Chris Maher on Linkedin.  The topic was concerning "Trusted Computing"  and ramblings on security. CM: Howard, as you know, I quoted you at the 2011 NSA Trusted Computing Conference & Exposition: “Well.. I believe in Americans. I believe that when we see various challenges that we individually …

Happy 4th of July (SPECIAL DISPATCHES FROM THE FIELD)

Today is the 4th of July.   What does it mean to you?  Joni Douglas writes "Do we ever reflect on the hardship and terror that the early Americans must have lived through day after day? Do we truly understand the hopes and dreams that lay secretly hidden away in the hearts of the people back …

Project Management Tools – Agile and Others (WebScrape)

Alright.. I normally cut and paste resources based on context into my personal brain, recently I have had a lot of "project management" oriented questions so I am pulling some of the lists together that I have gathered over the years.   The format won't be clean but that shouldn't matter.. enjoy! Open source Scrum …

People Filters (TURNED OFF) and Deceptive Leadership

As a Community Manager I manage nothing.   I think the title is wrong actually, I should be called “Community Motivator” or “Community Influencer” or something else but manager is not what I am or what I do.   I listen to stakeholder problems most of the time and unless asked at this point I work hard …

Community Management Metrics

Community Metrics in Context In late 2011 I started working for DISA on the Forge.Mil project.   Forge.Mil is a really great concept that was born out of the need for a change in the Department of Defense concerning software development and application life-cycle management.  Some the concepts that attracted me to Forge (that is …

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality

 

Summary

Background:  We aimed to improve the quality and safety of handover of patients from surgery to intensive care using the analogy of a Formula 1 pit stop and expertise from aviation.

Methods:  A prospective intervention study measured the change in performance before and after the implementation of a new handover protocol that was developed through detailed discussions with a Formula 1 racing team and aviation training captains. Fifty (23 before and 27 after) postsurgery patient handovers were observed. Technical errors and information omissions were measured using checklists, and teamwork was scored using a Likert scale. Duration of the handover was also measured.

Results:  The mean number of technical errors was reduced from 5.42 (95% CI ±1.24) to 3.15 (95% CI ±0.71), the mean number of information handover omissions was reduced from 2.09 (95% CI ±1.14) to 1.07 (95% CI ±0.55), and duration of handover was reduced from 10.8 min (95% CI ±1.6) to 9.4 min (95% CI ±1.29). Nine out of twenty-three (39%) precondition patients had more than one error in both technical and information handover prior to the new protocol, compared with three out of twnety-seven (11.5%) with the new handover. Regression analysis showed that the number of technical errors were significantly reduced with the new handover (t = −3.63,P < 0.001), and an interaction suggested that teamwork (t = 3.04, P = 0.004) had a different effect with the new handover protocol.

Conclusions:  The introduction of the new handover protocol lead to improvements in all aspects of the handover. Expertise from other industries can be extrapolated to improve patient safety, and in particular, areas of medicine involving the handover of patients or information.

Sensitive Business Person

I have been working in my current industry for over 10 years and I would classify myself as a mid-career professional.  Over the years I have needed to make career adjustments to satisfy my need to grow, make a difference, increase my income, increase my potential, and challenge myself.    I have noticed an interesting pattern …