Distraction is Deadly in EMS Education, Driving, and Patient Care presented by Greg Friese, MS, NREMT-P at National Association of EMS Educators Symposium in Washington DC. August 2013
This is an actual TMLT medical malpractice case. It involves a family physician treating a patient with chest pain. This presentation illustrates how action or inaction on the part of the physician led to allegations of professional liability, and how risk management techniques may have either prevented the outcome or increased the physician's defensibility. The case has been modified to protect the privacy of the physician and the patient.
This is an actual TMLT medical malpractice case. It involves a family physician treating a patient with chest pain. This presentation illustrates how action or inaction on the part of the physician led to allegations of professional liability, and how risk management techniques may have either prevented the outcome or increased the physician's defensibility. The case has been modified to protect the privacy of the physician and the patient.
Over the last few years, Mihaly Csikszentmihalyi’s concept of flow has become a popular topic within design circles. Many designers and information architects now view the psychological state of flow as a desirable goal for the end users of the products and interfaces they create. User experience professionals now have a clear target around which to center their design efforts.
Although the characteristics of the flow experience are well defined in psychological circles, there are a number of questions that have not been addressed with regard to this psychological state.
• How do users’ emotional states affect the creation of flow?
• What are the differences between novice and experienced users when it come
to creating flow?
• How do differences in the goals (i.e. experiential vs. goal directed) of users affect the creation of flow?
This presentation will explore the role of emotions in determining the creation of flow. This includes the role that emotional states play in affecting how we focus attention, learn, process and use information.
The creation of flow is ultimately determined by a combination of our individual skill levels, the challenge provided by the task at hand, and the level of motivation we have to complete that task.
Understanding how to enhance users’ experiences by creating flow states allows us to tailor the design of products, websites and software to different user groups with different levels of skill. This is important because products that can elicit flow tend to create higher levels of loyalty amongst users.
Viewers will learn about the underlying causes, characteristics and consequences of flow. They will also learn how flow is related to emotional design, and how to take user goals into consideration when designing for flow.
CRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERSChris
A brief PPT addressing Crime Scene Awareness and scene safety at violent or potentially violent crime scenes.
Geared toward the rural volunteer fire/ems department.
Author has over 15 years experience in all-risks public safety.
Understanding Construction Workers’ Risk Decisions Using Cognitive Continuum ...IJERA Editor
During the course of performing daily tasks, construction workers encounter numerous hazards, such as ladders that are too short to reach the work area, energized electrical lines, or inadequate fall protection. When a hazard is encountered, the worker must make a rapid decision about how to respond and whether to take or avoid the risk. The goal of this research was to construct a theory about the influence of decision cues on intuitive and deliberative decision-making in high-hazard construction environments. Drawing from Cognitive Continuum Theory, the study specifies a framework for understanding why and how construction workers make decisions that lead to taking or avoiding physical risks when they encounter daily hazards. A secondary aim of the research was to construct a set of hypotheses about how specific decision cues influence whether a worker is more likely to engage their intuitive impulses or to use careful deliberation when responding to a hazard. These hypotheses are described and the efficacy of the hypotheses was evaluated using cross-tabulations and nonparametric measures of association. While most of the associations between decision cues and decision mode (i.e., intuition or deliberation) identified in this data set were generally modest, none of the associations were statistically zero, thus indicating that further research is warranted based on theoretical grounds. A rigorous program of theory testing is the next logical step to the research.
Have you ever wanted to learn more about human factors in health care and it’s impact on patient safety? Well now is the time. Join us on Oct. 4th at noon ET as Dr. Kathy Momtahan and Dr. Gianni D’Egidio explore the work of the Canadian Human Factors in Healthcare Network and recent human factors evaluations of hospital external defibrillators.
Multitasking: Maximum Effectiveness, Minimum Errors.Rommie Duckworth
Multitasking has long been a part of emergency services but only recently have advances in neuroscience, cognitive psychology and functional MRI studies allowed us to peer into the multitasking mind and the parts of the brain that control it. New information shows us how we can better train our students and ourselves to improve multitasking, filter out “task noise” and identify when to sidestep multitasking to avoid costly clinical, tactical and managerial mistakes.
Teaching Formats:
-Lecture
-Demonstration Exercises
-Question and Answer
Learning Objectives: Students will learn:
- The difference between multitasking and task-switching.
- The function of the Executive System of the brain.
- The difference between automatic and controlled thought processes.
- How to focus training to prepare students for a multitasking environment.
- When and how to avoid multitasking for better trouble-shooting and decision-making (clinical, tactical, managerial).
Find more at www.romduckworth.com
"Security on the Brain" Security & Risk Psychology Workshop Nov 2013Adrian Wright
Security on the Brain – Using Human Psychology to Achieve Compliance: ISSA-UK Expert Workshop
Presented by Adrian Wright - ISSA-UK VP of Research
One of the biggest wake-up calls in recent times is the realisation that more than 60% of major security breaches and data losses are down to 'human factor' failings.
Our main weapon in mitigating these failings is to spend more on in-house awareness campaigns and on technical measures to minimise any losses - yet incidents and losses continue to increase. Clearly these existing awareness campaigns and controls are not enough, as the message is still not getting through or isn't being complied with.
This presentation and workshop session challenges current thinking and strategies in dealing with people as both an asset and a source of risk, by leveraging human psychology and people's differing motivations to improve communication, change opinions and turn basic awareness into actual compliance.
In this session
Learn:
- The psychology of why we don't comply - why awareness alone won't do
- What motivates people to do - or not do - specific things
- Neurolinguistics - it's not just what you say; but how you say it and to who
- Divide and conquer - adapting your message to target specific personality types
- Changing the security culture by changing people's belief systems
- Dirty tricks (slightly) - tactics that work in changing behaviour
- Selling the unsellable - lessons from other sectors in making boring stuff sexy
Participate:
- Informal group discussion of challenges and successes from your experience
- Identifying your audience’s character types and shaping the message
- Influencing the Board by speaking their language
- Developing an internal PR strategy to improve security's image and influence
- Develop a brand new and more effective mission statement for your team
About the Presenter:
Adrian Wright CISA
20 years experience in Information Security, IT Risk Management & Compliance. Specialist in managing security, risk and compliance awareness campaigns;
9 Years Global CISO Head of InfoSec at Reuters - covering 142 countries and 250,000 systems;
10 years founder and programme director at Secoda Risk Management. Experienced speaker and writer on all things cyber security, governance, risk & compliance.
2 Years Director of Projects & 1 Year VP of Research & Board member at ISSA-UK
Having spent decades looking into the darker recesses and failings within technology; Adrian has recently turned his attention to the darker recesses and failings within the human beings that work with the technology…
Over the last few years, Mihaly Csikszentmihalyi’s concept of flow has become a popular topic within design circles. Many designers and information architects now view the psychological state of flow as a desirable goal for the end users of the products and interfaces they create. User experience professionals now have a clear target around which to center their design efforts.
Although the characteristics of the flow experience are well defined in psychological circles, there are a number of questions that have not been addressed with regard to this psychological state.
• How do users’ emotional states affect the creation of flow?
• What are the differences between novice and experienced users when it come
to creating flow?
• How do differences in the goals (i.e. experiential vs. goal directed) of users affect the creation of flow?
This presentation will explore the role of emotions in determining the creation of flow. This includes the role that emotional states play in affecting how we focus attention, learn, process and use information.
The creation of flow is ultimately determined by a combination of our individual skill levels, the challenge provided by the task at hand, and the level of motivation we have to complete that task.
Understanding how to enhance users’ experiences by creating flow states allows us to tailor the design of products, websites and software to different user groups with different levels of skill. This is important because products that can elicit flow tend to create higher levels of loyalty amongst users.
Viewers will learn about the underlying causes, characteristics and consequences of flow. They will also learn how flow is related to emotional design, and how to take user goals into consideration when designing for flow.
CRIME SCENE AWARENESS AND SAFETY FOR FIRE AND EMS RESPONDERSChris
A brief PPT addressing Crime Scene Awareness and scene safety at violent or potentially violent crime scenes.
Geared toward the rural volunteer fire/ems department.
Author has over 15 years experience in all-risks public safety.
Understanding Construction Workers’ Risk Decisions Using Cognitive Continuum ...IJERA Editor
During the course of performing daily tasks, construction workers encounter numerous hazards, such as ladders that are too short to reach the work area, energized electrical lines, or inadequate fall protection. When a hazard is encountered, the worker must make a rapid decision about how to respond and whether to take or avoid the risk. The goal of this research was to construct a theory about the influence of decision cues on intuitive and deliberative decision-making in high-hazard construction environments. Drawing from Cognitive Continuum Theory, the study specifies a framework for understanding why and how construction workers make decisions that lead to taking or avoiding physical risks when they encounter daily hazards. A secondary aim of the research was to construct a set of hypotheses about how specific decision cues influence whether a worker is more likely to engage their intuitive impulses or to use careful deliberation when responding to a hazard. These hypotheses are described and the efficacy of the hypotheses was evaluated using cross-tabulations and nonparametric measures of association. While most of the associations between decision cues and decision mode (i.e., intuition or deliberation) identified in this data set were generally modest, none of the associations were statistically zero, thus indicating that further research is warranted based on theoretical grounds. A rigorous program of theory testing is the next logical step to the research.
Have you ever wanted to learn more about human factors in health care and it’s impact on patient safety? Well now is the time. Join us on Oct. 4th at noon ET as Dr. Kathy Momtahan and Dr. Gianni D’Egidio explore the work of the Canadian Human Factors in Healthcare Network and recent human factors evaluations of hospital external defibrillators.
Multitasking: Maximum Effectiveness, Minimum Errors.Rommie Duckworth
Multitasking has long been a part of emergency services but only recently have advances in neuroscience, cognitive psychology and functional MRI studies allowed us to peer into the multitasking mind and the parts of the brain that control it. New information shows us how we can better train our students and ourselves to improve multitasking, filter out “task noise” and identify when to sidestep multitasking to avoid costly clinical, tactical and managerial mistakes.
Teaching Formats:
-Lecture
-Demonstration Exercises
-Question and Answer
Learning Objectives: Students will learn:
- The difference between multitasking and task-switching.
- The function of the Executive System of the brain.
- The difference between automatic and controlled thought processes.
- How to focus training to prepare students for a multitasking environment.
- When and how to avoid multitasking for better trouble-shooting and decision-making (clinical, tactical, managerial).
Find more at www.romduckworth.com
"Security on the Brain" Security & Risk Psychology Workshop Nov 2013Adrian Wright
Security on the Brain – Using Human Psychology to Achieve Compliance: ISSA-UK Expert Workshop
Presented by Adrian Wright - ISSA-UK VP of Research
One of the biggest wake-up calls in recent times is the realisation that more than 60% of major security breaches and data losses are down to 'human factor' failings.
Our main weapon in mitigating these failings is to spend more on in-house awareness campaigns and on technical measures to minimise any losses - yet incidents and losses continue to increase. Clearly these existing awareness campaigns and controls are not enough, as the message is still not getting through or isn't being complied with.
This presentation and workshop session challenges current thinking and strategies in dealing with people as both an asset and a source of risk, by leveraging human psychology and people's differing motivations to improve communication, change opinions and turn basic awareness into actual compliance.
In this session
Learn:
- The psychology of why we don't comply - why awareness alone won't do
- What motivates people to do - or not do - specific things
- Neurolinguistics - it's not just what you say; but how you say it and to who
- Divide and conquer - adapting your message to target specific personality types
- Changing the security culture by changing people's belief systems
- Dirty tricks (slightly) - tactics that work in changing behaviour
- Selling the unsellable - lessons from other sectors in making boring stuff sexy
Participate:
- Informal group discussion of challenges and successes from your experience
- Identifying your audience’s character types and shaping the message
- Influencing the Board by speaking their language
- Developing an internal PR strategy to improve security's image and influence
- Develop a brand new and more effective mission statement for your team
About the Presenter:
Adrian Wright CISA
20 years experience in Information Security, IT Risk Management & Compliance. Specialist in managing security, risk and compliance awareness campaigns;
9 Years Global CISO Head of InfoSec at Reuters - covering 142 countries and 250,000 systems;
10 years founder and programme director at Secoda Risk Management. Experienced speaker and writer on all things cyber security, governance, risk & compliance.
2 Years Director of Projects & 1 Year VP of Research & Board member at ISSA-UK
Having spent decades looking into the darker recesses and failings within technology; Adrian has recently turned his attention to the darker recesses and failings within the human beings that work with the technology…
Patient Safety And Human Factors Engineering Spring2006Carolyn Jenkins
The second Power Point in a 3 part seminar for nursing students during their medical surgical clinical rotation.
Adapted from Dr. John Gosbee MD, MS
VA National Center for Patient Safety
Tool Kit Available at www.patientsafety.gov in 2005.
Guest lecture: Human Factors in Healthcare Applications for the BME Dept. at ...Monica Weiler, Ph.D.
Often times, front-end research and human factors are ignored resulting in negative impact on the user experience. This lecture covers three healthcare applications where addressing Human factors and capturing the emotional experience would make a big difference. This lecture was given to 250 Biomedical Engineering students from SRM University in Chennai, India.
Local news media is interested in EMS when it is at its best—saving lives—or at its worst. The coverage you receive is a reflection of intentional pre-planning and relationship building as well as inadequate preparation for sentinel events – collisions, thefts, billing fraud, LODDs, and at-work arrests. This session explores the best practices of several agencies who excel at media relations and the trends in news coverage that expose opportunities for policy change and training improvement. The session concludes with several insights about opportunities to better align field providers with mission of the EMS agency.
Greg Friese, MS, editor-in-chief of EMS1, is an experienced writer, paramedic and educator. Friese presented these slides at the 2016 Pinnacle EMS leadership forum in San Antonio.
Social Media Concepts and Tools for EMS EducationGreg Friese
Social Media Concepts and Tools for EMS Education presented to EMS educators and trainers at the 2015 Arrowhead EMS Association conference by Greg Friese in Duluth, Minnesota
Integrating Smartphones and Tablet Devices into Fire and EMS EducationGreg Friese
Integrating Smartphones and Tablet Devices into Fire and EMS Education presented at International Society of Fire Science Instructors Fall Conference at the Ohio Fire Academy
Cheating in EMS Education - Slides for EMS World 2014Greg Friese
Slides I intended to present on November 11, 2014 at EMS World Expo. Due to severe weather in the upper midwest I was unable to fly to Nashville and present. The slides are provided to any attendees that may be interested in the content of this presentation.
Integrating Smartphones Into EMS EducationGreg Friese
Integrating Smartphones Into EMS Education presented by Greg Friese, MS, NREMT-P at August 2013 National Association of EMS Educators Symposium in Washington DC.
CentreLearn Solutions - online training for fire departments and EMS agenciesGreg Friese
Learn about the CentreLearn Solutions learning management system, the premier online training for fire departments and EMS agencies. With an industry leading course library and unparalleled customer support your department can begin training online quickly. Many features allow automation of tasking and reporting. CECBEMS approved CE courses for EMTs and Paramedics, as well as a large library of courses for firefighters will help your organization meet its annual training requirements
CentreLearn Solutions - online training for fire departments and EMS agenciesGreg Friese
Learn about the CentreLearn Solutions learning management system, the premier online training for fire departments and EMS agencies. With an industry leading course library and unparalleled customer support your department can begin training online quickly. Many features allow automation of tasking and reporting. CECBEMS approved CE courses for EMTs and Paramedics, as well as a large library of courses for firefighters will help your organization meet its annual training requirements
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
6. …pilot had made and received
multiple personal calls and text
messages…while the helicopter
was being inspected and prepared
for flight, during the flight, on the
helipad…making mission-critical
decisions about continuing or
delaying due to fuel situation,
and during the accident flight.
11. “…ambulance driver …
became distracted when he
took his eyes off the road
while reaching for a
company-issued tracking
device that fell to the floor.”
15. “This investigation
highlighted what is a
growing concern across
transportation – distraction
and the myth of
multi-tasking.”
NTSB Chairman Deborah A.P. Hersman.
19. “When operating heavy
machinery, whether it's
a personal vehicle or an
emergency medical services
helicopter, the focus must be
on the task at hand:
safe transportation.”
NTSB Chairman Deborah A.P. Hersman.
28. It’s not you I worry
about. It’s the crazy
people out there.
29. “A 20-year-old woman
who exchanged a series of
text messages then crashed
into a bicyclist…
convicted of homicide
by negligent operation
of a vehicle…”
34. “Medical error is...
any preventable event
that may cause or lead to
inappropriate medication
use or patient harm”
National Coordinating Council for Medication Error and Prevention
36. “More commonly, errors are
caused by faulty systems,
processes, and conditions
that lead people to
make mistakes or fail
to prevent them.”
To Err Is Human: Building a Safer Healthcare System
76. Emergency Responder Exemption
• WI Distracted Driving Law ???
• MN Distracted Driving Law
– https://www.revisor.leg.state.mn.us/statut
es/?id=169.475
– “(5) in an authorized emergency vehicle while in
the performance of official duties.”
77. Behavior Change Opportunities
• Behind the wheel
• In the classroom
• At the dinner table
• In the patient’s home
• During patient transport
78. Will you?
• Speak up
• Change processes
• Consider a pledge
• Practice focus and refocus
• Challenge exemptions
Editor's Notes
Distraction is a Real Issuehttp://www.ntsb.gov/news/2013/130409.htmlhttp://www.ntsb.gov/news/events/2013/mosby_mo/Abstract_Mosby_MO.pdf
Explanation of cognitive distractionhttp://www.youtube.com/watch?v=Ae-mO8OxXFA&feature=share&list=PL337F74DED367FDE7
“texting while driving is especially dangerous because it combines all three types of distractions.”http://www.cdc.gov/features/dsDistractedDriving/
Toggle TaskingMulti-tasking doesn’t workBrain chooses one or the other “Toggle Tasking”http://www.youtube.com/watch?v=L_Kzq2x-z7Y&feature=share&list=PL337F74DED367FDE7
91% of US adults own a mobile phone. (Pew Internet Research project)In 2011 CDC research … in the last 30 days (http://www.cdc.gov/features/dsDistractedDriving/)Almost 70% of drivers reported talking on phone regularly, fairly often, and at least once.About 31% reported reading or sending text messages or emails regularly, fairly often, and at least once.
21% of all crashes involve people talking on cell phoneshttp://www.nsc.org/safety_road/Distracted_Driving/Pages/The-Great-Multitasking-Lie.aspxAnother source, NSC video 15-25% of crashes, even while the total $ of crashes is decreasing http://www.youtube.com/watch?v=3QJ26OYVfXI&feature=share&list=PL337F74DED367FDE7
Drivers on phone – handheld or handsfree – 4x as likely to be involved in a crashhttp://www.nsc.org/safety_road/Distracted_Driving/Pages/The-Great-Multitasking-Lie.aspx
Drivers on phone – in a simulator – had reaction times slower than drivers with blood alcohol content of 0.08http://www.nsc.org/safety_road/Distracted_Driving/Pages/The-Great-Multitasking-Lie.aspxCouple that with what we know about the impact of fatigue. 18 hours without sleep can be enough to have this equivalent BAC
What is a medical error?National Coordinating Council for Medication Error and Prevention (NCCMERP) has approved the following as its working definition of medication error: “... any preventable event that may cause or lead to inappropriate medication use or patient harm, while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems including: prescribing; order communication; product labeling, packaging and nomenclature;compounding; dispensing; distribution; administration; education; monitoring; and use”http://amcp.org/WorkArea/DownloadAsset.aspx?id=9300
“Good person doing what they think is the right thing to do.”Paul MisasiSedgewick County EMSListen to Part 1 http://www.emseducast.com/archives/1166Listen to Part 2 http://www.emseducast.com/archives/1179
Medication errors aren’t the fault of an individual forgetting or not using the 5 Rights, 6 Rights, or 10 Golden Rules of Medication administrationAnd the prominent Institute ofMedicine report To Err Is Human: Building a Safer Healthcare System notes:“The majority of medical errors do not result from individual recklessness or the actions of a particular group—this is not a ‘bad apple’ problem. More commonly, errors are caused by faulty systems, processes, and conditions that lead people to make mistakes or fail to prevent them.”26
Lecture 1 System Analysis Slide – in a discussion of 10 key elements of the medication system from the Learning Aids: Medication Errors, 2nd EditionFrom the American Pharmacists Associationhttp://www.pharmacist.com/learning-aids-medication-errors-2nd-editionKeep in mind that is mostly aimed at pharmacists, nurses, etc.
There are a lot of things that contribute to distraction … Fatigue StressHungerEnvironmentCulture – how we act in workspace
My ScriptNAME of Partner… Please put down the phone and focus on driving. Our patient is expecting us to arrive ready and able to care for their emergency. My kids are counting on me getting home safely at the end of this shift. To meet their expectations I need your help. I also promise that I will do everything I can to make sure you get home safely from this shift.
Decreasing Disruptions Reduces Error http://www.nursezone.com/Nursing-News-Events/more-news.aspx?ID=18693Disruptions and interruptions… take lots of forms …
http://www.marylandpatientsafety.org/html/education/solutions/2010/documents/communication/Medication_Interruptions_and_Distractions.pdfDistraction – diverts attentionInterruption – causes stop and restart
From http://www.grhosp.on.ca/epulseaugust2012 “While managing the care for high volumes of patients, staff on the bustling unit identified that nursing staff dealt with multiple interactions at the same time as they’re entering medication orders or getting medication ready for patients.Staff analyzed total medication errors over a three month period on the surgical inpatient unit. The study revealed that up to a third of the mistakes were linked to distractions from avoidable interruptions.Staff members have created a “No Interruption” policy, that uses signs and special uniforms to identify areas in which staff are not to be interrupted while doing certain work.”
Grand River Hospital has implemented http://www.grhosp.on.ca/epulseaugust2012SignsSpecial uniformsTo notify other staff to not interrupt nurses preparing and administering medications.
The following Patient Safety event was entered into the EVENT system today, August 1, 2013, at 5:28pm CDT. The record may have been altered to remove identifiers or for other administrative purposes.Description: Close-Call. While preparing two medications for patient administration, the medic preparing them started drawing one from a vial of Adenocard, 6 mg/2 mL when they intended to prepare Zofran, 4 mg/2 mL. The other medic caught the mistake while it was being withdrawn from vial. No patient harm.Cause: Crew reviewed and believes that the primary contributor was multiple distractions from too many 1st responders & their wanting to converse while medic was working on preparing multiple syringes. Both correct med. syringes were then properly labeled & medication check procedures completed before administration. Confused vials were also the same physical size.
No Interruptions Please: Impact of a No Interruption Zone on Medication Safety in Intensive Care Unitshttp://ccn.aacnjournals.org/content/30/3/21.short
From Johnson County Med ActCardiac Arrest Check List and Pit Crew Procedure
From Johnson County Med ActCardiac Arrest Check List and Pit Crew Procedure
From Johnson County Med ActCardiac Arrest Check List and Pit Crew Procedure
Processes help get you back on track, as well as signaling a no interruption zone – time and place. Conversations that are scripted/organized need to be practiced and consistently used. http://www.kagoon.com/journal-of-emergency-primary-health-care-jephc-vol-7-issue-3-2009-article-990374/main“The „crosschecking‟ measure is also viewed by Jenson et al as the most effective single measure to reduce medication error.”
Draw attention to …Poor communicationInterruptionsPreoccupation Task Saturation
Innovative approaches to reducing nurses' distractions during medication administration.http://www.ncbi.nlm.nih.gov/pubmed/16022030
http://www.everyonegoeshome.com/seatbelts/International First Responder Seatbelt Pledge
http://www.everyonegoeshome.com/seatbelts/International First Responder Seatbelt Pledge
Reviewing and taking pledge could be a class activityNo texting and driving pledgesItCanWait.comhttp://www.itcanwait.com/?WT.srch=1&wtPaidSearchTerm=don%27t+text+and+drive+pledgeNoPhoneZonePledge.comhttp://nophonezonepledge.org/Focus Driven – advocates for cell-free drivinghttp://www.focusdriven.org/
Digital Paramedic – Distraction TriageJob Action SheetEssential ResponsibilitiesSilence phoneTurn off notificationsReduce inputs Prioritize incoming transmissions – with rules and filters
TeXTe - Emergency SMSAnyone with the “code” word can get a text message to you … even when phone is on silent. https://play.google.com/store/apps/details?id=ravid.dev.esms
Stop receiving emailsLook for “Unsubscribe” in the fine print.
… app … needs to be turned onAT&T Driver Modehttps://play.google.com/store/apps/details?id=com.drivemode
Time to be able to check a pulse, count breaths, listen to heart sounds, listen to lung sounds
Collect a SAMPLE history, perform a head to toe exam, start an IV, review a protocol and calculate a medical dosage
Read a book chapterResearch and write a portion of a presentationListen to a lecture
Create distractions for driverManual – ask driver to open map bookCognitive – driver to recall and explain a driving near miss or accident Visual – Point to a location on a mapCombination – read and reply to a text message
Plan and deliver an injury prevention program … Distracted Driving
Injury prevention efforts … EMS involvement with anti-distracted driving campaignshttp://news.vanderbilt.edu/2013/05/vanderbilt-county-superstar-tim-mcgraw-share-important-message-regarding-dangers-of-distracted-driving/Highway Don’t Care Music Videohttp://www.youtube.com/watch?v=KmxaY_OVvWA#at=279
NewYork Times, March 2010http://www.nytimes.com/2010/03/11/technology/11distracted.html?pagewanted=all
In Minnesota … as is the case with many other states … “It is illegal for drivers to read/compose/send text messages and emails, or access the Internet using a wireless device while the vehicle is in motion or a part of traffic —including stopped in traffic or at a traffic light.”https://dps.mn.gov/divisions/ots/distracted-driving/Pages/default.aspx