As an industry, health care is trying to reinvent itself with significant fuel from its' consumers, but the reality is that we can learn from other more advanced industries. Originally presented by the Dutch Center for Patient Safety (iPatientSafety) at a recent Health 2.0 Amsterdam event, this topic will explore the similarity between a very conservative, but very advanced industry, and the hospital setting. One key lesson that will be explored is the insidiousness of human error and how we can overcome this by engaging key stakeholders with a human being at the center.
Health 2.0 SoftServe Session: Similairty between an oil rig & hospitalEugene Borukhovich
As an industry, health care is trying to reinvent itself with significant fuel from its' consumers, but the reality is that we can learn from other more advanced industries. Originally presented by the Dutch Center for Patient Safety (iPatientSafety) at a recent Health 2.0 Amsterdam event, this topic will explore the similarity between a very conservative, but very advanced industry, and the hospital setting. One key lesson that will be explored is the insidiousness of human error and how we can overcome this by engaging key stakeholders with a human being at the center.
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The Hard Scientific Evidence Proves That The Obamacare Disaster Should Be Repealed And Not Replaced. Plus, The Single Payer Mass Delusion Must Be Killed Before It Triggers The Collapse Of American Healthcare!
Health 2.0 SoftServe Session: Similairty between an oil rig & hospitalEugene Borukhovich
As an industry, health care is trying to reinvent itself with significant fuel from its' consumers, but the reality is that we can learn from other more advanced industries. Originally presented by the Dutch Center for Patient Safety (iPatientSafety) at a recent Health 2.0 Amsterdam event, this topic will explore the similarity between a very conservative, but very advanced industry, and the hospital setting. One key lesson that will be explored is the insidiousness of human error and how we can overcome this by engaging key stakeholders with a human being at the center.
Clinical Governance Presentation by Michael Gorton AM - 21 July 2016Russell_Kennedy
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The Hard Scientific Evidence Proves That The Obamacare Disaster Should Be Repealed And Not Replaced. Plus, The Single Payer Mass Delusion Must Be Killed Before It Triggers The Collapse Of American Healthcare!
Future Humanitarian Crises: 21st Cenutry Challenges to Surgical Practice and ...Global Risk Forum GRFDavos
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You have a roadmap of how to bring your next digital innovation to market, designed to transform your business model for the future. But if the first stop on the journey of development isn’t incorporating plans for assessing quality of the end product, evaluating your overall processes, and tracking the on-going health of your development, then you are sure to discover many more costly pitfalls along the way.
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Whether you're a huge enterprise or a small start-up, you can't escape global digitalization. As digital technologies like machine-2-machine communication, device-2-device telematics, connected cars, and the Internet of Things become more integral in today’s world, more threats will appear as hackers use new ways to exploit weaknesses in your organization and products.
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
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Health 2.0 SoftServe Session: Similairty Between an Oil Rig & Hospital by Eugene Borukhovich
1. WHAT IS THE SIMILARITY
BETWEEN A HOSPITAL &
AN OIL RIG?
Eugene Borukhovich, @HealthEugene
VP Healthcare, European Markets
2. Important Message
Serge Diekstra
major hazard risk
analyst
Gert-Jan Kamps
junior risk analyst
Dutch Center for Patient
Safety in Leiden
-Naturalistic approach
-Focus on “how people are
using technology?” instead
of “how people should use
technology?”
3. “What is the most expensive accident in
oil & gas history?”
3
6. On the evening of April 20th
2010, an explosion occurs on a
drilling platform, ~50 miles off
the coast of Louisiana
A crew of 126 people: 11
deaths
Extent of the pollution: ~5
million barrels of oil
(~800 million liters)
Surface area of the oil spill:
>175.000 square miles
BP Deepwater Horizon Disaster
16. Joel Achenbach: Systematic accidents
“No one saw it coming. They
were doing routine things with
no sense of impending calamity.
They didn’t hear the ticking of
the time bomb.
The first warning, for many, was
the shaking, the trembling, the
deep and powerful vibration that
gripped the massive rig. The
Deepwater Horizon shuddered to
its bones.”
16
17. 17
Joel Achenbach: Systematic accidents
“You could think of it as
dominoes falling, except it’s
more brutal than that:
The dominoes are all
simultaneously crushed from
above.”
18. Joel Achenbach & Perrow: It gets worse
The rig had thousands of years of drilling experience
on board, but no one had ever been through
anything like this.
Many holes were poked into the system by many
participants, but no one owned the overview - the
entirety of the risk.
Maybe most shocking of all: no one on the
Deepwater Horizon was aware of the impending
disaster they had unleashed.
20. John T. James - Preventable harm in healthcare
Annually, 210.000 - 440.000 fatalities from preventable error
in US Healthcare alone.
Not included in this figure for the most part: errors of
omission.
21. “So what is the thread that runs
through oil & gas and healthcare?”
22. One of the answers:
the insidiousness of human error
24. James Reason: Human Error & Swiss Cheese Model
‘”Human error is a
consequence not a
cause.”
“We cannot change the
human condition, but
we can change the
conditions under which
humans work”