Pete's Talk Notes
Below 10,000 Medical
Surgery Stat! The Game
Fatigue: An Organisational Policy
Fatigue ACORN References
Fatigue Mitigation Frameworks
Executive Level Recommendations 1
NUM's Role in Fatigue Management
Tectonic Plate Tetris Workload Theory
High Performance Health Care Teams
Antus Benner psychologica
Human Factors Study
The Art of BTT
BTT Honour Roll
BTTM Brag Board
Steve Bolsin's Letter of Recommendation
Dr Amutha Samuel's Recommendation
May 18, 2015
No matter what, the system flourishes
(An Anti-fragility response to chaos)
If you are going to repeatedly smash a system, and it seems we can't help ourselves but expect it
of healthcare, then at least design it to be smashed!
Rationalisation has led to the ultimate conclusion whereby we have removed the redundancy from
the system and expected efficiencies to compensate for the reduction in investment.
That may be ok up to a point in steady-state systems, but healthcare is anything BUT steady state.
It is a chaotic system with surges in demand, logistical overburdening and time-critical emergent
Thus rationalisation leads to fatigue and error, with dire consequences.
So if we are going to repeatedly smash a system, then we have no option but to design it to be
In fact, doing so may very well afford great opportunity compared to where we are now.
Systems of work in a chaotic system need inbuilt redundancy to enable sufficient flux to cope with
surges in demand.
We can't say "unexpected surges in demand", because we know that the probability of surges is
high, and therefore expected.
By optimising the system through evoked redundancy, we actually energise the system by
increasing wellbeing and engagement.
This may sound impossible, but the 'Below Ten Thousand' High Performance Teams methodology
gives you a roadmap to achieve exactly that.
You'd better believe it!
Patient Safety Learning Awards
September 27, 2018
October 18, 2015
Letter to John Gibbs
October 17, 2018
June 1, 2020
Weather or not
November 8, 2019
October 27, 2019
October 23, 2019
October 19, 2019
October 18, 2019
October 17, 2019
October 15, 2019
October 13, 2019
October 12, 2019