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 31, 2016
Professor Jane Reid!
I had the great good fortune to listen to Jane's Keynote Presentation on Human Factors at ACORN 2016.
She is an AMAZING lady!
Every word she spoke was eloquent and powerful.
She shepherded home with style each point she made:
We have a duty, a responsibility to be as well versed in human factors as we are in anatomy, physiology, pharmacology, pathology and psychology.
In comparison to Jane, I'm a ratbag.
It is a fair cop that I am disruptive. I'll accept that.
My disruption is centred firmly on rethinking and developing new mental models around solving enduring obstacles to quality and safety in the operating room.
Most have a basis in Human Factors.
My best ratbaggery, however, is reserved for demonstrating a persistent gap in our fundamental understanding:
That we assume we are professional simply because we work in an environment that seems as though it is intrinsically professional.
We forget it is our BEHAVIOUR that makes us professional, not our environment.
So allowing ourselves to be distracted whilst attending to patient care is not professional.
Bullying and harassment is not professional.
Ignoring scientific evidence that describes the psychomotor boundaries of fatigue is not professional.
Failing to provide effective, sustainable and do-able systems of work that empower the easy performance of repeatable high safety, high quality, high reliability work is not professional.
Missing opportunities to build a great (high performance) team is not professional.
Perpetuating a culture of blame is not professional.
And yet these things persist whilst my efforts to drive toward increased professionalism fail.
If my status as a mere nurse clinician and my efforts as a left-of-field cognitive labourer make me a ratbag?
So be it.
But if we disprove our ability to uptake a simple paradigm shift for the better in our determination to passively resist extrinsic motivations for affirmational change, I would ask......
Who's the ratbag now?
It's still me.
Picture by Pete:
'Sniffing the Holes in the Cheese'
It Stands to Reason.
James T. Reason!
Patient Safety Learning Awards
September 27, 2018
October 18, 2015
Letter to John Gibbs
October 17, 2018
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