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
September 26, 2019
Every day when we feed out hay, the old man insists that we count all the cattle.
It’s not necessarily all that easy, though if I concentrate and take care to spy the calves between the cows, it is possible to get the count right the first or second time.
The interesting thing about being so focussed on counting is that it means we miss things that would otherwise seem obvious.
Like a subtle change in the condition of an animal or the environment that would alert us to potential problems or flag some action we might need to take.
The same thing happens in the governance of healthcare.
We get so busy counting the numbers that we don’t see the slip in the safety culture.
See here now!
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