Sunday, May 31, 2009

Patiala Health Foundation Launches SevaMobile Trauma Initiative

FOR IMMEDIATE RELEASE: Organization focuses on ways to combat traffic and provide critical and emergency trauma care to those in need.

(Weirton, WV / Patiala Punjab India) - The Patiala Health Foundation, a registered 501-C3 non-profit based in the United States, has started its second phase of providing critical health care services to those in need. Today the organization is announcing the launch of three “SevaMobiles”, or charity vehicles, that will bring trauma care to injured people instead of waiting for them to get to hospitals.

The SevaMobile Initiative is a major innovation in Indian healthcare because it will shorten the time from emergency call to treatment by 50 percent. For many, these precious minutes can be the difference between life and death. Traffic in major metropolitan areas is a two-pronged danger in India. Firstly, many trauma deaths are caused by automobile accidents and secondly, the traffic itself slows down the ability for care professionals to reach victims and transport them to hospitals.

Trauma-related deaths occur every 1.9 minutes in India, according to a 2004 report in the Indian Journal of Critical Care Medicine [IJCCM]. With traffic increasing, trauma will move from its current ninth position to become India’s third leading cause of death by 2020. The 10 percent increase in deaths from injuries in Punjab between 1983 and 1992 demonstrates the urgent need for trauma facilities in the region.

The SevaMobile Initiative will consist of a fully functional mobile trauma unit that also provides emergency critical care on site. In addition to this ambulance, two SevaMobile motorcycles will also be able to navigate through traffic and narrow roads to provide first response immediate care and stabilization. This first level of care will allow for victims to be quickly treated while more comprehensive care, via an ambulance, is on its way. The service will be offered free to those who cannot afford medical services and will be funded by the Patiala Health Foundation.

"In our analysis of urban healthcare, we found that there were many efforts underway to build new structures and hospitals, but there was still a real need to reach victims faster," said Patiala Health Foundation's Dr. Amrik S. Chattha. "We believe the SevaMobile Initiative will be a major innovation, impacting the lives of people by treating them quickly and more efficiently. We also believe that pre-hospital care, such as that offered by the SevaMobile, should be a right to all injured victims."

The organization is currently planning to partner with public and private hospitals in the area to transport patients to larger treatments centers. Patients who cannot afford the medical fees will be treated free of charge courtesy of the Patiala Health Foundation. Those who can afford the service will pay for their care, enabling the program to partially fund itself, while also creating a longer sustainability of operations.

"We want to help those in need, but also build a system that supports itself," noted Dr. Harish Sood, another Patiala Health Foundation board member who is spearheading the SevaMobile effort on the ground in India with a collection of local trustees. Additionally, fifteen retired alumni of Patiala Medical College are volunteering their services and time to assist with the project.

SevaMobiles are planning to commence operations this winter. The project is funded by the Patiala Health Foundation whose funds have been raised by Indian-Americans across the United States through six benefit events in Ohio, California, North Carolina, New York and, most recently, Virginia. The organization is also actively looking for additional donors, corporate partners and grant giving organizations interested in improving health care for low-income citizens within India.

For more information on the Patiala Health Foundation please contact:

Patiala Health Foundation at 304-723-4151 or amrikchattha@yahoo.com.

Image source (Courtesy of Getty Images)
http://www.vscconsulting.com/dev/clients/MediaCenters/8/Ambulance%20Image_motorcycle.jpg


My source: Vijay Chattha, PHF PR Contact

Additional links:

Ideas Factory posts

DoH (2005). Taking healthcare to the patient: Transforming NHS ambulance services.

Saturday, May 30, 2009

Political shortsightedness and the power of nuclear weapons

The political expense debacle for ALL the main political parties* here in the UK and the consequences have numerously been described as 'fall-out'.

Although the lasting image is one of MPs staring into the headlights, there are many politicians who must be quietly pleased. When you listen to the leaders explain how the mess will be fixed, they appear to treat the expenses shinannighans as the problem that demands political reform. Once expenses are transparent and the public reassured then the problem is resolved and democracy will be strengthened.

As the political domain links at Hodges' model has attested for many years (and this resource merely scratches a personal political itch) politics covers rather more than 'expenses' and their governance. Long term calls for reform have included aspects of government and democracy beyond the clamour over the voting system. There is a need for global political reform and if this needs to start at a national level from the 'bottom' (literally in this case) -up then so be it. Ideally though political reform must happen in several quarters simultaneously. That is, socially, nationally and reform of the UN. This is happening and through the activism of various World Citizenry - Global Parliament initiatives that exist.

A meeting of minds is not enough: there is a need for a meeting of global consciousness. On a more mundane level - for Westminster the politicians and voters must wake up and grasp the opportunity for wider political reform.

A nuclear blast gives rise to much more than expense laden fall-out.

What about:
  • Overpressure
  • Electromagnetic pulse
  • ....?
Just like clean-up and decommissioning in the nuclear industry, reform and cleaning up the bloat and detritus of political institutions is complex, labour intensive, time consuming, scary for some. Oh yes, and probably expensive too....

*And a shot across the bows for all the others!

Hodges' model: POLITICAL domain resources

Thursday, May 28, 2009

European Science Foundation invites proposals for high-level research conferences to take place in 2011

The European Science Foundation invites scientists to submit proposals for high-level research conferences to take place in 2011 within the framework of its Research Conferences Scheme in the following scientific domains:

  • Molecular Biology+
  • Brain, Technology and Cognition
  • Mathematics
  • Physics/Biophysics and Environmental Sciences
  • Social Sciences and Humanities
This appears to provide a golden opportunity for a creative and innovative group of academics to put a proposal together. Would it be timely to revisit:
Or, to boldly go and explore:
  • conceptual frameworks for global health
  • structures in conceptual space to support health and social care
  • 21st Century models for health and social care*
  • ....?
* That include public (mental) health and health promotion.

Wednesday, May 27, 2009

W2tQ and the Nursing Times Awards 2009


Welcome to the QUAD
has entered the Nursing Times Awards -
As they say - nothing ventured....

A big thank you to all our visitors over the past three years.

http://www.nursingtimes.net/

http://twitter.com/NursingTimes



Drupalcon Paris & Drupalcamp UK Manchester

I am really pleased to have booked my ticket for Drupalcon 2009 Paris. Last summer in beautiful Szeged was quite an experience so - next Paris...

Next month though sees DrupalCamp UK in Manchester - can't wait. It says something about the power and flexibility of Drupal as to how quickly the site took shape - great job people!

Until then I keep reading and thinking about how to structure things - more to follow....

Additional links:

http://twitter.com/drupalcampuk

http://twitter.com/drupalcon

http://drupal.org/

Currently reading 'Using Drupal'

Tuesday, May 26, 2009

Informatics - Nursing: Closer than you think...?

On the face of it the world of IT seems a long way from nursing. There's a world of difference between the nuances of therapeutic touch and the usability of the latest user interface. As highlighted on W2tQ already these humanistic and mechanistic realms have information in common. People, and especially those in health and social care have a need to communicate and that involves information. If health and social care was a computer program then communication would really mess things up by being both a CONSTANT and a VARIABLE (think about it).

It is when communication breaks down that problems often arise - from the slightest misunderstanding or mishap, through to the more serious or dare we suggest fatal mistake. What we hopefully communicate is meaning and we do this through data, information and knowledge.

Information has been described as a mystical fluid (1). It is information that is the common factor between caring and informatics (and much more). Physics has its mysticism in the quantum shinannighans of Schrodinger's Cat: information - knowledge really is the key to that thought experiment. You realise the significance of information - of news - and its assimilation into knowledge for a person and their family in nursing.

Like many clinicians you find yourself in the (privileged?) position to have access to information before the individual whom it concerns. This is more about the general nursing side of the fence (if there has to be one) with its lab results and the findings of diagnostic medicine; but mental health is not without its moments. The 90+ year old finally faced with the fact that they no longer have the capacity to decide their best interest and how they make sense of that today, tomorrow. ..?

When we talk about reducing or shortening care pathways it is worth reflecting upon what that entails - beyond efficiency and outcomes? When you have life critical news of profound significance to another person, how that situation is handled, that is - with you and the 'team' operating as the 'mission critical communications channel' then it is the human-human interface that matters and you better get it right.

So don't think of IT as something remote. Don't just think of IT-informatics as a tool full-stop: think of IT as a tool that can help us with timely, accurate, secure, data processing and information sharing. Helping us individually and collectively to convey meaning, an antidote to the uncertainty often found in the clinical domain. There is a whole essay here, looking afresh at commmunication, data, information and knowledge in a clinical and social care context.

Health and social care staff are of course in the front line as information users. Yes, the agenda has shifted to knowledge as per evidence-based and knowledge management resources. For me though, constructive knowledge (and its revision, management) is the end result.

I am interested in how we -
the health and social care team and our patients, carers ...
get there.

(1) Stamper, R.K. (1985). Information: Mystical Fluid or a Subject for Scientific Enquiry, The Computer Journal, CUP, 28,3,195-199.

http://www.p-jones.demon.co.uk/infintro.htm

Monday, May 25, 2009

Congratulations to Paul Streets new Patient Voice Lead

Staying with the HSJ, this week (21 May) an 'in brief' item announces the appointment of the new Patient Voice Lead, Paul Streets - to whom I extend many congratulations! I note that:

His role includes developing methods of collecting near time patient feedback. p.8

Mr Streets could do worse than look (and listen) over here....

Hodges' model provides a person-centred, situated and multicontextual framework (across health and social care) that can be employed explicitly or implicitly. The model would also greatly benefit from and needs research and development.

While some of the comments in response to this on the HSJ site may reflect the current political-public pyrexia, perhaps they also demonstrate the need for a structured approach - an integrative and collaborative model?

NHS: Welcome to the world of churning?

In February (hey, give me chance - I am part-time!) in the HSJ was a news item about the NHS Constitution which warned of the huge bill that looms in the need to provide choice information for patients. Quoted figures c/o health economists at the Department of Health put "the best case scenario of a cost of £5.2m per year (£33,000 per PCT) 5.5 per cent of patients would need to switch providers".

We are all accustomed to switching providers when it comes to telephone, gas, electricity, TV, internet-broadband in various combinations. Some 'real' markets need their business models to recognise and take account of the fact that a proportion of the market switch service providers - in other word they churn.

You have to ask I suppose are the +ve and -ve qualities and impact of churners in these markets equivalent to those in health and social care? The future is a place and time of complex deals no doubt...

Crump, H. (2009). Huge bill looms for choice information, HSJ, February 5, p. 5.

Saturday, May 23, 2009

What is IT training? At the end of the course, shift, assessment, assignment...?

I have never been an 'IT trainer' in that formal sense, even when teaching part-time databases at City & Guilds level. In a way though I am a permanent IT trainer as people in the office working away raise a call for help that by-passes the telephone or e-mail help-desk. From a manager's perspective this is not an effective use of my time, but there it is - and there also - is the door that I often escape through to do some nursing. ...

All this though made me wonder about IT training and the different forms or levels this can take...

If you are training to be a trainer then the course is well structured and organised:
  • whether it is over 3, 5, 7 days
  • wherever the venue, London, Rome, Tokyo, or Ormskirk, West Lancashire ;)
  • whatever the application, framework or environment:
- whether it is an NHS IT solution (I remember the training pod and the trainers - a great team!)
- 'industry standard' course, such as, MCSA, MCSE, MCDST, CCNA and other computing courses.

The course has set learning objectives and even before students have enrolled consideration is given to the pre-requisites. The level of experience and ability that students should bring to the digital table; whether beginner - expert, transition from Java to Ruby or a wholesale change of career. Although the generations of software development tools (quickly) tick-by the need for training has not gone away. There still remains a language gap and that results in steep learning curves, even with the arrival of 21st century technology (or perhaps because of it?). The same applies for the training of would-be users of the software above and much more.

When it comes to IT training for nurses and other health and social care professionals, well things can be viewed differently. The technology really has become a means to an end and trainers had better remember this. Trainers need to appreciate some of that other - quite often alien - domain. Suddenly there is another language gap and steep learning curve. Reference to 'steep learning' for IT trainers of clinicians is justified here, when you see the reaction within the health domain of some general nurses when presented with mental health problems and vice-versa. Yes, that response is extreme and outdated, but it is still prevalent.

What then of students straight out of college and university? There is an opportunity for this group not only to learn specific clinical applications, but to use the applications and opportunity to learn about their job and role. Why limit yourself to 'IT Training'? Make sure the little 'c' in ICT (yes of course that is communication) is complemented by the big 'C'ommunication in nursing, health and social care - where it is so fundamental.

In this case the trainees - your audience - will thank you and who knows they might learn more than they expected about the 'system', their role and themselves.

This blog post is kindly sponsored by Joskos IT training UK

Wednesday, May 20, 2009

Complex signatures

A signature is a very personal thing and has been since writing, power and authority were formalised in pre-printing times. Today with identity theft rampant, effective means of assuring, legitimating and protecting 'signatures' of various forms is a pressing concern.

Signatures matter in health and social care and not just because of individual budgets, but there again....



If an individual is suddenly vested with a budget for personalised care, then what about our expectations of them? What are the expectations of the councils counting pennies length and breadth of the land? The creative use of budgets depends upon self-knowledge, or reliance of the knowledge and experience of others. If things are to change - this requires in the first instance, personal reflection and insight that instils the confidence to take risks, a critical degree of self awareness with a piquant of realism. In the second instance an internet portal, other resources, perhaps a person is needed gifted (indeed) with holistic oversight and awareness of the individual's 4-5 fold unique care signature and local care economy.

Signatures are not new in health care. An effective relapse signature is a difficult and personally costly resource to identify, implement and refine. And yet this invaluable currency facilitates self-care management for many people with mental health problems and long term medical conditions.

Just as our written signatures change as we age, people had better get creative to ensure individuals are equipped and can be equipped with a care signature of their own.

Yours Truly,

Tuesday, May 19, 2009

5th Cambridge Workshop on Universal Access and Assistive Technology 2010


DESIGNING INCLUSIVE INTERACTIONS
Inclusive interactions between people and products in their contexts of use

The 5th Cambridge Workshop on Universal Access (UA) and Assistive Technology (AT)


CWUAAT 2010


Fitzwilliam College, University of Cambridge, 22 - 25 March 2010

WORKSHOP THEME

The workshop theme "Designing Inclusive Interactions" reflects the need to explore the issues and practicalities of design that is intended to extend our active future lives. This encompasses design for inclusion: for the individual at home; in the workplace; for businesses and of products in these contexts. It reflects the development of theory, tools and techniques as research moves on, and also the need to draw in wider psychological, social, and economic considerations in order to gain a more accurate understanding of users' interactions with products and technology.

CWUAAT '10 is the fifth of a series of workshops that are held every two years and follows on from the highly successful CWUAAT '02, CWUAAT '04, CWUAAT '06, and CWUAAT '08.
The workshop aims to encourage wide-ranging discussion, co-operation and collaboration within and between the universal access and assistive technology research communities in the context of inclusive design. We hope this will lead to new solutions to reduce exclusion and difficulty arising from impairment with special application to our future lives, in the workplace, at home and at leisure.
The call for participation in CWUAAT is international. Contributions are welcomed from all leading researchers in the fields of Universal Access and Assistive Technology. Likely participants include computer scientists, designers, engineers, industrial representatives, therapists and practitioners, ergonomists and architects.

The workshop will focus on, but will not be limited to, the following principal topics:

1. DESIGNING ASSISTIVE AND REHABILITATION TECHNOLOGY FOR WORKING AND LIVING
2. MEASURING INCLUSION FOR THE DESIGN OF PRODUCTS FOR WORK AND DAILY LIVING
3. INCLUSIVE INTERACTION DESIGN AND NEW TECHNOLOGIES FOR INCLUSIVE DESIGN
4. ASSEMBLING NEW USER DATA FOR INCLUSIVE DESIGN
5. THE DESIGN OF ACCESSIBLE AND INCLUSIVE CONTEXTS: WORK AND LIVING
6. BUSINESS ADVANTAGES AND APPLICATIONS OF INCLUSIVE DESIGN
7. LEGISLATION, STANDARDS AND GOVERNMENT AWARENESS OF INCLUSIVE DESIGN


INVITED CONTRIBUTIONS
Long papers (6-10 pages), reporting original work relevant to the workshop themes;
Short papers/Poster presentations/ Demonstrations (1-2 pages abstract, 3-4 pages for
camera-ready copy).

PROCEEDINGS
Accepted long papers will be published as a book by Springer-Verlag, UK.
Short papers will be published separately in an official conference proceedings.
Selected long papers will appear in a special edition of the Universal Access in the Information Society (UAIS) journal published by Springer-Verlag.

IMPORTANT DATES
Deadline for submission of long and short papers, poster abstracts: 17 August, 2009
Notification of paper acceptance: 21 September, 2009
Deadline for camera-ready version of submitted papers: 26 October, 2009
Advance registration (ends): 15 January, 2010
Late registration (ends): 22 February, 2010
CWUAAT Workshop: 22 - 25 March, 2010

Paper format details will be available on the conference web-site. All papers will be reviewed by three reviewers and the accepted papers will be presented during the workshop.

Electronic submission of papers will be available via the conference web-site in due course.
http://www-edc.eng.cam.ac.uk/cwuaat/index.html

USER FORUM
Following feedback from the 2008 workshop, CWUAAT 2010 will contain a single paper session allocated as a user forum. This is intended to give users of assistive technology and beneficiaries of improved accessibility an opportunity for an oral presentation of 25 minutes. Both short and long papers will be accepted in this category and topics and themes are not restricted. We welcome academic position papers; social and research agendas, critiques of provision of technology or poor accessibility; engineering or technical papers regarding product design and usage in work and daily living.

DOCTORAL CONSORTIUM
As one of the most praised aspects of CWUAAT 08, the event will this time include an extended Doctoral Consortium. This will take place on Monday 25th and will share the day with registration only. The main conference sessions will start on the Tuesday 26th.
Candidates who submit to the doctoral consortium will be able to attend the workshop at a greatly reduced registration and 10 places have been allocated for this purpose. The two presentations judged to be the best by the consortium panel will win a podium presentation in the main workshop.

DEMONSTRATIONS
It is hoped that participants will be able to gain hands-on experience with working systems. Space and time will be available for demonstrations of software and hardware.

CONTACT INFORMATION AND EXPRESSIONS OF INTEREST TO

pat.langdon at eng.cam.ac.uk
cwuaat-enquiries at eng.cam.ac.uk

Ms Suzanne Williams,
Department of Engineering,
University of Cambridge,
Trumpington Street,
Cambridge,CB21PZ
United Kingdom
E-mail: sw439 at eng.cam.ac.uk

ORGANISING COMMITTEE
Dr Patrick Langdon, Engineering Design Centre, University of Cambridge
Prof John Clarkson, Engineering Design Centre, University of Cambridge
Prof Peter Robinson, Computer Laboratory, University of Cambridge


My source:
The Caring Technology Research Announcement List:
http://www.jiscmail.ac.uk/caring-tec-research

Announcement archives:
http://www.jiscmail.ac.uk/lists/Caring-Tec-Research.html

Wednesday, May 13, 2009

Teeth care



1. Brush your teeth once / twice a day prior to sleeping using a medium tooth brush.


2. Massage your gums once a day with your finger for one minute.


3. Avoid using abrasive tooth powders, salt, tobacco, etc. for cleaning the teeth.


4. Avoid use of any other person’s tooth brush.


5. Change your tooth brush atleast once every 90 days.


6. Use dental floss for removing food particles, avoid the use of pins, etc.


7. Do not smoke, use tobacco, chew gum, eat chocolate, candy etc.


8. Eat plenty of crunchy fresh vegetables and fruit.


9. In case of irregular, sharp, broken teeth, contact your dentist.


10. Do not apply medicine without consulting your doctor.


11. In case of tooth ache, gum bleeding, ulcers of the gum and cheek, white patches, etc., consult your dentist.


12. Dental check every six months; especially for growing children is essential.

Monday, May 11, 2009

Int. Nursing and Nursing Informatics Day: the big 'C' and little 'c' in nursing

12th May is International Nurses Day and International Nursing Informatics Day: so have a great day!

Even though the vast majority of people use information and communication technology in their work - and this includes nurses - there are many within and without the profession who will wonder what has nursing to do with 'IT'?

Surely 'nursing informatics' is being opportunistic in piggy-backing on the day to celebrate nursing; after all nursing is about people NOT technology? Well that is of course true, technology is a means to an end not an end in itself for nursing. Perhaps there is another way of coming at this and it lies right at the heart of -

I.c.T.
AND
nursing

It is of course: COMMUNICATION

As I have described on in several posts on W2tQ communication is the means by which health and social care professions differentiate and so define themselves. Communication practices, processes, purposes and policies also provide the foundation for standards and governance. Communication is also at the heart of I.T. and various informatics disciplines. Informatics has benefited from communication models such as the Open Systems Interconnection Reference Model (OSI Reference Model or OSI Model). Nursing and health curricula also stress communication although of course in markedly different contexts.

So where is the glue that enable nurses and informatics to spend this Day together (the degree of harmony is another post)?

The glue for me is the concept of information and the associated concepts of data and knowledge. To which we add a demographical nod to wisdom.

So to all nurses the world over whether you are in nursing, informatics or hopefully you 'work' in both: have an infoeau riche day!

Primary Health Care Specialist Group (PHCSG) Summer Conference 2009: Patient Safety – who cares?!


Patient Safety – who cares?!

Primary Health Care Specialist Group (PHCSG) Summer Conference 2009

29th June – 1st July at Chesford Grange Warwickshire

The event attracts a wide group of people including GP’s, other practice staff, nurses and allied health professionals, ICT staff, PCT staff, system suppliers and researchers.

UKCHIP Accredited towards Continued Professional Development (CPD)

Programme and online booking available at http://www.phcsg.org/

For delegate rates and to book on-line click here

Programme Topics include:
  • Clinical Risk Management
  • Clinical Safety Testing of the Care Record, and Information Governance
  • The Future of NHS IT: life after NPfIT in primary care
  • Patient Confidentiality – the current legal position
  • Practice Accreditation
  • Data Extraction from Primary Care Systems (GPES)
  • Updates on GP2GP and EPS
  • NHS Resources Centre – free training for staff
  • Care Pathways- peril or profit?
  • Use of Clinical Indications
  • Medication Safety Alerts
  • RCGP Guide – Making IT work for you
Exhibition - As well as the formal programme the conference provides an excellent opportunity for networking and is supported by an exhibition, which features many of the established IT suppliers to primary care alongside suppliers with exciting new products and services. Come and chat to exhibitors and hear how they are developing and promoting their products or services to enable “Patient Safety”.

Click HERE to go direct to on-line booking, or visit our web site www.phcsg.org for further information.

Interested in Exhibiting or Sponsorship Opportunities, or need further information?
Contact Jill Riley on +44 (0)1905 727461 or email jill at phcsg.org

Don't miss this prestigious event – BOOK NOW!

Sunday, May 10, 2009

Guidance: Breakthrough to real change in local healthcare - a guide for applications to create Health Innovation and Education Clusters (HIECs)

6 May 2009: The Department of Health is investing £10 million in the introduction of Health Innovation and Education Clusters (HIECs) across England. HIECs will be partnerships between NHS, higher education, industry and other public and private sector organisations. They will support the spread and adoption of innovation locally and strengthen professional education and training.

This guide describes the vision for HIECs, the role of HIECs in education and training, how HIECs will support innovation and the application process. This starts a period of informal dialogue with strategic health authorities (SHAs) and prospective HIEC partners, leading to expressions of interest in early September 2009 and a final announcement on the first wave of HIECs in December 2009. SHAs are co-ordinating applications and, as part of the process, they are arranging regional stakeholder events.

Contact details for the SHA in your area are included.

Published by Department of Health, UK

Review: Tackling Health Inequalities - ten years on

A review (Published: 7 May 2009) of developments in tackling health inequalities in England over the last ten years.

This report reviews developments in health inequalities over the last 10 years across government - from the publication of the Acheson report on health inequalities in November 1998 to the announcement of the post-2010 strategic review of health inequalities in November 2008. It covers developments across government on the wider social determinants of health, and the role of the NHS. It provides an assessment of developments against the Acheson report, reviews a range of key data sets covering social, economic, health and environmental indicators, and considers lessons learned and challenges for the future.

Published by Department of Health, UK

c/o Alex Scott-Samuel The Spirit of 1848 list

Tuesday, May 5, 2009

Nursing Times: Safety ytefaS :semiT gnisruN

This weeks Nursing Times includes an article by Liz Owen 'Improving compliance with the C. difficile root cause analysis tool' (2009). The piece includes a section that highlights* the importance of reflection, which together with action planning underpins the concept of root cause analysis (p.16).

There are three references in particular cited: Murphy (2002) in relation to the infection and prevention team giving leadership to staff committed to reducing health care associated infections (HCAI) rather than accepting sole responsibility for HCAI. This also entails capturing the 'hearts and minds' of staff (Shapiro, 2003) completing the root cause analysis tool (p.16). Amongst many interesting points - it was found that there were unexpected benefits too (Glanfield, 2003) notably - strengthened relationships and improved attitudes.

This reminds me of affordances in human-machine interfaces and the use of technology more generally. As Owen and others show whatever we call these unexpected outcomes they are by definition unexpected, or not readily accessible to our initial perception and reasoning. Owen found that clinical engagement and leadership proved central in this project. Is there a way to foresee more of the 'unexpected' whether barriers or benefits?

Before being able to engage with others we need to be aware and able to -


A coherent team with the inevitable chaotic-creative outliers that (just 1 or 2....) personalities bring might just help us see around the corners - an additional key asset to safety...

Murphy, D.M. (2002) From expert data collectors to interventionists: Changing the focus for infection control. American Journal of Infection Control; 30: 120-132.

Shapiro, A. (2003) Creating Contagious Commitment. Hillsborough, NC: Strategy Perspective.

Glanfield, P. (2003) Towards sustainable change and improvement. In: Pickering, S.P. (ed) Clinical Governance and Best Value. London: Churchill Livingstone.

Owen, L. (2009) Improving compliance with the C. difficile root cause analysis tool. Nursing Times; 105: 16, early online publication.

*even if that is just a subtitle?

Saturday, May 2, 2009

Drum Beat Network: Development Policy Ideas and Critique

To: Academics and other Researchers in The Drum Beat Network
From: Warren Feek - Executive Director - The Communication Initiative

Development Policy Ideas and Critique
http://www.comminit.com/en/development_policy

Dear Peter

Many best wishes. Never has consideration, analysis and debate of Development policies been more important. We would welcome your Development policy ideas, analysis and thoughts being shared through The CI's policy process [with and supported by The BBC WST].

There is a coming opportunity to give your Development policy ideas wide circulation. We will be doing a theme issue of The Drum Beat e-magasine [subscriber base of 44,000 in development action and thinking) in mid-May based on the blog submissions to the Policy section on The CI site - see http://www.comminit.com/en/development_policy

That policy site is receiving increasing access and engagement from amongst the 2,700,000 individual user sessions over past 12 months on The CI portal.

A significant and growing percentage of the CI network and user base are policy makers and funders and their support staff.

It would be excellent if you are able to blog - we encourage a substantive op-ed style (my link) - on an interest to you within the overall theme for this blogging process - namely issues of development policy. There are more details at http://www.comminit.com/en/node/286565/bbc

To participate, simply send me your blog [op-ed] contribution in whatever form you wish and we will consider and process it for possible featuring both on the policy blogging site and in the mid-May Drum Beat.

We would also welcome your comments on the present blogs that have commenced this process and can be seen at http://www.comminit.com/en/development_policy

So, if you want to join this blogging process - in the Op-Ed style we have adopted - on development policy issues and themes as featured through Policy tab at top of all pages on site - www.comminit.com - then please check out the guidance notes at http://www.comminit.com/en/node/286565/bbc and email me your contributions - wfeek@comminit.com

It would be great to have your reflections in this policy mix. Please do send your contribution.

(edited for length) ...

Thanks - Warren
--------------------
Hi Warren, Thank you for this news and invitation. A very interesting and worthy project all the more so with the use of op-ed style. I'll see what I can do - perhaps using the h2cm matrix ... Good luck! PJ

Looking forward to W2tQ posts on HealthBlogger Network!

Hi Peter Jones,

Congratulations! We have reviewed your blog and are thrilled to offer you membership into the HealthBlogger Network! Based on your blog's content, I would like to have you be part of our Healthcare Industry & Policy community. If you feel another community would be a better fit, just let me know. I would also like to offer you "Top Health Blogger" status on Wellsphere, which entitles you to a personalized badge that you can display on your blog.

Once you finish registering for the HealthBlogger Network, we will automatically republish the blog posts that you've already written and the ones you write in the future (so you don't have to re-post them yourself, and there's no extra work for you!). We will feature them not only on the community pages of the site, but also on numerous relevant WellPages, where we give users a comprehensive view of expert information, news, videos, local resources, and member postings on topics you write about. Each of your articles that are re-published on Wellsphere will include a link back to your blog, and your Wellsphere profile page will show your special status as a featured blogger on Wellsphere (and will include another link back to your blog). By connecting to the Wellsphere platform, you will greatly expand the audience for your postings, attract additional readers to your blog, and receive much deserved recognition for your efforts to improve peoples' lives.

You will also receive from us a special badge for your blog recognizing you as a Top Health Blogger, and gain access to features and functionality for your blog that we've created especially for members in the Health Blogger Network, including a custom tailored Health Knowledge Finder search widget, a Wellevation widget that provides daily motivational tips for your members, and a Wellternatives widget that offers nutrition information and healthier suggestions at popular chain restaurants.

To complete your registration, just click here and take a few moments to sign up your blog. That's it! Once you're signed up, we'll automatically connect your blog and begin publishing your blog posts and links to your blog on Wellsphere.

Congratulations on being approved to participate in the Health Blogger Network! If you have any questions, please feel free to send me an email.

Good health,
Geoff
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Geoffrey W. Rutledge MD, PhD
Chief Medical Information Officer
http://www.wellsphere.com
The HealthCentral Network, Inc.
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Many thanks Geoff this is a great development and marvellous way to help spread news of Hodges' model. I will attend to the registration details and look forward to forging a mutually beneficial partnership with Wellsphere.
One day there will be a new website / blog, but in the meantime thanks for recognising the body of work presented here on W2tQ since April 2006. PJ

Friday, May 1, 2009

NHS Talent Management 2 July 2009



Well done HSJ!

This event should be a packed house -


IMHO - of course....

There is so much latent talent out there!