This document discusses navigating health and safety in complex times using the Cynefin framework. It provides an overview of the Cynefin framework and its five domains: simple, complicated, complex, chaotic, and disorder. It then analyzes four case studies using the Cynefin lens, examining situations that fell into the simple, complicated, complex, and chaotic domains. The case studies demonstrate how understanding the domain can help effectively sense, categorize, and respond to health and safety challenges. The document aims to help leaders and decision-makers navigate complexity through this framework.
Presentation to the Moffett Field Restoration Advisory Board May 13, 2010: EPA Five-Year Reviews, Alana Lee, EPA
A Conversation with Healthy Homes Experts Kevin Kennedy, Joe Medosch, and Larry Zarker Homeowners are asking for healthier homes. They’re buying the latest technologies in indoor air quality (IAQ) improvements. But YOU go into these homes every day–and you have an opportunity to flex your expertise and gain homeowners’ trust on this important issue. How can you bring more value to your customers and address the real, underlying causes of poor indoor air quality? In this webinar, join Pearl and three prominent healthy homes experts to learn how you can support your customers’ journeys to healthier homes, starting today. View More Webinars from Pearl: https://pearlcertification.com/webinars
This document discusses mapping clinical pathways for patients across healthcare services. It describes standardizing pathways for common conditions that involve evidence-based, multidisciplinary care plans. The pathways would identify the appropriate sequence and timing of clinical interventions and outcomes. Mapping the existing patient journey can reveal inefficiencies and waste. Redesigning pathways based on analyzing the process maps could improve quality of care, convenience for patients, and reduce costs by removing unnecessary steps.
Every clinical trial is built upon a study protocol - the cornerstone of any trial. A well-defined and written study protocol provides the blueprint for the study, defining its purpose and goals. Studies have become more complex, creating more complicated study design, which can lead to making adherence more challenging for the study team and participants. The potential risk that some aspect of the study could be done incorrectly or not comply is inherent in all studies, but particularly present in complex research. In order to help mitigate risk, advances in technology and the tools available today provide ways for us to mitigate some of the risk introduced in our clinical trials. While the study protocol is a cornerstone for the clinical trial, electronic data capture (EDC) applications have evolved in the broadest sense into technology solutions that provide us with a variety of tools to help mitigate risk.
The Carolina Healthcare System (CHS) in the Carolinas is among the leading, and largest healthcare organisations in the U.S., employing 62,000 people in 940 care locations. The system has 7,500 beds and over 12 million patient encounters every year. In its commitment to energy management, efficiency and conservation, the organisation is pursuing strategies to decrease its energy use. One such strategy is implementing programmes that encourage building facilities staff to change their behaviour. The first phase in the CHS behaviour change program, Energy Connect, is an intervention that encourages operators to detect and act on energy inefficiencies within the buildings they are responsible for. Building operators account for a small percentage of people in each building, but have a disproportionally high impact on energy use. Therefore, if they were to change their behaviours, they could dramatically reduce overall energy use. IEA DSM Task 24 and ACEEE’s Behavior and Human Dimensions of Energy Efficiency program helped the Sustainability Director of CHS to co-create a highly collaborative behaviour change field trial.
The Lean London Forum aims to share Lean solutions in the NHS by engaging in debates about Lean's strengths and weaknesses. The agenda includes presentations on using data to determine appointment needs and on applying Lean thinking in pathology. It concludes with a discussion on Lean questions and networking.
This webinar provided an overview of engaging public and patient partners in rapid reviews. It discussed the National Collaborating Centre for Methods and Tools' rapid evidence service which responds to priority public health questions from decision makers within 5-10 days by modifying rapid review processes. It highlighted challenges of tight timelines for partner engagement and solutions like training partners. Presenters from patient and researcher perspectives shared insights around meaningful engagement in rapid reviews.
The document provides training slides for dental therapists and dental nurses participating in the SENIOR trial. The SENIOR trial aims to test a "skill-mix" model of oral healthcare using dental therapists and dental nurses instead of dentists to provide care to older adults in care homes. The training covers an overview of the trial, roles and responsibilities, principles of working with medicines and older patients, and accounting for COVID-19. Trainees will learn about applying good clinical practice, working within their scope of practice, and documenting any adverse events from providing care.
The Research Design & Conduct Service recently gave a presentation to staff at the Cardiff School of Medicine to let people know about their services, advice and support, which they offer to health professionals who are in the process of developing research projects. The RDCS was funded in 2010 by the National Institute for Social Care and Health Research (NISCHR), part of the Welsh Assembly Government. Their partner organisations are Cardiff and Vale University HB, Cwm Taf HB, Aneurin Bevan HB and Powys Teaching HB. Learn more about the RDCS by viewing the presentation below and by visiting their website: http://medicine.cf.ac.uk/rdcs/
Jerry Agyei Mensah has over 3 years of experience in environmental science with a focus on RCRA hazardous waste programs and cleanups. He has a Master's degree in Environmental Science from NJIT and a Bachelor's degree from NJCU. His experience includes roles as a lab technician, facility supervisor, and sorting agent for hazardous waste cleanups. He is trained in CPR/First Aid and 40-hour HAZWOPER. Currently he works as a lab technician performing tests, maintaining equipment, and ensuring strict safety procedures are followed.
The document summarizes ThedaCare's efforts to lead a healthcare lean transformation through various initiatives. It discusses: 1. ThedaCare's healthcare delivery system which includes multiple hospitals, physician offices, behavioral health locations, and other facilities. 2. ThedaCare's approach to transforming healthcare through applying lean principles and creating better value for customers. This includes identifying value, value streams, flow, pull, and continuous improvement. 3. Examples of ThedaCare's lean projects and initiatives to redesign processes like ICU space and workflows, implement collaborative care, and achieve measurable improvements in outcomes, costs, and patient/staff satisfaction. The document outlines ThedaCare's system-wide strategy to apply
This document provides an overview of a presentation on Lean given to OFC SGC. It begins with the objectives of Lean which are to eliminate waste, improve quality and reduce costs. It then discusses the history and origins of Lean from Henry Ford's assembly line to Toyota. Key Lean concepts are defined such as identifying value-added vs. non-value added activities and the seven wastes. Examples of applying Lean tools and methods to improve processes in healthcare are provided. The presentation emphasizes the importance of leadership commitment, employee involvement and empowerment for a successful Lean transformation.
Valerie Russell has over 15 years of experience in nursing and healthcare management. She has worked in both the NHS and private care sectors, managing residential homes and acting as a regional nurse/manager. She is competent in managing complex caseloads, meeting deadlines, and delivering high quality, compassionate care. Russell strives to continually improve her knowledge, gain new qualifications in management, and make positive changes for patients.
April 18, 2015 Decision aids can be highly-effective tools to promote shared decision making and support patients in becoming engaged participants in their healthcare. Join us for the first-ever convening with leaders behind a Washington experiment in certifying decision aids, as state officials, health systems, and on-the-ground implementation experts share lessons learned and discuss policy recommendations for national or statewide approaches to decision aid certification. For more information, visit our website at: http://petrieflom.law.harvard.edu/events/details/decision-aids-for-patients-with-serious-illness
The document discusses quality improvement tools and approaches that can be used to improve patient care processes. It describes Lean, Six Sigma and the Model for Improvement as leading approaches. Key tools covered include root cause analysis, failure mode and effects analysis, SIPOC diagrams and visual management. An example scenario of reducing central line infections at a hospital is used to illustrate applying these tools and approaches to analyze the current process, identify issues, and develop countermeasures to improve outcomes.
Presented by: Gordon MacDonald, WorkSafe NZ at OHSIG 2014, Wednesday 10/9/14, Plenary session, 8.30am
The integrity and success of most critical risk management systems are often determined by the quality of safety leadership within the business. Not only do leaders need to ensure that the frontline workforce is adequately enabled to implement the appropriate critical controls at the task level, but they also need to support their workers through regular in-field reviews and verifications to ensure controls are present and effective. These infield interactions require leaders to have a mix of technical and interpersonal skills, to be able to coach the workforce to build critical control knowledge, as well as inviting open and collaborative discussions when gaps are identified, or improvement ideas are raised. Explore: - The role of the safety leadership within a critical risk management system - Interpersonal communication strategies for an effective infield critical control verification process - Understanding and responding to absent or ineffective controls - Encouraging ongoing continuous improvement within the work planning and safety management system