Advanced Performance(@AdvPerformHD) 's Twitter Profileg
Advanced Performance

@AdvPerformHD

We use Immersive Design to make better decisions faster and safer. #simulation Created by @petrosoniak (AP) and @HumanFact0rz (CH)

ID:1243588869641166849

linkhttp://advancedperformance.ca calendar_today27-03-2020 17:21:27

620 Tweets

617 Followers

244 Following

ORBCoN(@ORBCoN1) 's Twitter Profile Photo

If your hospital is part of the 57% who do not perform quality review following a MHP activation, you will want to attend MHP 2.0.

We have partnered with Advanced Performance to run an interactive session with focus on system improvement

Join us transfusionontario.org/en/event/massi…

account_circle
Andrew Petrosoniak(@petrosoniak) 's Twitter Profile Photo

How do I apply this practically?
1. Ensure our team pre-briefs
2. Include an equipment check in our discussion
3. Outline our priorities
4. Call out worst-case scenarios and associated plans

account_circle
Andrew Petrosoniak(@petrosoniak) 's Twitter Profile Photo

Making consistently good decisions under stress is most often related to the preparation and positioning leading up to the moment

5/

account_circle
Andrew Petrosoniak(@petrosoniak) 's Twitter Profile Photo

This reduces the importance of the real time decision making and emphasizes the preparation up front.

Thinking about positioning in advance gives you more outs in highly uncertain environments.

4/

account_circle
Andrew Petrosoniak(@petrosoniak) 's Twitter Profile Photo

How well a resuscitation goes is strongly related to
1. the right people at the bedside
2. the right equipment easily accessible
3. the right plans in place
4. a shared mental model among the team

3/

account_circle
Andrew Petrosoniak(@petrosoniak) 's Twitter Profile Photo

Sure, deciding on defibrillation at the right moment is important.

But it's even more important to have the defibrillator at the bedside in anticipation of the impending cardiac arrest. Otherwise, we waste time looking for it and we know outcomes worsen with delays to defib

2/

account_circle
Andrew Petrosoniak(@petrosoniak) 's Twitter Profile Photo

'Your position determines your future'
- Shane Parrish

This is a great insight that applies well to how we approach decision making in high stakes domains (e.g. acute care medicine).

How well a resuscitation goes isn't exclusively related to the real time decisions.

1/

'Your position determines your future' - @ShaneAParrish This is a great insight that applies well to how we approach decision making in high stakes domains (e.g. acute care medicine). How well a resuscitation goes isn't exclusively related to the real time decisions. 1/
account_circle
Advanced Performance(@AdvPerformHD) 's Twitter Profile Photo

We often observe institutions and companies try to make changes thru more education (e.g. e-modules)

Instead a far more effective tactic is designing a system that functions under various circumstances.

People forget what they're taught. The system will work as designed.

We often observe institutions and companies try to make changes thru more education (e.g. e-modules) Instead a far more effective tactic is designing a system that functions under various circumstances. People forget what they're taught. The system will work as designed.
account_circle