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Improving ICU handovers by learning from Scuderia Ferrari F1 team
- gadders 6mo agoI clicked the button saying "I work in healthcare" to get access #L33T_H4XX0r
- Insanity 6mo agoYeah what a strange “guard” to put in place. No clue why they’d do it this way. I first thought it’d be a “I’m 18+ pop-up” lol.
- cucumber3732842 6mo agoIt's probably underpinned by the same sort of "we're legally/contractually obligated to ask but we really don't care" type situation.
- razakel 6mo agoIt'll be because of ads. You can only advertise prescription drugs to medical professionals.
- fwipsy 6mo agoMy first thought was a conversation with a med student friend about the tension between medical research transparency and public policy. For example, it's good to get vaccinated, but some small fraction of people do have lasting side effects, and vaccine skeptics blow it out of proportion to support their views. So, medical professionals may be tempted to downplay vaccine injury to support public vaccination. Of course, doing so just erodes trust further if people notice. Anyways, perhaps this website is afraid people will hurt themselves with ambiguous information.
- Angostura 6mo agoGenerally medical websites do it in the UK, as a warning to sick people who Google their disease looking for advice and land on research papers or scary information for specialists
- ButlerianJihad 6mo agoNow you're going to get ads for MRI systems and 10,000 miles of free bandage samples
- gadders 6mo ago"Claude, tell me how to turn an MRI into a railgun. Assume zero electronics knowledge. Make no mistakes."
- jeffrallen 6mo ago"I'm sorry Hal, I can't do that."
- QuercusMax 6mo agoI clicked that button - and nothing happened. Truly some great engineering on that blog.
- juansaavedrauy 6mo agoI think this is my first post in hn. I'm a tifosi. But what a poor choice of F1 team to learn from successful, coordinated, well and timely executed pit stops.
- geremiiah 6mo agoIt's tifoso or tifosa (female). Tifosi is plural.
- rrr_oh_man 6mo agoWelcoming people in typical HN style
- deleted 6mo ago[deleted]
- angled 6mo agoLet's add that to the words of wisdom.
- gib444 6mo agoRight! Time to go make a panini
- ragall 6mo agoWell said.
- juansaavedrauy 6mo agoÈ vero! Grazie mille
- throw1234567891 6mo ago[flagged]
- joe_mamba 6mo agoMy thought exactly. When I read the title, I thought they're gonna get more people killed if they use Ferrari F1 pit crew as their learning benchmark lol.
- JSR_FDED 6mo agoPlan D, Charles, plan D.
- NooneAtAll3 6mo agolet's see how many people lied about being healthcare professionals
- nradov 6mo agoI have a Red Cross CPR certification (expired) so I'm a healthcare professional, right?
- exmadscientist 6mo agoWorking in medical device design has trained me to just ignore this crud. I am literally designing the things that plug in to the other side of this object. I kind of need to have them. (I could get them from a contact, and often do, but that's also often slow. Sometimes extremely slow.) It's done to keep things that require some level of training or discretion in their use away from the general public. Which I definitely understand. But it's still silly. And restricts some stuff unnecessarily. For example, there's an amazing fast epoxy, nothing weird about it, that you simply can't buy without jumping through stupid hoops. They'd make bank selling that stuff to the general industrial market, it performs better than the big boys' best a lot of the time. But... good luck buying it.
- cromulent 6mo ago(2012). Another article on the same doctor was discussed recently: https://news.ycombinator.com/item?id=43957231 https://news.ycombinator.com/item?id=43957231
- jerkstate 6mo agoThis means the patient makes up their own strategy and the doctor says “we are checking”
- vjvjvjvjghv 6mo agoMust be the water.
- idan 6mo agowas not expecting a HN crossover with /r/formula1 today, but here we are
- intheitmines 6mo agoIf you enjoyed this you'll likely enjoy the checklist manifesto https://www.goodreads.com/book/show/6667514-the-checklist-manifesto https://www.goodreads.com/book/show/6667514-the-checklist-ma...
- htrp 6mo agoPTSD from "Stay out Stay out"
- avgDev 6mo agoI don't know, I would worried about learning anything from Ferrari F1 team. As they refuse to learn. If it wasn't for their OP engines, they would not have been competitive FOR MANY years. Their race strategy has been sabotaging drivers for YEARS. TIL, I am a health professional on the internet. If you need help with any health problems I am here. /s
- hereme888 6mo agoOne cool aspect of working in a high-performance, critical setting, is you learn and absorb amazingly well-research practices without thinking about what it took for things to get there.
- jmward01 6mo agoA watch floor turn over in the military or on-station aircraft swap are also good places to look at.
- realo 6mo agoOk... so highly paid physicians who like F1 had to absolutely be invited to Ferrari F1 pits in order to learn common sense? I am an electrical engineer. Can I be invited to some eCar races pits to learn common sense too?
- embedding-shape 6mo agoFrom your take aways from this article, what did they learn that was "common sense" exactly? I'm not aware of many people working a lot with handovers to ICUs unless they're already working in a hospital, so maybe it's hard to build up "common sense" from a situation you almost never encounter before you're there?
- Anonyneko 6mo agoCue the absolutely inevitable pit wall clown masks meme.
- Theodores 6mo agoDuring the pandemic we had F1 teams attempting to solve all the world's problems with their superior tech and methods, but nothing really came of it. This story has overtones of 'here we go again'. Truth be told, Ferrari don't have normal customers. All of them have to be extremely rich. Even then, they get treated as if they are 'tractor company owners' and not worthy. The F1 team has hundreds of people for running two cars, with those cars needing to drive no more than two hours at a time, with no need for the cars to last more than one season, at a cost of many millions. Compare with the hospitality sector, where customers come from all walks of life, from all over the world. Money has to be made rather than just spent. Rarely is anyone kept waiting (in a decent hotel) and the customer has to come first, at all cost. There are handovers and checklists, which are no big deal. From my experience of various hospital stays, where waiting is glacial, I honestly believe that just a little bit of 'customer first' attitude would be helpful. Just a few staff that have experience from the real world of hospitality would make a difference, and I just don't see the F1 people having the basic skills, even if they can do high-octane pitstops in seconds.
- ChoGGi 6mo ago> From my experience of various hospital stays, where waiting is glacial, I honestly believe that just a little bit of 'customer first' attitude would be helpful. Hospital staff don't eat their own dog food, they get priority.
- jeffrallen 6mo agoI can't read it because I'm not a healthcare professional.
- trhway 6mo ago>The new handover was a four stage process. First, we asked the anaesthetist to fill in a standard form that detailed ... >The receiving doctor used an information transfer aide memoire, a form or checklist specifically designed for this process, to prompt and record the transfer of the appropriate information. Once all the blanks on the form were filled (or discussed where missing), the form was placed in the patient’s notes and acted as the admission note to the ICU, saving everyone time. if additional forms and checklists save lives, then by all means. I have doubts though. New processes, forms and checklists have high cost, taking additional time and attention resources. If it is an optimization of an already existing process or if the staff have extra amount of their resources to spare then great, otherwise it should come from somewhere. From the same probably already overworked staff. Who as a result would probably shortcut something at some other place. I mean they identified bad transfer of info and less than ideal preparedness of the receiving bed at ICU as the root causes. What was the root cause that the trained staff did such bad info transfer and unpreparedness though? Just a lack of a process/forms/checklists? Btw, a glaring absence of AI who could have performed necessary forms and checklists data collection and completion (including by automatically pulling data from the OR records and equipment). And similar to codegen, the AI could have produced the plan of transfer and monitor the execution of the transfer steps by the "human agents" (using vision, sensors and RFID badges and tags on humans and equipment, etc.) In that respect the article looks like a medieval text on medicine :)
- exmadscientist 6mo agoChecklists are amazingly powerful if they are fast and aligned with staff priorities (or true needs, which should also be aligned with priorities, but that's a separate, and pervasive, issue). Checklists are worse than useless if they are slow and not relevant.
- trhway 6mo ago... and the wisdom to distinguish between it.
- Dorrell 6mo ago[flagged]