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We have and continue to fail those with mental health and social issues. The emergency response system as it is designed was never designed to deal with the complexities of the underlying psychological trauma and pain that leads to the varied behaviours which result in the application of force or instigating a revolving door in the emergency department or criminal justice system. It’s no wonder these problems are escalating. We are making every issue a nail and approaching it with a hammer.
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There currently exists an Apoptote (flattening of the curve), meaning we have not succeeded in eliminating the worst harm and fatalities despite all of this regulation. In fact, what modern safety science is showing, is that more regulation and compliance will not make us safer, more bureaucracy may actually be making us less safe. Much of this is associated with the on-going belief in older safety models presented by Heinrich in the safety dominos and pyramid, and also Reason with the Swiss Cheese model. These are linear cause-effect models that don’t hold true anymore.
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What is adaptive capacity? I will explore the idea of capacity in a system and explain how fire service incident command builds adaptive capacity, and how this can be translated into leadership principles.
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[As published in EMS Director Magazine 2019Q4, The official…
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The New View gives us the terminology, the tone (the language) and the platform to disrupt the paradigms that hinder our ability to be transformational leaders. The choices we make today about how we ask questions, how we create rules, how we react to failure (how we treat people) will directly impact our business performance in the future.
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CP programs are currently contributing to improved quality of care, patient safety and risk reduction. There are further identified areas where CP programs describe opportunities to further these goals. Ultimately, CP programs as part of an integrated primary healthcare team can provide a significant contribution to the patient’s lived experience resulting in improved overall quality of care, patient safety and risk reduction as part of a system that communicates well, collaborates, provides client and family interaction, measures quality for improvement and actively participates in prevention programs.
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As part of my desire and goals to enhance research literacy…
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This post is to share some of my favourite books on my favourite…
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Fatigue is a complex phenomenon that has effects on physical characteristics, cognition, behaviours, and physical and mental health. Paramedicine crosses the boundaries of many high-risk industries, namely medicine, transport and aviation. The effects of fatigue on paramedics thus need to be explored and considered in order to begin to identify appropriate interventions and management strategies.
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Studies have shown that adverse events in paramedic services occur at a rate that is similar to that of other patient care areas. For example, Vilke et al. (2007) found that 9.1% of pre-hospital treatments by paramedics involved medication errors that had the potential to be harmful. Yet another often overlooked safety concern is that the paramedics themselves are at high risk for both acute and chronic injuries, to the back, neck, arm and wrist (Maguire et al., 2005; Maguire and Smith, 2013).