際際滷

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Performance
optimisation
@damian_roland
Are you dead?
What are we optimising?
High Likelihood Low Likelihood
Low criticality
High Criticality
What are we optimising?
Why are we optimising?
Who are we optimising?
FY1 / FY2 CMT
ACCS Paediatric HST
Medical Student
Student Nurse Band 6 ED Nurse
Trust Grade
Anaesthetics
FY1 / FY2 CMT
ACCS Paediatric HST
Medical Student
Student Nurse Band 6 ED Nurse
Trust Grade
Anaesthetics
Pharmacy
FY1 / FY2 CMT
ACCS Paediatric HST
Medical Student
Student Nurse Band 6 ED Nurse
Trust Grade
Anaesthetics
Pharmacy
Managers
Your colleagues
Where are we optimising?
Performance optimisation final
Performance optimisation final
Performance optimisation final
How are we optimising?
Performance optimisation final
Performance optimisation final
Performance optimisation final
Performance optimisation final
Performance optimisation final
Performance optimisation final
Performance optimisation final
Performance optimisation final
How much fluid did you give?
10mls/kg
How much fluid did you give?
10mls/kg
How much did they weigh?
Oh No! They didnt weigh 11kg, they were 11 years
old!
via https://emblog.mayo.edu
Simulation is the set up for the
debrief.
Perfect debrief is one in which
the instructor would say
nothing.
- Mike Sterling (NASA)
Performance optimisation final
Thanks @srrezaie
Arrogance in the face of competence
 Nassim Taleb (or the Druning-Kruger Curve)
Roland et al. A qualitative study of self-evaluation of junior doctor performance:
Is perceived safeness a more useful metric than confidence and competence?
BMJ Open 2015;5
Clinical
Performance
outcomes
Competence
Low High
Reported
Confidence
Low Safe Suboptimal
High Unsafe Safe
Performance optimisation final
Share your knowledge. It is a way to achieve immortality.  Dalai lama XIV
Google Damian Roland for email
@damian_roland
Please follow
East Midlands Emergency Medicine Educational
Media (EM3
)
@EM3FOAMed
Roland D Have we forgotten to teach how to think? Emerg Med J 2017;34:68-69
@damian_roland
Roland D Have we forgotten to teach how to think?
Emerg Med J 2017;34:68-69 @damian_roland

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Performance optimisation final

Editor's Notes

  1. Simulation is rehearsal
  2. Training Curricula / Interprofessional education
  3. Training Curricula / Interprofessional education
  4. Training Curricula / Interprofessional education
  5. Training Curricula / Interprofessional education
  6. Training Curricula / Interprofessional education