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Improving ICU handovers by learning from Scuderia Ferrari F1 team

56 pointsby embedding-shapetoday at 1:05 PM50 commentsview on HN

Comments

juansaavedrauytoday at 2:20 PM

I 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.

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gadderstoday at 2:15 PM

I clicked the button saying "I work in healthcare" to get access #L33T_H4XX0r

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jerkstatetoday at 3:16 PM

This means the patient makes up their own strategy and the doctor says “we are checking”

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realotoday at 4:50 PM

Ok... 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?

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intheitminestoday at 3:19 PM

If you enjoyed this you'll likely enjoy the checklist manifesto https://www.goodreads.com/book/show/6667514-the-checklist-ma...

JSR_FDEDtoday at 3:03 PM

Plan D, Charles, plan D.

htrptoday at 3:54 PM

PTSD from "Stay out Stay out"

Anonynekotoday at 5:09 PM

Cue the absolutely inevitable pit wall clown masks meme.

hereme888today at 4:14 PM

One 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.

jmward01today at 4:20 PM

A watch floor turn over in the military or on-station aircraft swap are also good places to look at.

trhwaytoday at 7:36 PM

>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 :)

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cromulenttoday at 3:16 PM

(2012). Another article on the same doctor was discussed recently:

https://news.ycombinator.com/item?id=43957231

jeffrallentoday at 5:39 PM

I can't read it because I'm not a healthcare professional.

Theodorestoday at 5:16 PM

During 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.

NooneAtAll3today at 3:11 PM

let's see how many people lied about being healthcare professionals

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avgDevtoday at 4:05 PM

I 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