distraction is deadly
TRANSCRIPT
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Distraction is Deadly
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Not Urgent
Not Important
Urgent
Not Important
Not Urgent
Important
Urgent
Important
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Disable Notifications
Friend Request
Tagged in a Photo
Comment on Post
Added/Removed
New Follower
XXXXX
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98% 74%
Know Danger
Do it Anyway
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…pilot had made and received
multiple personal calls and text
messages…while the helicopter
was being inspected and prepared
for flight, during the flight, on the
helipad…making mission-critical
decisions about continuing or
delaying due to fuel situation,
and during the accident flight.
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Types of Distraction
1. Manual
2. Visual
3. Cognitive
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Manual Distraction
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Voice to Text
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Visual Distraction
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“…ambulance driver …
became distracted when he
took his eyes off the road
while reaching for a
company-issued tracking
device that fell to the floor.”
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Cal Fire unit chief… “had
been texting a few minutes
before the crash and had
been talking on his phone
using a hands-free device
immediately before
the collision.”
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Cognitive Distraction
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Distraction Type
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Distraction Type
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Texting
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ON
OFF
TASK 1 TASK 2
ON
OFF
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“This investigation
highlighted what is a
growing concern across
transportation – distraction
and the myth of
multi-tasking.”
NTSB Chairman Deborah A.P. Hersman.
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Multi-Tasking Lie Infographic
• http://www.nsc.org/safety_road/Distra
cted_Driving/Pages/The-Great-
Multitasking-Lie.aspx
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ON
OFF
TASK 1 TASK 2
ON
OFF
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ON
OFF
TASK 1 TASK 2
ON
OFF
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Incident
Patient
Assessment
Narrative
Signatures
Billing
Vital Signs
Cardiac Monitoring
AVPU
Pulse
RR
SpO2
EtCO2
BG
GCS
Temp
Pain
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ON
OFF
TASK 1 TASK 2 TASK 3
ON
OFF
ON
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“When operating heavy
machinery, whether it's
a personal vehicle or an
emergency medical services
helicopter, the focus must be
on the task at hand:
safe transportation.”
NTSB Chairman Deborah A.P. Hersman.
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New York Times
Gauging Your Distraction
http://nyti.ms/qgCETw
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ON
OFFDriving Train
TASK 1 TASK 2 TASK 3
ON
OFFUsing Phone
ON
OFFLooking at Paper
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ON
OFFDriving Medic
TASK 1 TASK 2 TASK 3
ON
OFFUsing Phone
ON
OFFLooking at MDT
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We Know…
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91%
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5%
9%
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21%
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4x
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0.08
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“…Secondary tasks
requiring drivers to look
away from the road ahead,
such as dialing and texting,
are significant risk factors
for crashes and near
crashes, particularly among
novice drivers.”New England Journal of Medicine 2013
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F.O.S
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Driving SimulatorManual
DistractionVisual
DistractionCognitive
Distraction
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It’s not you I worry about. It’s the crazy people out there.
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“A 20-year-old woman
who exchanged a series of
text messages then crashed
into a bicyclist…
convicted of homicide
by negligent operation
of a vehicle…”
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Distraction
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Patient Care
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Self
Partner
Community
Patient
Response Assessment Treatment Transport
Risk of Distraction?
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“Medical error is...
any preventable event
that may cause or lead to
inappropriate medication
use or patient harm”
National Coordinating Council for Medication Error and Prevention
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“Good person doing what
they think is the right
thing to do.”
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“More commonly, errors are
caused by faulty systems,
processes, and conditions
that lead people to
make mistakes or fail
to prevent them.”
To Err Is Human: Building a Safer Healthcare System
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Draw up and administer…
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Problems With Environmental
Factors and Staffing Patterns
• Lack of space, crowded and disorganized
storage
• Poor lighting, excessive noise
• High patient acuity
• Deficient staffing, excessive workloads
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Culture: How we act in workspace
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Give Kids
a Script
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Can I bother you real quick?
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Task Interruptions
1.
2.
3.
4.
5.
Distraction
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“… up to a third of the
mistakes were linked
to distractions from
avoidable interruptions.”
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Medication
Safety
Zone
DO NOT
DISTURB
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Paramedic
Doing
Math
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Close Call
Reported 8/1/2013
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No Interruption Zone
Med
Cart?
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Checklist
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Checklist
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Check
Other
read back
opportunities
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Check
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“Checklists and signage can
be used as reminders to
reduce distractions, and
are simple, inexpensive
tools for medication safety.”
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Paramedic Class Schedule
Reading Review (device free)
Cardiac Lecture (Shared Google Doc notes)
**Break**(Ins, Outs, and Inbox)
ACLS scenarios (ACLS review app)
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Listen close to what I am about
to say...
You need to know this… Standby for
priority traffic…
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I pledge to…
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DISTRACTION
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ANSWER IGNORE
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Important?Urgent?
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There’s an app…
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There’s another app…
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Unsubscribe
g***@centrelearn.com
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Focus Time
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Injury Prevention
Group Project
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Awareness
Behavior Change
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Gadgets in Emergency Vehicles
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Amerilert First
Responder
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Emergency Responder Exemption
• WI Distracted Driving Law ???
• MN Distracted Driving Law
– https://www.revisor.leg.state.mn.us/statut
es/?id=169.475
– “(5) in an authorized emergency vehicle while in the performance of official duties.”
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Behavior Change Opportunities
• Behind the wheel
• On scene
• In the training room
• At the dinner table
• In the patient’s home
• During transport
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People Care, 2 Edition
“But when we’re caring
for their loved ones,
they expect our competence,
our undivided attention,
our concern, our gentleness
and our best efforts to keep
them comfortable and as
free of pain as we can.”People Care, 2nd edition. Thom Dick.
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Will you?
• Speak up
• Change processes
• Consider a pledge
• Practice focus and refocus
• Challenge exemptions
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