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Distraction is Deadly
SlideShare.net/gfriese
EveryDayEMSTips.com
Not Urgent
Not Important
Urgent
Not Important
Not Urgent
Important
Urgent
Important
Disable Notifications
Friend Request
Tagged in a Photo
Comment on Post
Added/Removed
New Follower
X
X
X
X
X
98% 74%
Know Danger
Do it Anyway
…pilot had made and received
multiple personal calls and text
messages…while the helicopter
was being inspected and prepar...
Types of Distraction
1. Manual
2. Visual
3. Cognitive
Manual Distraction
Voice to Text
Visual Distraction
“…ambulance driver …
became distracted when he
took his eyes off the road
while reaching for a
company-issued tracking
dev...
Cal Fire unit chief… “had
been texting a few minutes
before the crash and had
been talking on his phone
using a hands-free...
Cognitive Distraction
Distraction Type
Distraction Type
Texting
ON
OFF
TASK 1 TASK 2
ON
OFF
“This investigation
highlighted what is a
growing concern across
transportation – distraction
and the myth of
multi-taskin...
Multi-Tasking Lie Infographic
• http://www.nsc.org/safety_road/Distra
cted_Driving/Pages/The-Great-
Multitasking-Lie.aspx
ON
OFF
TASK 1 TASK 2
ON
OFF
ON
OFF
TASK 1 TASK 2
ON
OFF
Incident
Patient
Assessment
Narrative
Signatures
Billing
Vital Signs
Cardiac Monitoring
AVPU
Pulse
RR
SpO2
EtCO2
BG
GCS
Te...
ON
OFF
TASK 1 TASK 2 TASK 3
ON
OFF
ON
“When operating heavy
machinery, whether it's
a personal vehicle or an
emergency medical services
helicopter, the focus mu...
New York Times
Gauging Your Distraction
http://nyti.ms/qgCETw
ON
OFF
Driving
Train
TASK 1 TASK 2 TASK 3
ON
OFFUsing
Phone
ON
OFFLooking
at Paper
ON
OFF
Driving
Medic
TASK 1 TASK 2 TASK 3
ON
OFFUsing
Phone
ON
OFFLooking
at MDT
We Know…
91%
5%
9%
21%
4x
0.08
“…Secondary tasks
requiring drivers to look
away from the road ahead,
such as dialing and texting,
are significant risk fa...
F.O.S
Driving
Simulator
Manual
Distraction
Visual
Distraction
Cognitive
Distraction
It’s not you I worry
about. It’s the crazy
people out there.
“A 20-year-old woman
who exchanged a series of
text messages then crashed
into a bicyclist…
convicted of homicide
by negli...
Distraction
Patient Care
Self
Partner
Community
Patient
Response Assessment Treatment Transport
Risk of Distraction?
“Medical error is...
any preventable event
that may cause or lead to
inappropriate medication
use or patient harm”
Nationa...
“Good person doing what
they think is the right
thing to do.”
“More commonly, errors are
caused by faulty systems,
processes, and conditions
that lead people to
make mistakes or fail
t...
Draw up and administer…
Problems With Environmental
Factors and Staffing Patterns
• Lack of space, crowded and disorganized
storage
• Poor lightin...
Culture: How we act in workspace
Give Kids
a Script
Can I bother you
real quick?
Task Interruptions
1.
2.
3.
4.
5.
Distraction
“… up to a third of the
mistakes were linked
to distractions from
avoidable interruptions.”
Medication
Safety
Zone
DO NOT
DISTURB
Paramedic
Doing
Math
Close Call
Reported 8/1/2013
No Interruption Zone
Med
Cart?
Checklist
Checklist
Other
read back
opportunities
“Checklists and signage can
be used as reminders to
reduce distractions, and
are simple, inexpensive
tools for medication ...
Paramedic Class Schedule
Reading Review (device free)
Cardiac Lecture (Shared Google Doc notes)
**Break**
(Ins, Outs, and ...
Listen close to
what I am about
to say...
You need to
know this…
Standby for
priority traffic…
I pledge to…
NO PHONE
ZONE
DISTRACTION
ANSWER IGNORE
Important?
Urgent?
There’s an app…
There’s another app…
Unsubscribe
g***@centrelearn.com
Focus Time
Injury Prevention
Group Project
Awareness
Behavior Change
Amerilert First
Responder
Emergency Responder Exemption
• WI Distracted Driving Law ???
• MN Distracted Driving Law
– https://www.revisor.leg.state....
NO PHONE
ZONE
Behavior Change Opportunities
• Behind the wheel
• On scene
• In the training room
• At the dinner table
• In the patient’...
“But when we’re caring
for their loved ones,
they expect our competence,
our undivided attention,
our concern, our gentlen...
Will you?
• Speak up
• Change processes
• Consider a pledge
• Practice focus and refocus
• Challenge exemptions
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
Distraction is Deadly
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Distraction is Deadly

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Distraction is Deadly in driving, patient care, and education presented by Greg Friese at Arrowhead EMS conference in Duluth, Minnesota January 2015.

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Distraction is Deadly

  1. 1. Distraction is Deadly
  2. 2. SlideShare.net/gfriese EveryDayEMSTips.com
  3. 3. Not Urgent Not Important Urgent Not Important Not Urgent Important Urgent Important
  4. 4. Disable Notifications Friend Request Tagged in a Photo Comment on Post Added/Removed New Follower X X X X X
  5. 5. 98% 74% Know Danger Do it Anyway
  6. 6. …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.
  7. 7. Types of Distraction 1. Manual 2. Visual 3. Cognitive
  8. 8. Manual Distraction
  9. 9. Voice to Text
  10. 10. Visual Distraction
  11. 11. “…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.”
  12. 12. 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.”
  13. 13. Cognitive Distraction
  14. 14. Distraction Type
  15. 15. Distraction Type
  16. 16. Texting
  17. 17. ON OFF TASK 1 TASK 2 ON OFF
  18. 18. “This investigation highlighted what is a growing concern across transportation – distraction and the myth of multi-tasking.” NTSB Chairman Deborah A.P. Hersman.
  19. 19. Multi-Tasking Lie Infographic • http://www.nsc.org/safety_road/Distra cted_Driving/Pages/The-Great- Multitasking-Lie.aspx
  20. 20. ON OFF TASK 1 TASK 2 ON OFF
  21. 21. ON OFF TASK 1 TASK 2 ON OFF
  22. 22. Incident Patient Assessment Narrative Signatures Billing Vital Signs Cardiac Monitoring AVPU Pulse RR SpO2 EtCO2 BG GCS Temp Pain
  23. 23. ON OFF TASK 1 TASK 2 TASK 3 ON OFF ON
  24. 24. “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.
  25. 25. New York Times Gauging Your Distraction http://nyti.ms/qgCETw
  26. 26. ON OFF Driving Train TASK 1 TASK 2 TASK 3 ON OFFUsing Phone ON OFFLooking at Paper
  27. 27. ON OFF Driving Medic TASK 1 TASK 2 TASK 3 ON OFFUsing Phone ON OFFLooking at MDT
  28. 28. We Know…
  29. 29. 91%
  30. 30. 5% 9%
  31. 31. 21%
  32. 32. 4x
  33. 33. 0.08
  34. 34. “…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
  35. 35. F.O.S
  36. 36. Driving Simulator Manual Distraction Visual Distraction Cognitive Distraction
  37. 37. It’s not you I worry about. It’s the crazy people out there.
  38. 38. “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…”
  39. 39. Distraction
  40. 40. Patient Care
  41. 41. Self Partner Community Patient Response Assessment Treatment Transport Risk of Distraction?
  42. 42. “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
  43. 43. “Good person doing what they think is the right thing to do.”
  44. 44. “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
  45. 45. Draw up and administer…
  46. 46. 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
  47. 47. Culture: How we act in workspace
  48. 48. Give Kids a Script
  49. 49. Can I bother you real quick?
  50. 50. Task Interruptions 1. 2. 3. 4. 5. Distraction
  51. 51. “… up to a third of the mistakes were linked to distractions from avoidable interruptions.”
  52. 52. Medication Safety Zone DO NOT DISTURB
  53. 53. Paramedic Doing Math
  54. 54. Close Call Reported 8/1/2013
  55. 55. No Interruption Zone Med Cart?
  56. 56. Checklist
  57. 57. Checklist
  58. 58. Other read back opportunities
  59. 59. “Checklists and signage can be used as reminders to reduce distractions, and are simple, inexpensive tools for medication safety.”
  60. 60. Paramedic Class Schedule Reading Review (device free) Cardiac Lecture (Shared Google Doc notes) **Break** (Ins, Outs, and Inbox) ACLS scenarios (ACLS review app)
  61. 61. Listen close to what I am about to say... You need to know this… Standby for priority traffic…
  62. 62. I pledge to…
  63. 63. NO PHONE ZONE
  64. 64. DISTRACTION
  65. 65. ANSWER IGNORE
  66. 66. Important? Urgent?
  67. 67. There’s an app…
  68. 68. There’s another app…
  69. 69. Unsubscribe g***@centrelearn.com
  70. 70. Focus Time
  71. 71. Injury Prevention Group Project
  72. 72. Awareness Behavior Change
  73. 73. Amerilert First Responder
  74. 74. 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.”
  75. 75. NO PHONE ZONE
  76. 76. Behavior Change Opportunities • Behind the wheel • On scene • In the training room • At the dinner table • In the patient’s home • During transport
  77. 77. “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.
  78. 78. Will you? • Speak up • Change processes • Consider a pledge • Practice focus and refocus • Challenge exemptions

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