[HSF] Endocarditis , Septic shock, Drug addict

[Tea Acuff]

One of the concepts in systems thinking (a short hand for how i think since i am not smart enough to think systematically) is that in adding addition pieces (in this case either protocols or individual role personel) their summation are not additive (since after all it is not "it " but a "system"), but multiplicative. This is why "one more thing" seems and feels like a marathon. It is also why adding new (and additional) perspective tends to more than increase the problems when someone else is bringing that perspective even if they "pick up" some part of the work. Think about it. 

If you have time for another example that we have discussed think about how adding the concept of resection to "repair" of mitral deficiency works.

tea



----- Original Message ----
From: Michael Firstenberg <msfirst at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Saturday, April 19, 2008 6:49:23 AM
Subject: RE: [HSF] Endocarditis , Septic shock, Drug addict

I am very eager to see how you make it work.  I have a similar meeting next week about icu staffing (ct vasc and cardiology).  All of these plans sound great until you try and get them working.  We have dabbled with different systems and few have worked.

Michael Firstenberg <msfirst at gmail.com>

-----Original Message-----
From: Hgrmd at aol.com
To: OpenHeart-L at lists.hsforum.com
Sent: 4/18/2008 9:50 PM
Subject: Re: [HSF] Endocarditis , Septic shock, Drug addict

Michael,
  That's why I'm hoping to improve care with intensivists.  I  want to thank 
you again for starting that thread last week.

Hal



**************Need a new ride? Check out the largest site for U.S. used car 
listings at AOL Autos.      
(http://autos.aol.com/used?NCID=aolcmp00300000002851)
_______________________________________________
OpenHeart-L mailing list

Send postings to:
OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and 
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------

_______________________________________________
OpenHeart-L mailing list

Send postings to:
OpenHeart-L at lists.hsforum.com

To UNSUBSCRIBE, to CHANGE email address, or to view archives:
http://mmp.cjp.com/mailman/listinfo/openheart-l

All messages transmitted by the OpenHeart-L are subject to the policies and
disclaimers posted at:
http://www.hsforum.com/listdisclaim
-----------------------------------------