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When nothing works: Greg Kelly at DFTB18

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This talk was recorded live at DFTB18 in Melbourne, Australia. With the theme of ‘Science and Story’ we pushed our speakers to step out of their comfort zones and consider why we do what we do. Caring for children is not just about acquiring the scientific knowhow but also about taking a look beyond a diagnosis or clinical conundrum at the patient and their families. Tickets for DFTB19, which will be held in London, UK, are now on sale from www.dftb19.com.

Greg Kelly is a paediatric intensive care specialist working in Brisbane. He is also a master of the power nap. In this great talk Greg reminds us that despite us making great leaps in medical knowledge it comes with the twin costs of complacency and complexity. Whether you are considering the work of James Lind or the work of the Streptomycin in Tuberculosis Trials Committee, most medical trials really fail to show any major difference.

So what does make a difference? Perhaps it is developing a culture of reliability. Listen to Greg explain…

 

 

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Braithwaite J, Hibbert PD, Jaffe A, White L, Cowell CT, Harris MF, Runciman WB, Hallahan AR, Wheaton G, Williams HM, Murphy E. Quality of health care for children in Australia, 2012-2013. Jama. 2018 Mar 20;319(11):1113-24.

McGlynn EA, Asch SM, Adams J, Keesey J, Hicks J, DeCristofaro A, Kerr EA. The quality of health care delivered to adults in the United States. New England journal of medicine. 2003 Jun 26;348(26):2635-45.

Nolan T, Resar R, Haraden C, Griffin F, Gordon A. Improving the Reliability of Health Care. Institute for Healthcare Improvement 2004.

O’Brien M. Leading Reliability Improvement for Safer Healthcare. The Cognitive Institute, 2015.

 

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