puts it, "People lose their egotism and pride of authorship of their ideas because all ideas in this room are tenta- tive. They can propose a solution one minute and turn around and propose exactly the opposite solution the next; nobody cares about being consistent." Covey then goes on to present detailed guidance on how to structure the envi- ronment needed to facilitate this fertile exchange of strategies and solutions. It is not uncommon during the
Magic Theater sessions for the group to feed off of each other's energy and cre- ativity in a manner that causes them to create and then converge upon a solu- tion that is better and more than any- thing offered by any one of the individu- als present. That is the definition of syn- ergy.
DON’T REINVENT THE WHEEL Concerns for safety in air medical
transport operations have been growing in recent years and various groups have been expending time and effort in addressing the problems. Those efforts should be examined by the Working Group so that useful data can be inte- grated into the process of formulating effective solutions to industry chal- lenges.
NATIONAL EMS CULTURE OF SAFETY
The National EMS Culture of Safety
Strategy project intends to create a very broad and general structure for promot- ing safety throughout all types of EMS services in the U.S. It intends to create an agency, tentatively labeled with the placeholder name National Council on Safety in Emergency Medical Services (NCSEMS). The following statements taken from
the second of what will ultimately be four drafts of the strategy document indicates the nature and scope of the project. The Strategy is positioned as a high-
level, vision-oriented effort on a nation- al scale. It does not attempt to serve as a substitute for the work of qualified
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researchers, scientists and technical experts. Rather, it is an effort to support that work by creating channels for its advancement, standardization, practical application and widespread adoption. The Strategy is intended to be well-
connected to science, best practices and trends both within and outside EMS, across the healthcare and business con- tinuum. However, the Strategy acknowl- edges that scientific support and/or suf- ficient data are not always available, and waiting until these elements are available may take many years. Indeed, a signifi- cant benefit to the Strategy itself is the potential to spur research, data systems and reporting that are currently lacking. Accordingly, the Strategy relies on a combination of proven concepts and ideas that are reasonably believed to hold promise. The Strategy’s scope is visionary
rather than prescriptive; it is not intend- ed as a safety manual, nor is it designed for practical use by individual EMS organizations. As such, it does not address highly detailed factors or make technical recommendations about vehi- cles, equipment, procedures, etc., nor does it include such detailed activities as evaluating products or technologies or setting protocols. The mission and scope of NCSEMS
is envisioned to comprise four key ele- ments for advancing a culture of safety in EMS: • A national data system for opera- tional and patient safety in EMS;
• Evolution of the EMS education sys- tem;
• Promulgation of safety standards and related information; and
• Reporting/investigation of applica- ble incidents.
OSI-HEMS Opportunities
for Safety
Improvement in Helicopter EMS Services is a research project initiated in January 2008 under the direction of Dr. Ira Blumen of the University of Chicago Air Medical Network. Unlike National EMS Culture of Safety Strategy,
the
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