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Dear all, Just have to share with you a thought! Just finished reading Don Berwick's paper on Five system Barriers to achieving ultrasafe health care Ann Intern. Med 2005;142: 756-764 It is one of those dense papers you need a lazy afternoon to get through! However it encapsulates the issues of complexity, Safety and Quality of care well. He even Quotes Reason! I was impressed hearing Don Berwick Speak at the RCGP meeting. Suddenly various links sprang to mind particularly about complexity issues when dealing with very small numbers [10^-6] of potentially catastrophic events. I am sure this is a complexity area. It is just where does primary care vary form a high reliability organisation to an Ultrasafe organisation. My thoughts were that we to look at limitations on demand and getting away from the craftsman's attitude. Read the paper you will see what I mean. Anyway just a thought to share with like minded individuals! Kind regards Philip Dr Philip Dawson General Practitioner and Partner Dolphins Practice The Nightingale Primary Care Centre Butlers Green Road HAYWARDS HEATH West Sussex RH16 4BN Telephone 01444 414767 Fax 01444 451532 www.dolphinspractice.co.uk Important Notice: This message is intended for the attention of the person or organisation to which it has been addressed. It may contain information that is confidential, proprietary and/or exempt from disclosure by law. If you have received this message in error please be aware that the sender does not waive any confidentiality, ownership rights or privilege applicable to it. You are therefore strictly prohibited to disseminate, distribute or copy this message in any way -----Original Message----- From: Paul Bennett [mailto:[log in to unmask]] Sent: 02 November 2008 23:24 To: [log in to unmask] Subject: Re: networking Dear Soo Yes you did reply and my apologies for not getting back to you sooner. I am reading through the information that Peter sent through and discussing it with my wife Elizabeth and some of her colleagues. It appears to be a move to a form of care that is already being practiced in some areas here in Australia, but I need to continue to look closer at it. We are on an open discussion list so perhaps we can continue our discussions (Peter also if he wishes) independently then report back to the discussion group as things develop? You and anyone else can contact me at: [log in to unmask] Regards Paul >>> Soo Downe <[log in to unmask]> 31/10/2008 10:52 am >>> Dear Paul I'm not sure if I responded to you on this matter or not - if not, apologies. I would be very interested to discuss this further with you, either by email, or, next year, face to face when I am over in Australia. Best wishes Soo Professor Soo Downe Director WISH Reseach Group and ReaCH (Research in Childbirth and Health) unit Faculty of Health University of Central Lancashire Preston PR1 2HE Lancashire England UNITED KINGDOM +44 (0) 1772 893815 tel: 01772 893815 >>> Paul Bennett <[log in to unmask]> 10/13/08 12:42 am >>> Dear Soo I am also interested in some of the processes around maternity services as my wife is a midwife. From listening to her talk of the function/disfunction that occurs at times through the women's journey during her pregnancy and then postpartum I see there is a need for a closer look. At present the Australian government is conducting a review into maternity services in this country so there is an opportunity to have some constructive input into the design and delivery of services to women. I would like to contact you to further discuss the issue. Regards Paul Paul Bennett Primary Health Care Education Officer Broken Hill University Department of Rural Health - Broken Hill PO Box 457 BROKEN HILL NSW 2880 www.drh.med.usyd.edu.au Phone: 08-8080-1205 Fax: 08-8080-1258 Mobile Number: 0407-959-839 >>> Soo Downe <[log in to unmask]> 11/10/2008 12:37 am >>> My interest is in complexity, uncertainty, and salutogenesis as applied to maternity care, and, in particular, in understanding how an insight into complex adaptive processes in the physiology of pregnancy and childbirth, and in the organisation of maternity services (and organisational change) may help us to resolve some of the current dilemmas around excessive intervention in some women/populations and insufficient intervention in others, sometimes in the same geographical area or hospital. Best wishes Soo Professor Soo Downe Director WISH Reseach Group and ReaCH (Research in Childbirth and Health) unit Faculty of Health University of Central Lancashire Preston PR1 2HE Lancashire England UNITED KINGDOM +44 (0) 1772 893815 tel: 01772 893815 >>> Chris Burton <[log in to unmask]> 01/10/2008 09:58 >>> Yes we could if we want - this list is self organising! As a person brought up pre-facebook, would it be useful (at least for now) for people to send in a 1 paragraph email about who they are and what they're doing with complexity / wanting complexity to do for them? Chris Anne Cunningham wrote: > Could we have a Facebook group or some other virtual way of networking? > > Anne Marie > > > > Dr Anne Marie Cunningham > Clinical Lecturer > Department of Primary Care and Public Health > Centre for Health Sciences Research > Cardiff University > 3rd Floor, Neuadd Meirionnydd > Heath Park > Cardiff > CF14 4XN > > Tel: 02920 68 71 70 > Fax: 02920 68 7219 > -- Chris Burton MD FRCGP Senior Research Fellow, CSO Primary Care Career Award. Community Health Sciences - General Practice Section 20 West Richmond Street, Edinburgh EH8 9DX Phone 0131 650 9240 Mobile 07736 020362 [Usual research days Tuesday & Wednesday] GP Sanquhar Health Centre, Dumfries & Galloway Phone 01659 50221 [Usual practice days Monday, Thursday & Friday] ********* The University of Edinburgh is a charitable body, registered in Scotland, with registration number SC005336. ---------------------------------------------------------------------- Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of the Greater Western Area Health Service nor the New South Wales Government. ---------------------------------------------------------------------- ---------------------------------------------------------------------- Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of the Greater Western Area Health Service nor the New South Wales Government. ----------------------------------------------------------------------