- We work in a complex environment. There are three fundamental sources of complexity in healthcare: data, processes, and medical knowledge. Glaser, J. (2013). Managing complexity with health care information technology. H&HN Daily.
- Data complexity can be addressed by standardizing collection & highlighting relevant data (like patient questionnaires)
- Process complexity can be addressed by “data liquidity” and accessibility for clinicians, but also require IT back office support (integration of health applications across sites)
- Medical knowledge complexity cannot be completely resolved by sub-specialisation (which turns into care fragmentation). All clinicians should have access and know how to use clinical decision support algorithms & guidelines
- We work in “grey-space”.
- For your health, take a walk (maybe even have a “walkshop” meeting) around the natural space adjacent to the hospital, and recommend the same to colleagues and patients. (Prescott 2016 Int. J. Environ. Res. Public Health)
- We need to be ready for more waves of COVID.
- Health care workers have a twelve-fold increased risk of having a positive SARS-CoV-2 test compared to the general community (Nguyen 2020 Lancet)
- Health care workers are somewhat protected from infected patients when they use appropriate PPE. However; questions remain about the risks of being infected either by a colleague or a member of their family.
- There has been a suggestion healthcare workers use masks all the time (Wang et al 2020 BMJ Global Health), even beyond the clinical environment, with others arguing this is too high a personal burden on healthcare workers (Remaly, 2020 Medscape Medical News)
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