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Five Laws of Life, Medicine and Patient Flow

Five Laws of Life, Medicine and Patient Flow. Erica Reid, NHS Borders, June 2011. Five Laws of Life, Medicine and Patient Flow What are they?. Occam’s Razor Sutton’s Law Hickam’s Dictum Murphy’s Law Zanuck’s Corollary. Occam’s Razor. William Occam 14 th Century Philosopher

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Five Laws of Life, Medicine and Patient Flow

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  1. Five Laws of Life,Medicineand Patient Flow Erica Reid, NHS Borders, June 2011

  2. Five Laws of Life, Medicine and Patient FlowWhat are they? • Occam’s Razor • Sutton’s Law • Hickam’s Dictum • Murphy’s Law • Zanuck’s Corollary

  3. Occam’s Razor William Occam 14th Century Philosopher ‘Razor’- shave any unnecessary assumptions from a theory

  4. Effective Patient FlowOccam’s Razors? • Identify potential bottlenecks • EDs/Assessment Units – are processes unnecessarily complicated? • Simple Discharge Processes • What time of day are you discharging the majority of patients? • Is it matching the demand for admission?

  5. Robbed about 100 banks from the late 1920s to his final arrest in 1952 Throughout his professional criminal career he never killed anyone.

  6. Sutton’s Law When investigating a patient look in the place most likely to give the diagnosis

  7. Effective Patient FlowSutton’s Law? • Have you acknowledged active management of length of stay is a key priority? • Are all wards proactively managing patient flow? • EDDs, Daily Board Rounds, etc

  8. Hickam’s Dictum ‘Patients can have as many diseases as they damn well please’

  9. Effective Patient FlowHickam’s Dictum? • Patients can have many diseases at the same time, but may also have many and complex social care needs • How can you work more effectively with social work colleagues to reduce delays?

  10. Murphy’s Law "Anything that can go wrong, will go wrong"

  11. Origin of Murphy’s law • Dr. John Stapp, USAF Col. & Flt Surgeon • 1946-7, High altitude experiments • Human tolerance of G-forces in rapid decelerations using test sleds

  12. Murphy’s Law Stapp’s rocket sled team’s good safety record, explained it was due to awareness of Murphy’s Law and the need to circumvent it. Term was picked up by the aerospace industry. "Anything that can go wrong, will go wrong"

  13. Effective Patient FlowMurphy’s Law? • Mondays and Tuesdays? • To board or not to board? • Moving patients to the ‘wrong’ bed to avoid breaches

  14. Zanuck’s Corollary If two men on the same job agree all the time, one of them is useless. If they disagree all the time, both are useless Darryl Zanuck quoted Oct 1949 Movie Producer & owner of Fox Studios Movies inc. 42nd Street, How Green was my Valley, The Grapes of Wrath, Longest Day

  15. Effective Patient FlowZanuck’s Corollary? • Some measure of disagreement and debate essential • Management of process and clinical need • Strict protocol versus case-by-case tailoring

  16. Kenney’s Law Just because you don’t agree with me, doesn’t mean I’m wrong! With thanks to Dr Ian Kenney, Consultant Paediatric Radiologist, Brighton.

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