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Events

few months ago, devoted a series of posts to discuss some learn to manage resources for the Web 2.0 . In dedicated to the ability to "save " and retrieve information easily found on the Internet that is relevant to us, I spoke Delicious.

With the announcement of the forthcoming closure of this tool, it's time to update this post and leave ready for change, if you do not want to lose the information that we had saved so far.

So the first thing we have to do is export we have saved links on delicious, and then find an alternative that fits our needs. You know, in this world we live in, change is constant and we must learn to adapt ... I have to learn to use Evernote ...

Casual Evening Attire

lost.

As you have found, lately I costs rather sit down and update the blog, ignoring the advice of Ed Bennet constantly publish or not publish at all. I have shelved my other demons, and how terrible is that my retirement has spread to the real world.

So, I have been fatal to all the people waiting see on 20 November at the I Meeting of the Basque Health Blogosphere that finally I could not attend. ( I'm so sorry! ). Fortunately, one of the benefits of losing events related to the 2.0 world is that those who did were, give us their stories about them and we can be aware of everything that happened .

Nor was the 12th of November at the Conference on Innovation participatory Health, held at the Hospital de Cruces. I did not listen to Jens Peter Jensen, Director of Projects Midtlab , discuss the approach to health innovation the central region of Denmark. In this case, we can find a summary blog Komplex and another in the hospital newsletter , but not the presentations, so we are left with the desire to delve into the subject ( is bad miss events! ).

Finally, I must also confess that I went to the Hotel Nervión of Bilbao on 1 December to hear the Minister of Health conference, "New challenges and solutions for Basque Health." In this case, we abstract that we offer from within Bilbao (apparently, made any mention of the strategy chronicity in Euskadi), .

I can not promise that events continue to be lost. However, try not to let so much time between blog posts ... We'll see if I get it!

Changing Front Of Canon Lens

Leading in the dark.

Barry Gruenberg left us a few days ago in Blogging Innovation a post leadership that breaks with that myth of the leader as super-person who makes difficult decisions quickly. However, the phenomenon of "quick view" creates pressure unduly makers that can lead them to choose a path ahead of time, even when faced with a complex problem.

To be truly effective the key is, like everything in this life, to find the balance. In this case, try to find the balance between the need to find a unique solution to the requirement to take into account the different perspectives to consider when analyzing an issue.

is clearly a need to invest time in obtaining a more robust understanding of the thought processes behind the various conflicting perspectives, which slows the process of decision making. However, it is the way for more robust solutions.

Slow is not necessarily a sign of delaying or indeción. Rather, it is a sign of wisdom about to be implemented imminently.

To tolerate this period of pause, those responsible must exhibit two qualities (apparently rare these days):

1. Self confidence (not bullying).
2. Patience (not procrastinate ).

Unfortunately, as external pressures from above and below increase, leaders experience an increasing trend to internalize them, causing the doubt, stress and an urgent need to prove their worth.

result? The responsible end up adopting pre-existing solutions that do not fit quite well to the challenges faced. Decide quickly, but the decisions are too often flawed.

be able to resist pressures to act quickly requires that leaders keep themselves and others involved in the process of finding a way to find a way through the uncertainty rather than clinging to the "known solutions" that only help worsens the problem.

This phenomenon is similar to the classic story of the drunk looking for his car keys under the streetlight, despite knowing that it is not there where you have lost, "I know they are not there," he confesses, "but here's where the light."

is not easy to find in the dark. Neither is convincing others to join the search.

be that, perhaps, the reason to be a true leader these days is so difficult.

Art (interracial Couple)

On the warpath against pressure sores. Innovating

98% of pressure ulcers (UPP) can be avoided. However, as we reported this story , the National Group for the Research and Advisory Pressure Ulcer and Chronic Wounds (best known for GNEAUPP ) estimates that currently about 9,000 people suffering from these terrible injuries .

And if you do not persuaded by the argument that you can avoid the suffering of 120 patients each day in a hospital of medium size, and you need another reason to end pressure ulcers, there is another fact: the cost of treatment in Spain over 600 million euros each year. Of these, 150 million is allocated only dressings.

To raise awareness on this issue since GNEAUPP this year launched the campaign "STOP A PRESSURE ULCERS ." During that period, have spread information about prevention posters and have also asked other people to lend their image to give it wider distribution. Javier Cámara, who plays a nurse in the movie "Talk to Her , is the sponsor of this initiative. In

Cruces Hospital we have also joined this initiative of GENEAUPP. To try to give wider circulation, hospital nurses have made this video with pictures of people who have decided to collaborate to extend their image. As they have done with great enthusiasm and is for a good cause, we ask you to give the widest possible ...

not let the pressure ulcers give you bad life!

Up to 98% of cases are preventable.

To learn more:

GNEAUPP Website.
facebook page campaign

Did you know ...? UPP Cuidando.es on Blog
ulcers and wounds

Video campaign Javier Cámara.
Report on the UPP in the magazine Consumer, Eroski.

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, which is gerund.

The task of innovation in public health seems a mission impossible. We hide behind in the hierarchical structures and immobility, although, in reality, organizations are filled with people who are constantly doing things and that, to have sufficient support, could initiate projects innnovación. More than lack of capacity, we have no decision.

Last week, we could find on the web various innovative experiments in the field of health:

The Dr. Casado we talked about the Seminars Innovation in Primary Care, organized by Dr. Juan Gervás 6 years ago and wondered about the advisability of including patients on them. One option that several seemed so interesting and I do not understand why it has to be source of fear.

For his part, Rafael Pardo shared with us the presentation initiative i2Health Sant Pau, launched by the hospital of the same name, which will rely on the living lab approach , so that is precisely the patient, the center of the project. In your blog you have more information and you can also follow development of this whole story and facebook twitter:

i Sant Pau 2Health born with the user in mind, with an attitude, a mindset 2.0; dialogue must prevail, must prevail feedback and the classical approaches of research and development simply will not do.

We must go much further.

So after evaluating different methodological approaches, it was decided that i2Health Sant Pau function as a LivingLab.

A LivingLab is an organized environment around the user, integrating development and innovation processes concurrent within a pact to integrate government, private sponsorship and above all, citizens.

Another definition would be that of an open innovation environment, which features real life, in which the innovations developed by citizens is part of the co-creation of new services, products and social infrastructure.

The fact of using this methodology implicit in concepts of simulation, for the development and testing requires the user to feel the environment is as close to reality as possible ...

So if we want to emulate an environment dependence, a home, we should create a space within Sant Pau i2Health simulating a home.

If we want to emulate a hospital within the Center, we create a space that simulates a mini hospital.

A hospital within a hospital ...

And for that, should participate on an equal footing engineers, clinicians and patients.

Nobody said it was easy.

is not easy, no. Neither is the management innovation of which we speak Health and Management. A claim that another type of innovation, more than scientific, is not only possible, but is also vital for organizations and provides a major value if we change the ways of doing stuck in the past. The

Hospital Sant Joan Deu have decided to go down this path, where " assistance, but also research and innovation, try to solve the problems of patients and ways to transmit knowledge that It follows are teaching and dissemination ". In this other link, share with us the lessons learned in this journey of innovation in management .

It seems that some people are getting innovate despite the difficulties. And while I summarize these efforts, I keep thinking about what Juan Urrutia once told us: "Why innovate ?"..." Because all the other innovators. "

Videoclip of the first single from the new album by Miss Caffeina entitled "Failure of the Phenom "

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Learning from the successes and failures.

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Internet in the office: a necessity.

How could it be otherwise, and while certainly At this point, you have seen this logo over and over again, my other demons could not be less and also call for the end, once and for all and everywhere with locks access to internet. The media manager, making echo a study Hartzband and Groopman said that "nothing has changed clinical practice as a recent innovation called internet."

However, there seems to be who has not aware, in view of this situation map. Who has free internet access will not have the problems of security and network capacity to argue others to use the web (non) sense ?

I leave you with the manifesto of this initiative:

A point end of the first decade of the century, many medical consultation of our country, even having a computer connected to a computer network have blocked access to the Internet or it is very limited ... for health managers' decisions. As in the absurd case of the various English immunization schedules, the restrictions are different from other autonomous communities, reaching nearly absolute in some of those who consider themselves advanced in implementing new technologies in the health field. [ see location map ] It is clear that this attitude of confidence is precisely an example of ignorance, both the utility and performance of these new (and not so much) technologies and also constitutes a flagrant disregard for physicians and their patients. It is common sense that this error is corrected as soon as possible and therefore ask the open and unrestricted access to the Internet queries English health professionals to address a real need, both of them and the population served, and that concrete in:

• Need INFORMATION. Virtually all is accessible through the Web A health center is also a center information that, to adequately perform their function, it requires access to any data source available.
• Need TRAINING. Ongoing training is part of the work of a doctor. The multimedia online education is one of the most widespread means of training in the biomedical sciences. Internet is now the largest library of medical topics and health related.
• N NEED FOR COMMUNICATION. At all levels: with patients, colleagues, managers and the community.
• participation needs. Current medicine involves the participation and support of the patient in making clinical decisions that affect their health, and also groups of patients.

aim with this note to inform English society is unjustifiable anachronistic situation and move the request for an open Internet for health managers at any level of responsibility they are.

About:

Internet in the office: a necessity.
Who is your doctor like a fool?

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The Art of the election.

In this video from TED , Sheena Iyengar explores how we ele ctions and how we feel about the decision we made last. I think we can draw from the conference a valuable lesson applicable to teamwork and a reflection on the election process they are subjected to patients and families.

1. Teamwork.

The assumption that our performance is better when it is the individual who chooses for himself, without regard to others, is only true when that person is clearly separated from the rest.

When two or more individuals see their choices and their consequences are closely related, making the election is a collective act the success of both can be amplified.

insist that whatever choice you can actually put in DANGER as their performance and their relationships.

2. The choice in health decisions.


Iyengar exposes us the results of a study on the impact of the power of choice in American and French parents who faced the death of their baby after suffering from cerebral anoxia.

In the U.S., were the parents who had to decide whether to withdraw life support, without which he would die within hours, or keep it the same, in which case could die within days. If you survive, remain in a permanent vegetative state, unable walk, talk or interact with others. In France, however, were the doctors want to decided if and when life support be withdrawn.


discovered that having to make the decision or have left in the hands of doctors, he did influence the way in which parents cope with the loss. Americans more frequently expressed negative emotions, compared with the French. It was more probable that the French express their emotions by saying things like " gave us a new perspective on life " while U.S. Citizens' comments were " What if ...? Y if ...? "or" I feel like I've been deliberately tortured .


However, when asked if American parents would prefer that doctors make the decision, all answered "No" . simply could not imagine delegating this choice to someone else, even if she supposed to face feel trapped, guilty, angry.

could not consider quitting to choose, because doing so would have gone against everything they had been taught and everything that had come to believe about the power and purpose of choice.


Analyze different perspectives on the election in different parts of the world, helps us realize the full potential of the election. To consider other views on this same subject, we can see the act of choice in all its rarity and complexity and to find new examples of the importance of cultural perspective in the field of health.

To learn more:
When deciding an issue.

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Quest model perfect quality management.

Donavedian The Avedis University Institute will coordinate a study to determine the best management model to be followed by European hospitals. This project Duke ( Deeping Our Undestarnding of Quality Improvement in Europe ), during which they assess whether the quality system implemented in the schools have a relationship with the outcomes of care, as we have in Medical Journal.

The last time I investigated this matter in an earlier study called MARQuIS ( Methods of Assessing Response to Quality Improvement Strategies ), Concluded that " everything works if done right ." That is, although the model is no wonder no methodologically speaking, this work if there was a very good leadership or the hospital in question was exposed to a certain degree of external pressure which forced them to use risk assessment to help improve safety and quality. Of course, also identified as crucial the involvement of professionals with the model in question.


I do not know if there is a model of perfect quality management. However, I have quite clear that there is nothing worse than not knowing where it leads an organization or the path to be taken to achieve the objectives. So, for now, I am left with the conclusion we came to the project MARQuIS ( have to see the obsession with titles of nobility are in this school! ).

adopt the management model as EFQM, Lean Sigma, seek to obtain ISO certifications, awards for excellent service or visit, even at Disney can serve as a guide for organizations are not absorbed by the day to day and not lose the north. The important thing is not the place full of stamps, but constantly improving the service we provide to the people who come healthcare institutions for help. Such tools can help it, if we implement them, always bearing in mind they are a means and not an end.

As a reward to those who have read to the end this post, I leave you with a song I heard for the first time thanks to Mikel in fitting room on Saturday and that is priceless: Whip my hair by Willow Smith (daughter of Will Smith and sister of the last Karate Kid).

Is not there the figure of the ombudsman for children in the U.S.?

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20N: Meeting of the Basque health blogosphere. Health

The Ensalander Lis announced yesterday and as news spreads like wildfire from blog to blog ... Have not you heard?

On 20 November at the College of Physicians Bizkaia, shall be the first meeting of the Basque health blogosphere. An event that certainly should not miss.

The call is open to all those who want to know a little more about this world and the registration charge, it may be through this email address: osasunif@icombi.org.

So now you know, book the day with gold lettering on your agenda.

hope to meet you there.

To learn more:

The official conference blog: Basque health blogosphere.

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network. Not everything is a lie.

is well known that the Internet can find everything. And it is well known ( even know if this is a widespread practice ), which must be guided by common sense to find that source that we really provide truthful information and quality, especially as health is concerned .

In this article of The Country , delve on this subject and also many examples of reliable sources, give us some guidelines for distinguishing the wheat from the chaff:

Patient Forum advised to check that the page refers to is credited by some quality label (such as Accredited Medical Web College of Physicians of Barcelona or is certified by the Health On the Net Foundation), is reviewed periodically notified of its contents "can never replace the brokering of health professionals", a record of the author, cite sources and update date, and allow contact or exchange ideas with those responsible for the information.

That

be accessible, relevant personal data in a transparent and accountable , and use a language accessible (those included in the Patient Forum can understand a student of 2 º ESO).

Best reading video, and text messages ", adds the doctor and founder of the Forum, Albert Jovell, which encourages boaters to take a critical spirit:" The data do not have to be true just because they're on the Internet. And in any case will be general information, not the actual history of anyone. "

Ignacio Parada, founder of the network Vi.Vu gives importance to those who generate the content doctors are as the web so be accountable for identifying the number of schools. "One key is to check the General Council of Medical Colleges if a physician is one who claims to be" recommended.

already know: common sense!

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Things we have the e-Patients. Hospitals

Lately I have called attention to several posts published in e-patients.net . I recommend that you read, if you lose them:

In the first of them refer to an article published in Annals of Internal Medicine , which reflected the curious case of patients with a stent CADIAC convinced that this was to prevent another heart attack suffered. However, all that doctors had told them is that it may relieve them of chest pain in the future. Do you only hear what we hear ?

In the other, stand a couple of comments to an interesting debate about patient safety in the blog Running a hospital :

• Jim Conway " Our systems are too complex to expect people to play their extraordinary work perfectly 100% of the time. As leaders, we must implement systems to support a great practice by people who are human and comenterán errors. "
• In a patient who underwent two surgical errors ten months: "After months suffering the system, I finally had the opportunity to speak with the surgeon. The words had more sense were those describing how bad he felt also that incident we both share in the OR. At last was not alone. "

And so the e-patient Dave concludes: " It breaks my heart to think that the good lives that are ruined by our cultural inability to deal honestly with the mistakes that happen in complex environments. "

To learn more:
What the doctor says and what the patient hears.

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magnetic. Moodle complies

a Magnet hospital, I know because Cuidando.es is an excellent hospital. Sergio López Alonso explains in this editorial , the term was coined in the United States, when, to the nursing shortage and the inability of many healthcare organizations to retain them, began to study what which meant that some schools had no such problems.

Thus, scholars began analyzing the factors that influenced the personal and professional satisfaction of nurses (their status, their role in relation the quality of patient care, the nurse-patient ratio, and responsabildiad autonomy in patient care, flexible schedules, etc.). Then he realized that those centers that job satisfaction was higher in the Magnet hospitals also gave the lowest mortality rates, increased patient satisfaction with nursing care and even a safer environment against industrial accidents.

Thus, the term "magnet hospital" has evolved to mean "excellent hospital", and some of its features : strong leadership, an inclusive management style, autonomy, nurse-physician relationships and positive fluid, adequate resources, professional development opportunity, options for further training and promotion, as Peter tells us L through comment.


You see, happiest workers are the best performing. Even in Forbes magazine agree.


To learn more:
Cuidando.es magnetic Hospitals
ANCC Magnet Recognition Program
Ditomasi Marianne Conference at the Hospital Universitario Marqués de Valdecilla.

Today I leave you with a video of someone who probably will also be pleased with their work: Leroy Bejarano. One day this guy Vitoria began posting his videos on the Internet and now is in Miami preparing to leap to fame with a producer of Beyoncé. What do technology!

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8 years old.

On August 20 Moodle met eight years old, so we will devote a space to celebrate. You know that Moodle is a Learning Management System open source ( LMS or Learning Management Systems, in English ), ie a virtual environment where an organization can manage their educational resources that can be used free of charge.

The child's father is a man named Martin Dougiamas so busy with his project that did not have time to update their own web . The design and development of Moodle is based on a philosophy of learning called "constructivism " , which states that knowledge is built on the student's mind rather than being transmitted unchanged from book or teaching and collaborative learning. A teacher operating from this approach creates a student-centered environment that will help build that knowledge based on their own knowledge and skills rather than simply publish and transmit the information to be considered that students should know.

One of the main advantages of Moodle is that it is continually improving, thanks to the work of different developers distributed around the world. Therefore, not surprisingly, is the e-learning platform used most our environment. Also, being so used, we have a lot of information online that can help us better understand and use this tool. As shown, this button-shaped poster published in the Cat's Pyjamas blog, which, depending on what we want, we recommend using a resource or another.

Moodle toolguideforteachers may2010_js

View more documents from rakeltxu78 .

And you, Do you use Moodle as a tool for training in your organization?



To learn more:

Moodle Moodle Tutorial, Hot Potatoes and Exe
Moodle Course Moodle
guide for teachers.
Moodle tutorials.
Instructions for installing Moodle.
Tutorial for installing Moodle on a remote server.
Post on installing Moodle on a remote server.
Book: Moodle platform, which also helped me a bibliography for this post.

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Isaac Asimov and learning.

" Self-education is, I believe,

the only kind of education that exists ."

Isaac Asimov.

Blog In Euskalit have left us this interesting video in which Isaac Asimov gives us his vision ("the future") on how people learn after all the knowledge that we would get were available, example, through a computer.

not too far from the theory of connectivism we spoke for a while, right?

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Hospital stays are Llátzer and sponsored training.

public health centers, Norman, has a limited budget for projects outside the health care activities such as, For example, training. In many cases, professionals are in the difficult position of having to apply for support to the pharmaceutical industry, seeing that, otherwise, they will not be able to find funding to continue developing their skills.

The Llátzer Hospital Son, dependent Health Service of the Balearic Islands, have decided to end this situation and be creative in seeking funding. In this way, have established a series of partnerships with private sector companies, foundations and nonprofit institutions. They provide financial support for hospital professionals to conduct training placements in other centers and can thus acquire the knowledge necessary to, in turn, develop new medical interventions or nursing in the hospital.

What companies gain by it?

1. companies demonstrate their commitment to improving health, reinforcing its image with customers and / or potential.
2. The initiative has attracted the attention of the press. Each item on it, is advertising for companies participating in the program.
3. Visibility Hospital facilities: in the hallways of inpatient and outpatient visits are to be placed in a permanent banners containing the names of the collaborating companies / friends of the Hospital.
4. Health Days:
5. Tax relief .

Clearly, in this way, the Hospital may conduct a training program that will help provide better services to citizens and that, otherwise, they could not perform . So, all parties win. Not a bad idea, right?

If you want to know more about this initiative, I suggest you visit this link of PeriscopiHos .

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