I-I-I Blog

I Expert - I Question - I Answer

HealthManagement.org and ICU Management & Practice have invited experts and thought leaders to share their answers to key questions.

Each expert has a maximum of one page to answer a burning question. Enjoy reading these great blogs.

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Imagine travelling to Portugal or Cuba and that 100% of the population you see has diabetes! This sounds like a nightmare to me, and I would assume the same for you if you know the burden this disease represents for health systems. This science fiction scenario is no longer fiction in Mexico, we are one of the most affected countries in the world due to... Read more

  First of all, what is an Oracular Artificial Intelligence (OAI) system? Like any oracle, we describe it as any decision aid capable of providing its users with very accurate responses (ie, no more than one error out of 20) and little or no explanation for that advice. Deep learning systems that analyse masses in mammograms are an example of OAI.   The... Read more

Improve Yourself and Your Healthcare OrganisationOne of the most basic lessons you learn in first year business school is the SWOT analysis - strengths, weaknesses, opportunities, and threats. It's a great framework to apply to your business to understand what you do well, what you can improve on, and where the greatest threats to your organisation... Read more

Different preferences based on gender, influence the patient’s perspective of good quality in care and treatment.As future healthcare points towards more outpatient treatment and less hospitalisation, and as the majority of quality-studies are related to patients who are hospitalised or have chronic diseases, it seems interesting to explore the patient... Read more

The most significant challenge facing any membership organisation is how to stay relevant in today's healthcare world of free information and high clinical workloads and pressures. This is exacerbated by increasing specialisation and the need to stay abreast of developments in a fast-changing medical world. Examples of the increased complexity of imaging and... Read more

What would you remove from current business training and education, what would you replace it with and why?   I would replace the outdated leadership and ethics courses with a cybersecurity and ethical leadership course, which would reframe the business world and provide the definitions for the new normality. Risk management education would be holistic... Read more

Although the evaluation of a single intensive care unit (ICU) over time can produce insightful results, self-reflection can lead to excessive optimism or criticism. Benchmarking against other ICUs can provide ICU staff and hospital managers with a broader view and clearer perspectives of targets for improvement. This approach is now used among hospital... Read more

  My app on Intensive care Complete: ABG is for bedside diagnosis. It uses a physiochemical approach and is a mix of traditional approach and Stewart’s. The complete ABG is an app designed for bedside use. The point-of-care version of the app is available for the Iwatch.   Both the Complete ABG and ABG Book are the only apps that use the traditional... Read more

Tremendous progress has been made in healthcare over the last forty years. However there are still three outstanding problems which are found in every health service no matter how they are structured and funded.   One of these problems is huge and unwarranted variation in access, quality, cost and outcome, and this reveals a further two:    Underuse... Read more

In 2016 I would never have guessed that a year later I would encounter a significant career change. Since the age of 17 I was incredibly passionate about the Ambulance Service and I was overjoyed when I got my Paramedic registration, aged 20, after two years training at university and in-service. The sense of achievement was astonishing and since then... Read more

It’s been repeatedly stressed by healthcare practitioners how beyond a balanced diet and exercise, getting sufficient sleep is vital to our health and wellbeing.   There are wearables that can already track our daily activities such as heart rate when we exercise and even the number of steps we have walked that day and the distance. In addition to that,... Read more

We interview Mark to draw out his knowledge, insight and predictions on the medical equipment industry at large, with a focus on sectioning.Mark Fenn, Director at Bright Instruments, has 38 years’ experience as an expert in the mechanical engineering field. His extensive time in the industry has seen him fulfil many exciting roles, including within... Read more

HerzstiftungOlten is a local foundation connected to the Swiss Heart Foundation. I initiated the foundation of the Herzstiftung Olten 25 years ago. I realised, that a national organisation has difficulty to reach people on the ground. National heart foundations are usually supporting cardiovascular research and besides are active in making national... Read more

Philips innovation in advanced health technology is delivering next generation Minicare point-of-care-in-vitro diagnostics systems to help support improved clinical decision-making that will ultimately benefit physicians, patients and hospital systems.   Such devices can help deal with the biggest issue that emergency departments face on a dailybasis... Read more

Since the global crisis of 2008-2009, there has been a palpable and growing sense that the world is in the midst of fundamental economic and political change.   But, as is the nature of change, the only certainty we have is that there is a lot of uncertainty. Can we create enough jobs, and the right jobs? Is the financial sector working for society’s... Read more

I have been a member of Institute of Electrical and Electronics Engineers (IEEE) for many years but when at conferences, still, I am met with disbelief when people ask me about my field of work and I reply: "I am a physician".  Admittedly my one-in-three on call days are behind me and my focus has shifted to the more theoretical, academic field of Digital... Read more

Having served in the United States House of Representatives during the time the Affordable Care Act (ACA) was debated and passed in 2010, I remember quite vividly the many arguments that were presented by both sides. Supporters claimed costs would go down and quality would go up, while nearly every American would be covered. Opponents of the law claimed... Read more

As some of us get older, we start to contemplate the care and support that we will require in our advanced years and how these might be provided to us at an acceptable quality, a manageable cost and with as little disruption to us and the people around us as possible. Smart homes (SH) are enabled by software and hardware solutions (and a combination... Read more

For the CEO's of many organisations in the healthcare industry, attracting and retaining talent is the key strategic challenge, as discovered in a 2017 survey by Siemens Healthineers. Organisations face the dual challenge of how they should respond to the need for significant efficiency gains and simultaneously be an attractive employer in a competitive... Read more

The procedure specific postoperative pain management (PROSPECT) initiative provides evidence-based procedure-specific guidelines for postoperative pain management. This is really important, because the problem is that guidelines on postoperative pain management are broad and are not procedure-specific. Every type of surgery requires its own type of... Read more

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