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Random things you may not know about me
Daved Vanstralen • October 10, 2013
1. I was one of first career fire paramedics to attend medical school.
2. I went around the world … twice.
3. I trekked and climbed in the Himalaya.
4. I taught cooking Mexican food to a restaurant in Kathmandu.
5. I started the first clinical academic Bachelor’s Degree program for paramedics.
6. I knew Tom Wheeldon who lived in Forge Cottage, UK.
7. I fell down a mountain very fast.
8. I had pulmonary edema at high altitude.
9. I sailed on a felucca down the Nile River, developed dysentery, hospitalized in Amsterdam with reactive arthritis from the dysentery, and started medical school in a wheel chair weighing 125 pounds (I am 6 ft. tall).
Engagement to solve problems creates High Reliability Organizing; withdrawal from the situation toward structure (rules and principles) or authority may be an anxiety response to uncertainty and threat.
Preoccupation with failure from my experience.
Further comments on preoccupation with failure in operational terms.
"Reluctance to simplify" in operational terms from my experience.
Further comments from operational experience with "Sensitivity to operations."
"Deference to expertise" from my operational experience.
Enactment, the process of engaging the situation and changing circumstances, is the basis for High Reliability Organizing.
"Sensitivity to operations" in operational terms from my experience.
Before I had heard of HRO, Dr. Ron Perkin and I created one in a Pediatric Intensive Care Unit
With the intent to give better service to referring Emergency Departments, we created a High Reliability Critical Care Transport Service