Eis Simulation Debrief Plus Baltimora's Effect

Organisa(on

 and

 Management

  Bal(more’s

 syphilis

 and

 EIS

 Simula(on

Luisa

 Corinne

 Scucchia,

 Florian

 Bernet

 and

 Ron

 Jarosinski

 Stream

 2D

 14/11/2012

What

 caused

 Bal@more’s

 syphilis

 problem

 to

 @p?

  Centers

 for

 Disease

 Control

The

 reason

§  The

 crack

 is

 the

 problem

 and

 a

 subtle

 increase

 in

  the

 severity

 of

 the

 problem

 was

 enough

 to

 set

  off

 the

 syphilis

 epidemic

The

 focus

§  the overall context for the disease

The

 Law

 of

 the

 Few

 suggests

 that

 in

 a

 given

 process

 or

 system

 some

  people

 maKer

 more

 than

 others

 -­‐

 80/20

 principle

 (Pareto)

2

What

 caused

 Bal@more’s

 syphilis

 problem

 to

 @p?

  John

 Zenilman

 (Johns

 Hopkins

 University)

The

 reason

§  Scale

 back

 in

 the

 number

 of

 the

 clinicians

 cut

  from

 17

 to

 10

 gives

 the

 syphilis

 a

 second

 life

The

 focus

§  The

 disease

 itself

The

 S@ckiness

 Factor

 says,

 that

 there

 are

 rela@vely

 simple

 changes

 that

  can

 make

 a

 big

 difference

3

What

 caused

 Bal@more’s

 syphilis

 problem

 to

 @p?

  John

 PoHerat/

 leading

 epidemiologists

The

 reason

§  The

 demoli@on

 of

 a

 handful

 of

 housing

 projects

  and

 the

 abandonment

 of

 homes

 in

 key

 downtown

  neighbourhoods

 to

 send

 syphilis

 over

 the

 top

The

 focus

§  The

 people

 who

 were

 carrying...