RUSK Insights on Rehabilitation Medicine

Dr. Thomas Elwood

RUSK Insights on Rehabilitation Medicine is a top podcast featuring interviews with faculty and staff of RUSK Rehabilitation at NYU Langone Medical Center. These podcasts are being offered by RUSK, one of the top rehabilitation centers in the world. Your host for these interviews is Dr. Tom Elwood. He will take you behind the scenes to look at what is transpiring in the exciting world of rehabilitation research and clinical services through the eyes of those involved in making dynamic breakthroughs in health care.

  1. Jun 24

    Dr. James Capozzi: High Reliability Organizations, Part 1

    Dr. Capozzi is a board-certified orthopedic surgeon with specialty training in joint replacement surgery. After receiving his bachelor's degree from Columbia University, he obtained his medical degree from Mount Sinai School of Medicine. He completed his orthopedic training at Mount Sinai and the Otto Alfrank Adult Joint Reconstructive Fellowship at the New England Baptist Hospital in Boston. In addition to performing hip and knee replacements, Dr. Capozzi specializes in difficult revision surgery, utilizing the newest techniques in joint reconstructive surgery.   Part 1 This presentation is about tenets of high reliability organizations involving modes of communication errors and communication training. When looking at studies of large organizations that perform complex and dangerous tasks, a couple of principles stand out that have some common themes. One is that the work tends to be highly technical and inherently dangerous. Very often there are high time constraints and time pressures that entail rushing to complete work in very tight environments, which sounds like any of our operating rooms or ICUs. At some point, most of these entities are going to fail spectacularly. The government defines a high-reliability organization as one that can operate in complex, high-hazard domains for extended periods of time without serious accidents or catastrophic failures, which pretty much defines what we do every day in the hospital. These organizations tend to have five key principles that define all of them the same way. One is a deference to expertise. Second is a reluctance to simplify. Third is a sensitivity to operations. Fourth is a commitment to resilience. Fifth is a preoccupation with failure. Two not-too-distant past failures are interesting. One is the Chernobyl nuclear disaster and the second is the Avianca plane crash on Long Island.

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About

RUSK Insights on Rehabilitation Medicine is a top podcast featuring interviews with faculty and staff of RUSK Rehabilitation at NYU Langone Medical Center. These podcasts are being offered by RUSK, one of the top rehabilitation centers in the world. Your host for these interviews is Dr. Tom Elwood. He will take you behind the scenes to look at what is transpiring in the exciting world of rehabilitation research and clinical services through the eyes of those involved in making dynamic breakthroughs in health care.

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