The power of outside thinking in solving business problems

01-19-2024 IMPACT COUNCIL

The power of outside thinking in solving business problems

A lack of industry knowledge can actually benefit organizations and their needs.The power of outside thinking in solving business problems

[Photo: lil artsy/Unsplash]

BY Ophir Ronen 3 minute read

Across every industry, from energy to manufacturing, to aerospace, there are problems so deeply entrenched that they seem insurmountable. In almost all cases, leaders, consultants, and task teams spend years and enormous budgets to tackle these challenges, too often to no avail. The result: At a certain point, people just give up, and these entrenched problems become accepted as an unfortunate reality. “That’s the way we always do it” becomes “That’s just how it is.” 

Given the significant resources devoted to solving these problems, we must ask ourselves if the approach works. At CalmWave, we are tackling a deeply entrenched problem in healthcare, and I believe the patterns we are applying, learned in enterprise IT operations, is broadly applicable.

Differentiate the signal from the noise

If you have spent any time in an intensive care unit (ICU), you remember the incessant, nerve-wracking alarms. Like most people, you probably wondered how the critical care staff could tell the alarms apart—how to differentiate the signal from the noise. You probably also wondered, with great concern, how critically ill patients in the ICU ever get a moment of rest. And you would be right in wondering both of these things. 

This cacophony of noise is known as “alarm fatigue.” This phenomenon is experienced by healthcare providers, especially those working in ICUs and other critical care settings, who become desensitized or overwhelmed by the sheer number of alarms and alerts generated by medical devices and monitoring systems. 

This alarm fatigue problem isn’t new. This began all the way back with the first bedside vital signs monitors in the 1950s, and over the decades, smart people have tried and failed to solve this pernicious problem.

An outside perspective

I am not a hospital executive or healthcare veteran. I happened upon the clinical alarm fatigue problem serendipitously. At the height of the pandemic, I took a sabbatical from my company, PagerDuty, and joined my local county’s search and rescue team as my way of fulfilling my civic duty responsibility. 

Search and rescue training is intense and generally done in the worst possible conditions (winter) to prepare volunteers for the role’s demands. When you are on a mission and heading to a rescue, there are some similarities to going on a hike. Typically, you are heavily loaded with equipment and trying to cover as much ground as possible, but there are still opportunities to talk with your teammates. 

During one of these missions, clinicians on the team told me about ICU alarm fatigue. I learned that it has harmful and sometimes dire consequences for patients, but it is also a significant factor in clinician burnout and contributes to the highly stressful work environment. With an existing nursing shortage—nurses are leaving the industry in droves—it was unfathomable to me that clinicians and patients are forced to endure a noisy and stressful environment in places intended for rest and recovery.

Direct experience elsewhere matters

I was an outsider to this problem, but an outsider with direct and relevant experience with alarm fatigue. I’d seen this pattern before, and most importantly, had solved the problem at scale in enterprise IT operations for Fortune 100 companies. I had the exact expertise necessary to build creative and battle-tested solutions to solve this problem. And as an outsider, I had an open mindset, free of preconceived ideas of what was possible.

Spoiler alert: At CalmWave, we solved the entrenched problem of alarm fatigue in ICUs using transparent AI, our counterpoint to generative AI. We capture, analyze, and synthesize real-time data from dozens of data sources (vital signs monitors, interventions, medications, labs, orders, and other electronic health records) to empower hospitals with the intelligence critical to solve the alarm fatigue problem, improve patient outcomes, optimize operations, and retain nursing staff. We start by resolving the scourge of non-actionable alarms and use that wealth of signal data to identify crucial insights into patient acuity and staff retention.

Had we approached this profoundly entrenched problem from the traditional lens, a clinical or medical industry lens, we likely would have proven unsuccessful, like many of our predecessors (the majority of whom are established, well-known, and highly resourced industry behemoths). However, blending a unique and diverse approach and using knowledge from multiple domains allowed us to leverage the power of synergy to form a new, broader perspective, thus empowering our mission of innovation-driven change.

The lessons from our story are universally applicable. They highlight the importance of cross-domain collaboration, teamwork, and utilizing the Zen practice of beginner’s mind, to drive innovation and change. This approach to solving challenging problems applies to all industries and domains and is at the heart of humanity’s ability to do amazing things for the greater good. 

Ophir Ronen is CEO of CalmWave.

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About michelleclarke2015

Life event that changes all: Horse riding accident in Zimbabwe in 1993, a fractured skull et al including bipolar anxiety, chronic fatigue …. co-morbidities (Nietzche 'He who has the reason why can deal with any how' details my health history from 1993 to date). 17th 2017 August operation for breast cancer (no indications just an appointment came from BreastCheck through the Post). Trinity College Dublin Business Economics and Social Studies (but no degree) 1997-2003; UCD 1997/1998 night classes) essays, projects, writings. Trinity Horizon Programme 1997/98 (Centre for Women Studies Trinity College Dublin/St. Patrick's Foundation (Professor McKeon) EU Horizon funded: research study of 15 women (I was one of this group and it became the cornerstone of my journey to now 2017) over 9 mth period diagnosed with depression and their reintegration into society, with special emphasis on work, arts, further education; Notes from time at Trinity Horizon Project 1997/98; Articles written for Irishhealth.com 2003/2004; St Patricks Foundation monthly lecture notes for a specific period in time; Selection of Poetry including poems written by people I know; Quotations 1998-2017; other writings mainly with theme of social justice under the heading Citizen Journalism Ireland. Letters written to friends about life in Zimbabwe; Family history including Michael Comyn KC, my grandfather, my grandmother's family, the O'Donnellan ffrench Blake-Forsters; Moral wrong: An acrimonious divorce but the real injustice was the Catholic Church granting an annulment – you can read it and make your own judgment, I have mine. Topics I have written about include annual Brain Awareness week, Mashonaland Irish Associataion in Zimbabwe, Suicide (a life sentence to those left behind); Nostalgia: Tara Hill, Co. Meath.
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