Clinical Research Oriented Workshop (CROW) Meeting: April 2, 20010

Present: Matt Bovee, Kairn Kelley, Rodger Kessler, Ben Littenberg, Mike MacCaskey, Connie van Eeghen

1. Start up: Book club – “The Checklist Manifesto” – wrap up
a. What is the book’s value/take-away according to CROW and individual members
i. Not rocket science; why so hard to make this kind of change?
1. Older phase of “life cycle” of health care organizations
2. Second order change comes after first order changes, such as who the leaders are in the bureaucracy
3. Requires time
b. What can or should be done based on the book’s message(s)? How? By whom? For what purpose?
i. Training, multiple times, multiple levels
ii. Knowledge of the “levers” necessary to make change self-sustaining
iii. Attitude
iv. Accountability
c. Connie proposed a “next book” – “Realistic Evaluation” by Ray Pawson and Nick Tilley, SAGE Publications, London, 1997 (ISBN 0 7619 5009 5 [pbk]), promoting qualitative research that includes the context of the study, not just the subjects, in evaluation of results

2. Meeting Schedule: We will change our regular meeting time to Wednesdays at 2:00 starting May 5 – same place.

3. Roundtable, with update, short term goals, long term goals

a. Ben: Will review the relationship of death and NHANES study next Friday seminar meeting and gave us a preview today. Come to next week’s noon seminar for the real deal.

4. Next Fellows Meeting(s): April 2, 2010 from 9:30 – 11:00 a.m., at Given Courtyard Level 4
a. April 9: (no Connie or Matt or Rodger) – Kairn’s data
b. April 16: (no Connie or Matt or Rodger) – Abby update?
c. April 23: TBD
d. Future agenda to consider:
i. How to predict medical events effectively (Ben)
ii. Future: Review of different types of journal articles (lit review, case study, original article, letter to editor…), when each is appropriate, tips on planning/writing (Abby)
iii. Future: Informed consent QI: Connie to follow up with Nancy Stalnaker, Alan Rubin will follow up with Alan Wortheimer or Rob McCauly

5. Fellows document – nothing this time

Recorder: Connie van Eeghen