Title: Haddon's Matrix Applied to Leadership Leveraging
Author:
Section/SPIG: Injury Control and Emergency Health Services
Issue Date:
Examples of Haddon’s Matrix for Injury Control Applied to Leadership Leveraging
Any student of injury control can recite and hopefully apply Haddon’s sentinel matrix
of injury control strategies that prevents, limits and minimizes the effects of kinetic (chemical, mechanical, electrical, thermal) ‘energy gone wrong’, the causative agent of injury or any other condition.
Here’s a condensed application for leadership energy leveraging in: Fisher L. Shaping the Millennium. From the History of Child - Home Injury in the United States, in public health journals (1900 1975), to Applications of Leadership Systems, 2003 . Table 1 page 12. www.icehs.org, Members Only:
1. Prevent formation of energy
Stop manufacturing, sales or use of highly injurious products (certain guns, drugs of abuse, sharp or leaded toys); non pasteurize milk; leaded paint; lead gasoline; leaded or other toxins in food and drinking water
For leadership leveraging:
Seek archives and historical institutional memories; when feasible, "smoke -out" the full system’s real values and problems, plans and potential programming/ risks ; develop shared visions and cooperative efforts to devise and weigh more than ONE leveraging decision or policy option by using all essential and desireable criteria for solutions by essential crafts and compenencies (see my cited paper) Then only initiate programs and mandates which have resources, (technical, managerial, interpersonal and political" leadership “energy supply") or for which evidence of low cost/ high benefit is documented. Some criteria: weigh not only morbidity reduction but job losses, taxes, cost containment; reassess what can go wrong with any decision; trouble shoot. Live balanced life.
2. Reduce amount, modify the release of energy.
Household cleaners, medicines in lower nontoxic concentrations; lower scalding hot water heater temperatures; low lead solder for plumbing; enteric coated medicines; flame retardant children's nightwear and tentage; additives to roasting/ cooking bags; porperly installed and used car safety seats,. seat belts and airbags; short cord electrical appliances; always clean children's hands.
Phase in effective piloted programs but only related to funding expectations.
3. Separate the energy from the host or environment
Sewage from water & food supplies; install street electrical conduits above or below ground; drink hot beverages away from children; require two exits in mobile homes or trailers; store household poisons out of reach of young children, safety packaging . Require triplicate prescriptions scripts and a 30 day supply of certain controlled prescription drugs; use child safety gates on stairs/steps; require child resistant packaging on household hazardous substances; Prescribe less toxic or abusive products for same purpose; make crib slats too narrow to strangle child; stabilize unbalanced-tipping refuse bins.
Streamline, separate like leadership skills and crafts quadrant modes and leverage styles: Humanistic, Innovative, Director / Coordinate, Internal Controls Groups, Become more efficient and effective by enthusiastically by knowing the “True North”, dedication, and leveraging your leadership competencies - regardless of location or your job position; use veteran prior historical memory, expertise for assessing, developing policy options and problem solving. As feasible, involve the needs ( reduced production loss days; boosted profits, visibility ) of the injury control supportive business and industrial community as prevention and health care management creative partners. Hold landmark conferences acknowledging that public and private safety practices go hand in hand. Show effective marketing of public health and safety and watch
4. Minimize, Repair or Rehabilitate the Damage.
Proper EMS ED and rehab services
Out placement training; career and stress management; job information interviews; better press, communications and legislative relationships;
lateral transfers of skills and competencies ; taking vacations, new assignments, and professional courses in leadership, avocations or volunteer work.
These countermeasures are a mix of interventions ; and so must our leveraging of complimentary but competing values, power and influence leadership . And as above, it is not always clear where best to categorize any one approach ; but instead it is better to lead and act with the best available data for saving ‘lives and limbs’.
L. Fisher, Copyrighted 2004