0:00:00.336,0:00:02.569 Motor racing is a funny old business. 0:00:02.593,0:00:04.886 We make a new car every year, 0:00:04.910,0:00:07.074 and then we spend the rest of the season 0:00:07.098,0:00:09.850 trying to understand[br]what it is we've built 0:00:09.874,0:00:13.071 to make it better, to make it faster. 0:00:13.095,0:00:16.346 And then the next year, we start again. 0:00:16.370,0:00:20.584 Now, the car you see in front[br]of you is quite complicated. 0:00:20.608,0:00:24.203 The chassis is made[br]up of about 11,000 components, 0:00:24.227,0:00:26.671 the engine another 6,000, 0:00:26.695,0:00:29.764 the electronics[br]about eight and a half thousand. 0:00:29.788,0:00:34.165 So there's about 25,000 things[br]there that can go wrong. 0:00:34.189,0:00:38.991 So motor racing is very much[br]about attention to detail. 0:00:39.015,0:00:42.254 The other thing about Formula[br]1 in particular 0:00:42.278,0:00:44.378 is we're always changing the car. 0:00:44.402,0:00:46.658 We're always trying to make it faster. 0:00:46.682,0:00:49.642 So every two weeks, we will be making 0:00:49.666,0:00:53.842 about 5,000 new components[br]to fit to the car. 0:00:53.866,0:00:56.020 Five to 10 percent of the race car 0:00:56.044,0:00:59.772 will be different[br]every two weeks of the year. 0:00:59.796,0:01:02.081 So how do we do that? 0:01:02.105,0:01:05.825 Well, we start our life[br]with the racing car. 0:01:05.849,0:01:09.816 We have a lot of sensors[br]on the car to measure things. 0:01:09.840,0:01:11.698 On the race car in front of you here 0:01:11.722,0:01:14.857 there are about 120 sensors[br]when it goes into a race. 0:01:14.881,0:01:18.509 It's measuring all sorts[br]of things around the car. 0:01:18.533,0:01:20.561 That data is logged. We're logging about 0:01:20.585,0:01:24.265 500 different parameters[br]within the data systems, 0:01:24.289,0:01:27.930 about 13,000 health parameters and events 0:01:27.954,0:01:32.495 to say when things are not[br]working the way they should do, 0:01:32.519,0:01:35.320 and we're sending that data[br]back to the garage 0:01:35.344,0:01:40.299 using telemetry at a rate[br]of two to four megabits per second. 0:01:40.323,0:01:43.426 So during a two-hour race,[br]each car will be sending 0:01:43.450,0:01:45.701 750 million numbers. 0:01:45.725,0:01:48.844 That's twice as many numbers[br]as words that each of us 0:01:48.868,0:01:50.475 speaks in a lifetime. 0:01:50.499,0:01:53.093 It's a huge amount of data. 0:01:53.117,0:01:55.738 But it's not enough just[br]to have data and measure it. 0:01:55.762,0:01:57.896 You need to be able to do[br]something with it. 0:01:57.920,0:02:00.290 So we've spent a lot of time and effort 0:02:00.314,0:02:02.159 in turning the data into stories 0:02:02.183,0:02:05.264 to be able to tell,[br]what's the state of the engine, 0:02:05.288,0:02:07.536 how are the tires degrading, 0:02:07.560,0:02:11.284 what's the situation[br]with fuel consumption? 0:02:11.308,0:02:14.072 So all of this is taking data 0:02:14.096,0:02:17.874 and turning it into knowledge[br]that we can act upon. 0:02:17.898,0:02:20.512 Okay, so let's have a look[br]at a little bit of data. 0:02:20.536,0:02:22.542 Let's pick a bit of data from 0:02:22.566,0:02:25.621 another three-month-old patient. 0:02:25.645,0:02:29.792 This is a child, and what you're[br]seeing here is real data, 0:02:29.816,0:02:31.769 and on the far right-hand side, 0:02:31.793,0:02:34.555 where everything starts getting[br]a little bit catastrophic, 0:02:34.579,0:02:37.940 that is the patient going[br]into cardiac arrest. 0:02:37.964,0:02:41.172 It was deemed to be[br]an unpredictable event. 0:02:41.196,0:02:44.961 This was a heart attack[br]that no one could see coming. 0:02:44.985,0:02:47.511 But when we look at the information there, 0:02:47.535,0:02:49.860 we can see that things[br]are starting to become 0:02:49.884,0:02:53.889 a little fuzzy about five minutes[br]or so before the cardiac arrest. 0:02:53.913,0:02:55.926 We can see small changes 0:02:55.950,0:02:58.309 in things like the heart rate moving. 0:02:58.333,0:03:00.795 These were all undetected[br]by normal thresholds 0:03:00.819,0:03:03.203 which would be applied to data. 0:03:03.227,0:03:06.346 So the question is, why[br]couldn't we see it? 0:03:06.370,0:03:08.927 Was this a predictable event? 0:03:08.951,0:03:11.937 Can we look more[br]at the patterns in the data 0:03:11.961,0:03:15.317 to be able to do things better? 0:03:15.341,0:03:17.967 So this is a child, 0:03:17.991,0:03:21.199 about the same age[br]as the racing car on stage, 0:03:21.223,0:03:22.829 three months old. 0:03:22.853,0:03:25.434 It's a patient with a heart problem. 0:03:25.458,0:03:28.902 Now, when you look at some of the data[br]on the screen above, 0:03:28.926,0:03:33.804 things like heart rate, pulse,[br]oxygen, respiration rates, 0:03:33.828,0:03:36.880 they're all unusual for a normal child, 0:03:36.904,0:03:39.522 but they're quite normal[br]for the child there, 0:03:39.546,0:03:43.660 and so one of the challenges[br]you have in health care is, 0:03:43.684,0:03:46.511 how can I look at the patient[br]in front of me, 0:03:46.535,0:03:49.558 have something which is specific for her, 0:03:49.582,0:03:52.346 and be able to detect when[br]things start to change, 0:03:52.370,0:03:54.445 when things start to deteriorate? 0:03:54.469,0:03:57.495 Because like a racing car, any patient, 0:03:57.519,0:04:00.471 when things start to go[br]bad, you have a short time 0:04:00.495,0:04:02.302 to make a difference. 0:04:02.326,0:04:05.056 So what we did is we took a data system 0:04:05.080,0:04:08.187 which we run every two weeks[br]of the year in Formula 1 0:04:08.211,0:04:11.189 and we installed it[br]on the hospital computers 0:04:11.213,0:04:13.479 at Birmingham Children's Hospital. 0:04:13.503,0:04:15.918 We streamed data[br]from the bedside instruments 0:04:15.942,0:04:18.475 in their pediatric intensive care 0:04:18.499,0:04:21.930 so that we could both look[br]at the data in real time 0:04:21.954,0:04:24.802 and, more importantly, to store the data 0:04:24.826,0:04:27.859 so that we could start to learn from it. 0:04:27.883,0:04:32.243 And then, we applied an application on top 0:04:32.267,0:04:35.513 which would allow us to tease[br]out the patterns in the data 0:04:35.537,0:04:38.469 in real time so we could[br]see what was happening, 0:04:38.493,0:04:42.182 so we could determine when[br]things started to change. 0:04:42.206,0:04:46.045 Now, in motor racing, we're[br]all a little bit ambitious, 0:04:46.069,0:04:48.594 audacious, a little bit[br]arrogant sometimes, 0:04:48.618,0:04:51.992 so we decided we would also[br]look at the children 0:04:52.016,0:04:54.949 as they were being transported[br]to intensive care. 0:04:54.973,0:04:57.497 Why should we wait[br]until they arrived in the hospital 0:04:57.521,0:04:59.097 before we started to look? 0:04:59.121,0:05:02.094 And so we installed a real-time link 0:05:02.118,0:05:04.930 between the ambulance and the hospital, 0:05:04.954,0:05:08.706 just using normal 3G[br]telephony to send that data 0:05:08.730,0:05:11.193 so that the ambulance became an extra bed 0:05:11.217,0:05:14.329 in intensive care. 0:05:14.353,0:05:18.031 And then we started looking at the data. 0:05:18.055,0:05:20.952 So the wiggly lines[br]at the top, all the colors, 0:05:20.976,0:05:24.146 this is the normal sort of data[br]you would see on a monitor -- 0:05:24.170,0:05:27.918 heart rate, pulse,[br]oxygen within the blood, 0:05:27.942,0:05:30.553 and respiration. 0:05:30.577,0:05:33.306 The lines on the bottom,[br]the blue and the red, 0:05:33.330,0:05:34.807 these are the interesting ones. 0:05:34.831,0:05:37.875 The red line is showing[br]an automated version 0:05:37.899,0:05:39.472 of the early warning score 0:05:39.496,0:05:42.211 that Birmingham Children's Hospital[br]were already running. 0:05:42.235,0:05:44.297 They'd been running that since 2008, 0:05:44.321,0:05:46.553 and already have stopped cardiac arrests 0:05:46.577,0:05:49.310 and distress within the hospital. 0:05:49.334,0:05:51.742 The blue line is an indication 0:05:51.766,0:05:54.242 of when patterns start to change, 0:05:54.266,0:05:56.551 and immediately, before we even started 0:05:56.575,0:05:58.259 putting in clinical interpretation, 0:05:58.283,0:06:01.129 we can see that the data[br]is speaking to us. 0:06:01.153,0:06:04.665 It's telling us that something[br]is going wrong. 0:06:04.689,0:06:08.481 The plot with the red and the green blobs, 0:06:08.505,0:06:11.286 this is plotting different components 0:06:11.310,0:06:13.833 of the data against each other. 0:06:13.857,0:06:17.673 The green is us learning[br]what is normal for that child. 0:06:17.697,0:06:20.283 We call it the cloud of normality. 0:06:20.307,0:06:22.524 And when things start to change, 0:06:22.548,0:06:25.088 when conditions start to deteriorate, 0:06:25.112,0:06:27.326 we move into the red line. 0:06:27.350,0:06:28.983 There's no rocket science here. 0:06:29.007,0:06:33.096 It is displaying data that exists[br]already in a different way, 0:06:33.120,0:06:36.487 to amplify it, to provide[br]cues to the doctors, 0:06:36.511,0:06:39.225 to the nurses, so they can[br]see what's happening. 0:06:39.249,0:06:42.355 In the same way that a good racing driver 0:06:42.379,0:06:46.399 relies on cues to decide[br]when to apply the brakes, 0:06:46.423,0:06:47.875 when to turn into a corner, 0:06:47.899,0:06:50.793 we need to help[br]our physicians and our nurses 0:06:50.817,0:06:54.413 to see when things[br]are starting to go wrong. 0:06:54.437,0:06:57.359 So we have a very ambitious program. 0:06:57.383,0:07:02.095 We think that the race is on to do[br]something differently. 0:07:02.119,0:07:04.999 We are thinking big.[br]It's the right thing to do. 0:07:05.023,0:07:08.411 We have an approach which,[br]if it's successful, 0:07:08.435,0:07:11.055 there's no reason why it[br]should stay within a hospital. 0:07:11.079,0:07:12.783 It can go beyond the walls. 0:07:12.807,0:07:14.854 With wireless connectivity these days, 0:07:14.878,0:07:18.298 there is no reason why[br]patients, doctors and nurses 0:07:18.322,0:07:20.469 always have to be in the same place 0:07:20.493,0:07:22.462 at the same time. 0:07:22.486,0:07:26.457 And meanwhile, we'll take[br]our little three-month-old baby, 0:07:26.481,0:07:30.214 keep taking it to the track,[br]keeping it safe, 0:07:30.238,0:07:32.547 and making it faster and better. 0:07:32.571,0:07:33.952 Thank you very much. 0:07:33.976,0:07:38.930 (Applause)