1 00:00:00,336 --> 00:00:02,569 Motor racing is a funny old business. 2 00:00:02,593 --> 00:00:04,886 We make a new car every year, 3 00:00:04,910 --> 00:00:07,074 and then we spend the rest of the season 4 00:00:07,098 --> 00:00:09,850 trying to understand what it is we've built 5 00:00:09,874 --> 00:00:13,071 to make it better, to make it faster. 6 00:00:13,095 --> 00:00:16,346 And then the next year, we start again. 7 00:00:16,370 --> 00:00:20,584 Now, the car you see in front of you is quite complicated. 8 00:00:20,608 --> 00:00:24,203 The chassis is made up of about 11,000 components, 9 00:00:24,227 --> 00:00:26,671 the engine another 6,000, 10 00:00:26,695 --> 00:00:29,764 the electronics about eight and a half thousand. 11 00:00:29,788 --> 00:00:34,165 So there's about 25,000 things there that can go wrong. 12 00:00:34,189 --> 00:00:38,991 So motor racing is very much about attention to detail. 13 00:00:39,015 --> 00:00:42,254 The other thing about Formula 1 in particular 14 00:00:42,278 --> 00:00:44,378 is we're always changing the car. 15 00:00:44,402 --> 00:00:46,658 We're always trying to make it faster. 16 00:00:46,682 --> 00:00:49,642 So every two weeks, we will be making 17 00:00:49,666 --> 00:00:53,842 about 5,000 new components to fit to the car. 18 00:00:53,866 --> 00:00:56,020 Five to 10 percent of the race car 19 00:00:56,044 --> 00:00:59,772 will be different every two weeks of the year. 20 00:00:59,796 --> 00:01:02,081 So how do we do that? 21 00:01:02,105 --> 00:01:05,825 Well, we start our life with the racing car. 22 00:01:05,849 --> 00:01:09,816 We have a lot of sensors on the car to measure things. 23 00:01:09,840 --> 00:01:11,698 On the race car in front of you here 24 00:01:11,722 --> 00:01:14,857 there are about 120 sensors when it goes into a race. 25 00:01:14,881 --> 00:01:18,509 It's measuring all sorts of things around the car. 26 00:01:18,533 --> 00:01:20,561 That data is logged. We're logging about 27 00:01:20,585 --> 00:01:24,265 500 different parameters within the data systems, 28 00:01:24,289 --> 00:01:27,930 about 13,000 health parameters and events 29 00:01:27,954 --> 00:01:32,495 to say when things are not working the way they should do, 30 00:01:32,519 --> 00:01:35,320 and we're sending that data back to the garage 31 00:01:35,344 --> 00:01:40,299 using telemetry at a rate of two to four megabits per second. 32 00:01:40,323 --> 00:01:43,426 So during a two-hour race, each car will be sending 33 00:01:43,450 --> 00:01:45,701 750 million numbers. 34 00:01:45,725 --> 00:01:48,844 That's twice as many numbers as words that each of us 35 00:01:48,868 --> 00:01:50,475 speaks in a lifetime. 36 00:01:50,499 --> 00:01:53,093 It's a huge amount of data. 37 00:01:53,117 --> 00:01:55,738 But it's not enough just to have data and measure it. 38 00:01:55,762 --> 00:01:57,896 You need to be able to do something with it. 39 00:01:57,920 --> 00:02:00,290 So we've spent a lot of time and effort 40 00:02:00,314 --> 00:02:02,159 in turning the data into stories 41 00:02:02,183 --> 00:02:05,264 to be able to tell, what's the state of the engine, 42 00:02:05,288 --> 00:02:07,536 how are the tires degrading, 43 00:02:07,560 --> 00:02:11,284 what's the situation with fuel consumption? 44 00:02:11,308 --> 00:02:14,072 So all of this is taking data 45 00:02:14,096 --> 00:02:17,874 and turning it into knowledge that we can act upon. 46 00:02:17,898 --> 00:02:20,512 Okay, so let's have a look at a little bit of data. 47 00:02:20,536 --> 00:02:22,542 Let's pick a bit of data from 48 00:02:22,566 --> 00:02:25,621 another three-month-old patient. 49 00:02:25,645 --> 00:02:29,792 This is a child, and what you're seeing here is real data, 50 00:02:29,816 --> 00:02:31,769 and on the far right-hand side, 51 00:02:31,793 --> 00:02:34,555 where everything starts getting a little bit catastrophic, 52 00:02:34,579 --> 00:02:37,940 that is the patient going into cardiac arrest. 53 00:02:37,964 --> 00:02:41,172 It was deemed to be an unpredictable event. 54 00:02:41,196 --> 00:02:44,961 This was a heart attack that no one could see coming. 55 00:02:44,985 --> 00:02:47,511 But when we look at the information there, 56 00:02:47,535 --> 00:02:49,860 we can see that things are starting to become 57 00:02:49,884 --> 00:02:53,889 a little fuzzy about five minutes or so before the cardiac arrest. 58 00:02:53,913 --> 00:02:55,926 We can see small changes 59 00:02:55,950 --> 00:02:58,309 in things like the heart rate moving. 60 00:02:58,333 --> 00:03:00,795 These were all undetected by normal thresholds 61 00:03:00,819 --> 00:03:03,203 which would be applied to data. 62 00:03:03,227 --> 00:03:06,346 So the question is, why couldn't we see it? 63 00:03:06,370 --> 00:03:08,927 Was this a predictable event? 64 00:03:08,951 --> 00:03:11,937 Can we look more at the patterns in the data 65 00:03:11,961 --> 00:03:15,317 to be able to do things better? 66 00:03:15,341 --> 00:03:17,967 So this is a child, 67 00:03:17,991 --> 00:03:21,199 about the same age as the racing car on stage, 68 00:03:21,223 --> 00:03:22,829 three months old. 69 00:03:22,853 --> 00:03:25,434 It's a patient with a heart problem. 70 00:03:25,458 --> 00:03:28,902 Now, when you look at some of the data on the screen above, 71 00:03:28,926 --> 00:03:33,804 things like heart rate, pulse, oxygen, respiration rates, 72 00:03:33,828 --> 00:03:36,880 they're all unusual for a normal child, 73 00:03:36,904 --> 00:03:39,522 but they're quite normal for the child there, 74 00:03:39,546 --> 00:03:43,660 and so one of the challenges you have in health care is, 75 00:03:43,684 --> 00:03:46,511 how can I look at the patient in front of me, 76 00:03:46,535 --> 00:03:49,558 have something which is specific for her, 77 00:03:49,582 --> 00:03:52,346 and be able to detect when things start to change, 78 00:03:52,370 --> 00:03:54,445 when things start to deteriorate? 79 00:03:54,469 --> 00:03:57,495 Because like a racing car, any patient, 80 00:03:57,519 --> 00:04:00,471 when things start to go bad, you have a short time 81 00:04:00,495 --> 00:04:02,302 to make a difference. 82 00:04:02,326 --> 00:04:05,056 So what we did is we took a data system 83 00:04:05,080 --> 00:04:08,187 which we run every two weeks of the year in Formula 1 84 00:04:08,211 --> 00:04:11,189 and we installed it on the hospital computers 85 00:04:11,213 --> 00:04:13,479 at Birmingham Children's Hospital. 86 00:04:13,503 --> 00:04:15,918 We streamed data from the bedside instruments 87 00:04:15,942 --> 00:04:18,475 in their pediatric intensive care 88 00:04:18,499 --> 00:04:21,930 so that we could both look at the data in real time 89 00:04:21,954 --> 00:04:24,802 and, more importantly, to store the data 90 00:04:24,826 --> 00:04:27,859 so that we could start to learn from it. 91 00:04:27,883 --> 00:04:32,243 And then, we applied an application on top 92 00:04:32,267 --> 00:04:35,513 which would allow us to tease out the patterns in the data 93 00:04:35,537 --> 00:04:38,469 in real time so we could see what was happening, 94 00:04:38,493 --> 00:04:42,182 so we could determine when things started to change. 95 00:04:42,206 --> 00:04:46,045 Now, in motor racing, we're all a little bit ambitious, 96 00:04:46,069 --> 00:04:48,594 audacious, a little bit arrogant sometimes, 97 00:04:48,618 --> 00:04:51,992 so we decided we would also look at the children 98 00:04:52,016 --> 00:04:54,949 as they were being transported to intensive care. 99 00:04:54,973 --> 00:04:57,497 Why should we wait until they arrived in the hospital 100 00:04:57,521 --> 00:04:59,097 before we started to look? 101 00:04:59,121 --> 00:05:02,094 And so we installed a real-time link 102 00:05:02,118 --> 00:05:04,930 between the ambulance and the hospital, 103 00:05:04,954 --> 00:05:08,706 just using normal 3G telephony to send that data 104 00:05:08,730 --> 00:05:11,193 so that the ambulance became an extra bed 105 00:05:11,217 --> 00:05:14,329 in intensive care. 106 00:05:14,353 --> 00:05:18,031 And then we started looking at the data. 107 00:05:18,055 --> 00:05:20,952 So the wiggly lines at the top, all the colors, 108 00:05:20,976 --> 00:05:24,146 this is the normal sort of data you would see on a monitor -- 109 00:05:24,170 --> 00:05:27,918 heart rate, pulse, oxygen within the blood, 110 00:05:27,942 --> 00:05:30,553 and respiration. 111 00:05:30,577 --> 00:05:33,306 The lines on the bottom, the blue and the red, 112 00:05:33,330 --> 00:05:34,807 these are the interesting ones. 113 00:05:34,831 --> 00:05:37,875 The red line is showing an automated version 114 00:05:37,899 --> 00:05:39,472 of the early warning score 115 00:05:39,496 --> 00:05:42,211 that Birmingham Children's Hospital were already running. 116 00:05:42,235 --> 00:05:44,297 They'd been running that since 2008, 117 00:05:44,321 --> 00:05:46,553 and already have stopped cardiac arrests 118 00:05:46,577 --> 00:05:49,310 and distress within the hospital. 119 00:05:49,334 --> 00:05:51,742 The blue line is an indication 120 00:05:51,766 --> 00:05:54,242 of when patterns start to change, 121 00:05:54,266 --> 00:05:56,551 and immediately, before we even started 122 00:05:56,575 --> 00:05:58,259 putting in clinical interpretation, 123 00:05:58,283 --> 00:06:01,129 we can see that the data is speaking to us. 124 00:06:01,153 --> 00:06:04,665 It's telling us that something is going wrong. 125 00:06:04,689 --> 00:06:08,481 The plot with the red and the green blobs, 126 00:06:08,505 --> 00:06:11,286 this is plotting different components 127 00:06:11,310 --> 00:06:13,833 of the data against each other. 128 00:06:13,857 --> 00:06:17,673 The green is us learning what is normal for that child. 129 00:06:17,697 --> 00:06:20,283 We call it the cloud of normality. 130 00:06:20,307 --> 00:06:22,524 And when things start to change, 131 00:06:22,548 --> 00:06:25,088 when conditions start to deteriorate, 132 00:06:25,112 --> 00:06:27,326 we move into the red line. 133 00:06:27,350 --> 00:06:28,983 There's no rocket science here. 134 00:06:29,007 --> 00:06:33,096 It is displaying data that exists already in a different way, 135 00:06:33,120 --> 00:06:36,487 to amplify it, to provide cues to the doctors, 136 00:06:36,511 --> 00:06:39,225 to the nurses, so they can see what's happening. 137 00:06:39,249 --> 00:06:42,355 In the same way that a good racing driver 138 00:06:42,379 --> 00:06:46,399 relies on cues to decide when to apply the brakes, 139 00:06:46,423 --> 00:06:47,875 when to turn into a corner, 140 00:06:47,899 --> 00:06:50,793 we need to help our physicians and our nurses 141 00:06:50,817 --> 00:06:54,413 to see when things are starting to go wrong. 142 00:06:54,437 --> 00:06:57,359 So we have a very ambitious program. 143 00:06:57,383 --> 00:07:02,095 We think that the race is on to do something differently. 144 00:07:02,119 --> 00:07:04,999 We are thinking big. It's the right thing to do. 145 00:07:05,023 --> 00:07:08,411 We have an approach which, if it's successful, 146 00:07:08,435 --> 00:07:11,055 there's no reason why it should stay within a hospital. 147 00:07:11,079 --> 00:07:12,783 It can go beyond the walls. 148 00:07:12,807 --> 00:07:14,854 With wireless connectivity these days, 149 00:07:14,878 --> 00:07:18,298 there is no reason why patients, doctors and nurses 150 00:07:18,322 --> 00:07:20,469 always have to be in the same place 151 00:07:20,493 --> 00:07:22,462 at the same time. 152 00:07:22,486 --> 00:07:26,457 And meanwhile, we'll take our little three-month-old baby, 153 00:07:26,481 --> 00:07:30,214 keep taking it to the track, keeping it safe, 154 00:07:30,238 --> 00:07:32,547 and making it faster and better. 155 00:07:32,571 --> 00:07:33,952 Thank you very much. 156 00:07:33,976 --> 00:07:38,930 (Applause)