[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:00.34,0:00:02.57,Default,,0000,0000,0000,,Motor racing is a funny old business.
Dialogue: 0,0:00:02.59,0:00:04.89,Default,,0000,0000,0000,,We make a new car every year,
Dialogue: 0,0:00:04.91,0:00:07.07,Default,,0000,0000,0000,,and then we spend the rest of the season
Dialogue: 0,0:00:07.10,0:00:09.85,Default,,0000,0000,0000,,trying to understand\Nwhat it is we've built
Dialogue: 0,0:00:09.87,0:00:13.07,Default,,0000,0000,0000,,to make it better, to make it faster.
Dialogue: 0,0:00:13.10,0:00:16.35,Default,,0000,0000,0000,,And then the next year, we start again.
Dialogue: 0,0:00:16.37,0:00:20.58,Default,,0000,0000,0000,,Now, the car you see in front\Nof you is quite complicated.
Dialogue: 0,0:00:20.61,0:00:24.20,Default,,0000,0000,0000,,The chassis is made\Nup of about 11,000 components,
Dialogue: 0,0:00:24.23,0:00:26.67,Default,,0000,0000,0000,,the engine another 6,000,
Dialogue: 0,0:00:26.70,0:00:29.76,Default,,0000,0000,0000,,the electronics\Nabout eight and a half thousand.
Dialogue: 0,0:00:29.79,0:00:34.16,Default,,0000,0000,0000,,So there's about 25,000 things\Nthere that can go wrong.
Dialogue: 0,0:00:34.19,0:00:38.99,Default,,0000,0000,0000,,So motor racing is very much\Nabout attention to detail.
Dialogue: 0,0:00:39.02,0:00:42.25,Default,,0000,0000,0000,,The other thing about Formula\N1 in particular
Dialogue: 0,0:00:42.28,0:00:44.38,Default,,0000,0000,0000,,is we're always changing the car.
Dialogue: 0,0:00:44.40,0:00:46.66,Default,,0000,0000,0000,,We're always trying to make it faster.
Dialogue: 0,0:00:46.68,0:00:49.64,Default,,0000,0000,0000,,So every two weeks, we will be making
Dialogue: 0,0:00:49.67,0:00:53.84,Default,,0000,0000,0000,,about 5,000 new components\Nto fit to the car.
Dialogue: 0,0:00:53.87,0:00:56.02,Default,,0000,0000,0000,,Five to 10 percent of the race car
Dialogue: 0,0:00:56.04,0:00:59.77,Default,,0000,0000,0000,,will be different\Nevery two weeks of the year.
Dialogue: 0,0:00:59.80,0:01:02.08,Default,,0000,0000,0000,,So how do we do that?
Dialogue: 0,0:01:02.10,0:01:05.82,Default,,0000,0000,0000,,Well, we start our life\Nwith the racing car.
Dialogue: 0,0:01:05.85,0:01:09.82,Default,,0000,0000,0000,,We have a lot of sensors\Non the car to measure things.
Dialogue: 0,0:01:09.84,0:01:11.70,Default,,0000,0000,0000,,On the race car in front of you here
Dialogue: 0,0:01:11.72,0:01:14.86,Default,,0000,0000,0000,,there are about 120 sensors\Nwhen it goes into a race.
Dialogue: 0,0:01:14.88,0:01:18.51,Default,,0000,0000,0000,,It's measuring all sorts\Nof things around the car.
Dialogue: 0,0:01:18.53,0:01:20.56,Default,,0000,0000,0000,,That data is logged. We're logging about
Dialogue: 0,0:01:20.58,0:01:24.26,Default,,0000,0000,0000,,500 different parameters\Nwithin the data systems,
Dialogue: 0,0:01:24.29,0:01:27.93,Default,,0000,0000,0000,,about 13,000 health parameters and events
Dialogue: 0,0:01:27.95,0:01:32.50,Default,,0000,0000,0000,,to say when things are not\Nworking the way they should do,
Dialogue: 0,0:01:32.52,0:01:35.32,Default,,0000,0000,0000,,and we're sending that data\Nback to the garage
Dialogue: 0,0:01:35.34,0:01:40.30,Default,,0000,0000,0000,,using telemetry at a rate\Nof two to four megabits per second.
Dialogue: 0,0:01:40.32,0:01:43.43,Default,,0000,0000,0000,,So during a two-hour race,\Neach car will be sending
Dialogue: 0,0:01:43.45,0:01:45.70,Default,,0000,0000,0000,,750 million numbers.
Dialogue: 0,0:01:45.72,0:01:48.84,Default,,0000,0000,0000,,That's twice as many numbers\Nas words that each of us
Dialogue: 0,0:01:48.87,0:01:50.48,Default,,0000,0000,0000,,speaks in a lifetime.
Dialogue: 0,0:01:50.50,0:01:53.09,Default,,0000,0000,0000,,It's a huge amount of data.
Dialogue: 0,0:01:53.12,0:01:55.74,Default,,0000,0000,0000,,But it's not enough just\Nto have data and measure it.
Dialogue: 0,0:01:55.76,0:01:57.90,Default,,0000,0000,0000,,You need to be able to do\Nsomething with it.
Dialogue: 0,0:01:57.92,0:02:00.29,Default,,0000,0000,0000,,So we've spent a lot of time and effort
Dialogue: 0,0:02:00.31,0:02:02.16,Default,,0000,0000,0000,,in turning the data into stories
Dialogue: 0,0:02:02.18,0:02:05.26,Default,,0000,0000,0000,,to be able to tell,\Nwhat's the state of the engine,
Dialogue: 0,0:02:05.29,0:02:07.54,Default,,0000,0000,0000,,how are the tires degrading,
Dialogue: 0,0:02:07.56,0:02:11.28,Default,,0000,0000,0000,,what's the situation\Nwith fuel consumption?
Dialogue: 0,0:02:11.31,0:02:14.07,Default,,0000,0000,0000,,So all of this is taking data
Dialogue: 0,0:02:14.10,0:02:17.87,Default,,0000,0000,0000,,and turning it into knowledge\Nthat we can act upon.
Dialogue: 0,0:02:17.90,0:02:20.51,Default,,0000,0000,0000,,Okay, so let's have a look\Nat a little bit of data.
Dialogue: 0,0:02:20.54,0:02:22.54,Default,,0000,0000,0000,,Let's pick a bit of data from
Dialogue: 0,0:02:22.57,0:02:25.62,Default,,0000,0000,0000,,another three-month-old patient.
Dialogue: 0,0:02:25.64,0:02:29.79,Default,,0000,0000,0000,,This is a child, and what you're\Nseeing here is real data,
Dialogue: 0,0:02:29.82,0:02:31.77,Default,,0000,0000,0000,,and on the far right-hand side,
Dialogue: 0,0:02:31.79,0:02:34.56,Default,,0000,0000,0000,,where everything starts getting\Na little bit catastrophic,
Dialogue: 0,0:02:34.58,0:02:37.94,Default,,0000,0000,0000,,that is the patient going\Ninto cardiac arrest.
Dialogue: 0,0:02:37.96,0:02:41.17,Default,,0000,0000,0000,,It was deemed to be\Nan unpredictable event.
Dialogue: 0,0:02:41.20,0:02:44.96,Default,,0000,0000,0000,,This was a heart attack\Nthat no one could see coming.
Dialogue: 0,0:02:44.98,0:02:47.51,Default,,0000,0000,0000,,But when we look at the information there,
Dialogue: 0,0:02:47.54,0:02:49.86,Default,,0000,0000,0000,,we can see that things\Nare starting to become
Dialogue: 0,0:02:49.88,0:02:53.89,Default,,0000,0000,0000,,a little fuzzy about five minutes\Nor so before the cardiac arrest.
Dialogue: 0,0:02:53.91,0:02:55.93,Default,,0000,0000,0000,,We can see small changes
Dialogue: 0,0:02:55.95,0:02:58.31,Default,,0000,0000,0000,,in things like the heart rate moving.
Dialogue: 0,0:02:58.33,0:03:00.80,Default,,0000,0000,0000,,These were all undetected\Nby normal thresholds
Dialogue: 0,0:03:00.82,0:03:03.20,Default,,0000,0000,0000,,which would be applied to data.
Dialogue: 0,0:03:03.23,0:03:06.35,Default,,0000,0000,0000,,So the question is, why\Ncouldn't we see it?
Dialogue: 0,0:03:06.37,0:03:08.93,Default,,0000,0000,0000,,Was this a predictable event?
Dialogue: 0,0:03:08.95,0:03:11.94,Default,,0000,0000,0000,,Can we look more\Nat the patterns in the data
Dialogue: 0,0:03:11.96,0:03:15.32,Default,,0000,0000,0000,,to be able to do things better?
Dialogue: 0,0:03:15.34,0:03:17.97,Default,,0000,0000,0000,,So this is a child,
Dialogue: 0,0:03:17.99,0:03:21.20,Default,,0000,0000,0000,,about the same age\Nas the racing car on stage,
Dialogue: 0,0:03:21.22,0:03:22.83,Default,,0000,0000,0000,,three months old.
Dialogue: 0,0:03:22.85,0:03:25.43,Default,,0000,0000,0000,,It's a patient with a heart problem.
Dialogue: 0,0:03:25.46,0:03:28.90,Default,,0000,0000,0000,,Now, when you look at some of the data\Non the screen above,
Dialogue: 0,0:03:28.93,0:03:33.80,Default,,0000,0000,0000,,things like heart rate, pulse,\Noxygen, respiration rates,
Dialogue: 0,0:03:33.83,0:03:36.88,Default,,0000,0000,0000,,they're all unusual for a normal child,
Dialogue: 0,0:03:36.90,0:03:39.52,Default,,0000,0000,0000,,but they're quite normal\Nfor the child there,
Dialogue: 0,0:03:39.55,0:03:43.66,Default,,0000,0000,0000,,and so one of the challenges\Nyou have in health care is,
Dialogue: 0,0:03:43.68,0:03:46.51,Default,,0000,0000,0000,,how can I look at the patient\Nin front of me,
Dialogue: 0,0:03:46.54,0:03:49.56,Default,,0000,0000,0000,,have something which is specific for her,
Dialogue: 0,0:03:49.58,0:03:52.35,Default,,0000,0000,0000,,and be able to detect when\Nthings start to change,
Dialogue: 0,0:03:52.37,0:03:54.44,Default,,0000,0000,0000,,when things start to deteriorate?
Dialogue: 0,0:03:54.47,0:03:57.50,Default,,0000,0000,0000,,Because like a racing car, any patient,
Dialogue: 0,0:03:57.52,0:04:00.47,Default,,0000,0000,0000,,when things start to go\Nbad, you have a short time
Dialogue: 0,0:04:00.50,0:04:02.30,Default,,0000,0000,0000,,to make a difference.
Dialogue: 0,0:04:02.33,0:04:05.06,Default,,0000,0000,0000,,So what we did is we took a data system
Dialogue: 0,0:04:05.08,0:04:08.19,Default,,0000,0000,0000,,which we run every two weeks\Nof the year in Formula 1
Dialogue: 0,0:04:08.21,0:04:11.19,Default,,0000,0000,0000,,and we installed it\Non the hospital computers
Dialogue: 0,0:04:11.21,0:04:13.48,Default,,0000,0000,0000,,at Birmingham Children's Hospital.
Dialogue: 0,0:04:13.50,0:04:15.92,Default,,0000,0000,0000,,We streamed data\Nfrom the bedside instruments
Dialogue: 0,0:04:15.94,0:04:18.48,Default,,0000,0000,0000,,in their pediatric intensive care
Dialogue: 0,0:04:18.50,0:04:21.93,Default,,0000,0000,0000,,so that we could both look\Nat the data in real time
Dialogue: 0,0:04:21.95,0:04:24.80,Default,,0000,0000,0000,,and, more importantly, to store the data
Dialogue: 0,0:04:24.83,0:04:27.86,Default,,0000,0000,0000,,so that we could start to learn from it.
Dialogue: 0,0:04:27.88,0:04:32.24,Default,,0000,0000,0000,,And then, we applied an application on top
Dialogue: 0,0:04:32.27,0:04:35.51,Default,,0000,0000,0000,,which would allow us to tease\Nout the patterns in the data
Dialogue: 0,0:04:35.54,0:04:38.47,Default,,0000,0000,0000,,in real time so we could\Nsee what was happening,
Dialogue: 0,0:04:38.49,0:04:42.18,Default,,0000,0000,0000,,so we could determine when\Nthings started to change.
Dialogue: 0,0:04:42.21,0:04:46.04,Default,,0000,0000,0000,,Now, in motor racing, we're\Nall a little bit ambitious,
Dialogue: 0,0:04:46.07,0:04:48.59,Default,,0000,0000,0000,,audacious, a little bit\Narrogant sometimes,
Dialogue: 0,0:04:48.62,0:04:51.99,Default,,0000,0000,0000,,so we decided we would also\Nlook at the children
Dialogue: 0,0:04:52.02,0:04:54.95,Default,,0000,0000,0000,,as they were being transported\Nto intensive care.
Dialogue: 0,0:04:54.97,0:04:57.50,Default,,0000,0000,0000,,Why should we wait\Nuntil they arrived in the hospital
Dialogue: 0,0:04:57.52,0:04:59.10,Default,,0000,0000,0000,,before we started to look?
Dialogue: 0,0:04:59.12,0:05:02.09,Default,,0000,0000,0000,,And so we installed a real-time link
Dialogue: 0,0:05:02.12,0:05:04.93,Default,,0000,0000,0000,,between the ambulance and the hospital,
Dialogue: 0,0:05:04.95,0:05:08.71,Default,,0000,0000,0000,,just using normal 3G\Ntelephony to send that data
Dialogue: 0,0:05:08.73,0:05:11.19,Default,,0000,0000,0000,,so that the ambulance became an extra bed
Dialogue: 0,0:05:11.22,0:05:14.33,Default,,0000,0000,0000,,in intensive care.
Dialogue: 0,0:05:14.35,0:05:18.03,Default,,0000,0000,0000,,And then we started looking at the data.
Dialogue: 0,0:05:18.06,0:05:20.95,Default,,0000,0000,0000,,So the wiggly lines\Nat the top, all the colors,
Dialogue: 0,0:05:20.98,0:05:24.15,Default,,0000,0000,0000,,this is the normal sort of data\Nyou would see on a monitor --
Dialogue: 0,0:05:24.17,0:05:27.92,Default,,0000,0000,0000,,heart rate, pulse,\Noxygen within the blood,
Dialogue: 0,0:05:27.94,0:05:30.55,Default,,0000,0000,0000,,and respiration.
Dialogue: 0,0:05:30.58,0:05:33.31,Default,,0000,0000,0000,,The lines on the bottom,\Nthe blue and the red,
Dialogue: 0,0:05:33.33,0:05:34.81,Default,,0000,0000,0000,,these are the interesting ones.
Dialogue: 0,0:05:34.83,0:05:37.88,Default,,0000,0000,0000,,The red line is showing\Nan automated version
Dialogue: 0,0:05:37.90,0:05:39.47,Default,,0000,0000,0000,,of the early warning score
Dialogue: 0,0:05:39.50,0:05:42.21,Default,,0000,0000,0000,,that Birmingham Children's Hospital\Nwere already running.
Dialogue: 0,0:05:42.24,0:05:44.30,Default,,0000,0000,0000,,They'd been running that since 2008,
Dialogue: 0,0:05:44.32,0:05:46.55,Default,,0000,0000,0000,,and already have stopped cardiac arrests
Dialogue: 0,0:05:46.58,0:05:49.31,Default,,0000,0000,0000,,and distress within the hospital.
Dialogue: 0,0:05:49.33,0:05:51.74,Default,,0000,0000,0000,,The blue line is an indication
Dialogue: 0,0:05:51.77,0:05:54.24,Default,,0000,0000,0000,,of when patterns start to change,
Dialogue: 0,0:05:54.27,0:05:56.55,Default,,0000,0000,0000,,and immediately, before we even started
Dialogue: 0,0:05:56.58,0:05:58.26,Default,,0000,0000,0000,,putting in clinical interpretation,
Dialogue: 0,0:05:58.28,0:06:01.13,Default,,0000,0000,0000,,we can see that the data\Nis speaking to us.
Dialogue: 0,0:06:01.15,0:06:04.66,Default,,0000,0000,0000,,It's telling us that something\Nis going wrong.
Dialogue: 0,0:06:04.69,0:06:08.48,Default,,0000,0000,0000,,The plot with the red and the green blobs,
Dialogue: 0,0:06:08.50,0:06:11.29,Default,,0000,0000,0000,,this is plotting different components
Dialogue: 0,0:06:11.31,0:06:13.83,Default,,0000,0000,0000,,of the data against each other.
Dialogue: 0,0:06:13.86,0:06:17.67,Default,,0000,0000,0000,,The green is us learning\Nwhat is normal for that child.
Dialogue: 0,0:06:17.70,0:06:20.28,Default,,0000,0000,0000,,We call it the cloud of normality.
Dialogue: 0,0:06:20.31,0:06:22.52,Default,,0000,0000,0000,,And when things start to change,
Dialogue: 0,0:06:22.55,0:06:25.09,Default,,0000,0000,0000,,when conditions start to deteriorate,
Dialogue: 0,0:06:25.11,0:06:27.33,Default,,0000,0000,0000,,we move into the red line.
Dialogue: 0,0:06:27.35,0:06:28.98,Default,,0000,0000,0000,,There's no rocket science here.
Dialogue: 0,0:06:29.01,0:06:33.10,Default,,0000,0000,0000,,It is displaying data that exists\Nalready in a different way,
Dialogue: 0,0:06:33.12,0:06:36.49,Default,,0000,0000,0000,,to amplify it, to provide\Ncues to the doctors,
Dialogue: 0,0:06:36.51,0:06:39.22,Default,,0000,0000,0000,,to the nurses, so they can\Nsee what's happening.
Dialogue: 0,0:06:39.25,0:06:42.36,Default,,0000,0000,0000,,In the same way that a good racing driver
Dialogue: 0,0:06:42.38,0:06:46.40,Default,,0000,0000,0000,,relies on cues to decide\Nwhen to apply the brakes,
Dialogue: 0,0:06:46.42,0:06:47.88,Default,,0000,0000,0000,,when to turn into a corner,
Dialogue: 0,0:06:47.90,0:06:50.79,Default,,0000,0000,0000,,we need to help\Nour physicians and our nurses
Dialogue: 0,0:06:50.82,0:06:54.41,Default,,0000,0000,0000,,to see when things\Nare starting to go wrong.
Dialogue: 0,0:06:54.44,0:06:57.36,Default,,0000,0000,0000,,So we have a very ambitious program.
Dialogue: 0,0:06:57.38,0:07:02.10,Default,,0000,0000,0000,,We think that the race is on to do\Nsomething differently.
Dialogue: 0,0:07:02.12,0:07:04.100,Default,,0000,0000,0000,,We are thinking big.\NIt's the right thing to do.
Dialogue: 0,0:07:05.02,0:07:08.41,Default,,0000,0000,0000,,We have an approach which,\Nif it's successful,
Dialogue: 0,0:07:08.44,0:07:11.06,Default,,0000,0000,0000,,there's no reason why it\Nshould stay within a hospital.
Dialogue: 0,0:07:11.08,0:07:12.78,Default,,0000,0000,0000,,It can go beyond the walls.
Dialogue: 0,0:07:12.81,0:07:14.85,Default,,0000,0000,0000,,With wireless connectivity these days,
Dialogue: 0,0:07:14.88,0:07:18.30,Default,,0000,0000,0000,,there is no reason why\Npatients, doctors and nurses
Dialogue: 0,0:07:18.32,0:07:20.47,Default,,0000,0000,0000,,always have to be in the same place
Dialogue: 0,0:07:20.49,0:07:22.46,Default,,0000,0000,0000,,at the same time.
Dialogue: 0,0:07:22.49,0:07:26.46,Default,,0000,0000,0000,,And meanwhile, we'll take\Nour little three-month-old baby,
Dialogue: 0,0:07:26.48,0:07:30.21,Default,,0000,0000,0000,,keep taking it to the track,\Nkeeping it safe,
Dialogue: 0,0:07:30.24,0:07:32.55,Default,,0000,0000,0000,,and making it faster and better.
Dialogue: 0,0:07:32.57,0:07:33.95,Default,,0000,0000,0000,,Thank you very much.
Dialogue: 0,0:07:33.98,0:07:38.93,Default,,0000,0000,0000,,(Applause)