@Atul_Gawande @LisaRosenbaum17 @NewYorker I don't agree with this article, I see poor documentation, poor communication, poor role modeling
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@KatenNP with nurse critique: "I don't agree with this article, I see poor documentation, poor communication, poor role modeling."
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@Atul_Gawande@LisaRosenbaum17@NewYorker as well as perpetuation of the "I have to do it all..." mentality instead of the "we work together -
@Atul_Gawande@LisaRosenbaum17@NewYorker we are taught in NURSING that poor time management is never a good excuse for poor care or harm - 1 more reply
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@Atul_Gawande my dad was in a teaching hospital with cancer, hand-offs were hell. We tried to have a family member on hand to better update.Thanks. Twitter will use this to make your timeline better. UndoUndo
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Interesting RT
@Atul_Gawande 10,000 hrs vs making doctors rest:@LisaRosenbaum17's article gets it right in@newyorker http://nyr.kr/15cRjpfThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@LisaRosenbaum17 Is the claim that sleeplessness doesn't affect outcomes, or that it does but needs less ham-handed response? -
@aresnick@Atul_Gawande@LisaRosenbaum17 Or that we scrambled in 2011, and haven't rethought what handoffs/care sharing should look like. -
@ClaireAnkuda@Atul_Gawande@LisaRosenbaum17 Right, meaning the latter (i.e. a more thoughtful intervention in sleeplessness's effects)? - End of conversation
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@Atul_Gawande@LisaRosenbaum17 Sounds like team/process problem. If med=team sport others need to be able to take over effectively. -
@jonatwabash@Atul_Gawande@LisaRosenbaum17 exactly! Where were the nurses? Why didnt anyone ask for help? It is the system that fails us -
@KatenNP@Atul_Gawande@LisaRosenbaum17 And what about the tech? It could demand a brief reason for MD's decision to help the team undrstand
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@Atul_Gawande: MT@LisaRosenbaum17 gets it right@newyorker http://nyr.kr/15cRjpf Feeling ownership of pts is important for their care.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@LisaRosenbaum17@NewYorker So should the pendulum swing the other way? Or will we find a "happy"medium?Duty hrs. vs.safe pt.?Thanks. Twitter will use this to make your timeline better. UndoUndo
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Less hours and rest is not always the 'right' answer to training physicians
@Atul_Gawande@NewYorker http://nyr.kr/15cRjpfThanks. Twitter will use this to make your timeline better. UndoUndo
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Great article so true!! RT
@Atul_Gawande: 10,000 hours vs making doctors rest@LisaRosenbaum17@newyorker http://nyr.kr/15cRjpfThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@LisaRosenbaum17@NewYorker still a tendency to have residents used as cheap labor--not doing things that advance care and ed -
@Atul_Gawande@LisaRosenbaum17@NewYorker for instance increased vol reporting of error may reflect improvement in culture.
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