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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 8 Nov 2017

    .@neel_shah in @politico on the new innovations changing hospitals from the ground uphttps://www.politico.com/agenda/story/2017/11/08/the-case-against-hospital-beds-000575 …

    4:33 AM - 8 Nov 2017
    • 129 Retweets
    • 162 Likes
    • Jessika 🐧 Jo Gould Neel Shah, MD Erin Tyler Robbie Buffalo Hassan khan Red_Peg_in_SC Damien Smith Prashant Phalpher
    7 replies 129 retweets 162 likes
      1. Dr Tarun Gupta MRCGP‏ @DrT_RovingGP 8 Nov 2017
        Replying to @Atul_Gawande @neel_shah @politico

        Fantastic piece - the Ambulatory Care Transformation Network initiative seems very innovative yet long overdue. Care closer to home, clinician behaviour change and pt voice central to deliver this. @rcgp @Modality_MCP

        0 replies 1 retweet 3 likes
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      2. Ab Klink‏ @KlinkAb 8 Nov 2017
        Replying to @Atul_Gawande @neel_shah @politico

        'Hospitals that had relatively more operating rooms and relatively fewer labor rooms tended to do more surgery'

        2 replies 1 retweet 1 like
      3. Mark Hoofnagle‏ @MarkHoofnagle 8 Nov 2017
        Replying to @KlinkAb @Atul_Gawande and

        Yes, but are those hospitals the one's with NICUs? Are the seeing higher risk patients? Are we comparing hospitals in the same tier? I looked at the report, the analysis is not sophisticated.

        1 reply 0 retweets 1 like
      4. Mark Hoofnagle‏ @MarkHoofnagle 8 Nov 2017
        Replying to @MarkHoofnagle @KlinkAb and

        I am very, very, skeptical that the way to control unnecessary c-sections is to make it more difficult for facilities to perform a potentially life-saving procedure, or that is what they even measured in the first place.

        0 replies 0 retweets 1 like
      5. End of conversation
      1. Mark Hoofnagle‏ @MarkHoofnagle 8 Nov 2017
        Replying to @Atul_Gawande @neel_shah @politico

        These sound like interventions that should be studied in a prospective fashion rather than implemented based on idealism or poor understanding of our tiered systems. Perverse outcomes abound in such unstructered experimentation.

        0 replies 0 retweets 2 likes
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      1. Krishna Komanduri‏Verified account @drkomanduri 8 Nov 2017
        Replying to @Atul_Gawande @neel_shah @politico

        Completely agree and I often tell patients that putting a bed in the middle of the room sends entirely the wrong message about what is good for their health. I tell my patients to go to bed at night like at home.

        0 replies 0 retweets 1 like
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      1. Antonio S Soares‏ @ASampaioSoares 8 Nov 2017
        Replying to @Atul_Gawande @neel_shah @politico

        Great challenges ahead! Of course prospective plans are ideal but the vast majority of hospitals is already built around the old model. How is it best to approach design changing in this setting?

        0 replies 0 retweets 1 like
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      1. RIPHowardCosell‏ @RipCosell 9 Nov 2017
        Replying to @Atul_Gawande @neel_shah @politico

        The abuse of rules limiting residency work hours is like the abuses committed by Harvey Weinstein— nobody talked about them! Shame on the ACGME!

        0 replies 0 retweets 0 likes
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