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Coda Change

Feb 28, 2017

All biomarkers are awesome predictors of badness. Elevated hS-troponins after non-cardiac surgery or an acute exacerbation of COPD are associated with increased mortality. In seemingly healthy people elevated D-dimer levels are associated with increased mortality, just like NT-proBNP levels predict mortality in...


Feb 26, 2017

The vocabulary of elite teams is changing. Understanding the roots of grit, resilience and poise under pressure requires a deep dive into the challenging, sometimes ugly world of our emotions, fear, anxiety and expectations. This is the good news: the science of human performance has evolved as well, and offers insight...


Feb 22, 2017

Our attempts to improve safety and quality in healthcare have tended to focus on learning from error. Intuitively, this seems like a good idea: if we make a mistake, we would like to learn why it happened and how to stop it happening again. But errors only occur in a minority of clinical encounters, so our focus is...


Feb 21, 2017

Is there a specific time during our shift when we are too fatigued to safety practice? That was the question that led to a research project comparing the clinical performance of providers during the first hour of a day shift and the final hour of a string of night shifts. These providers were pulled out of their...


Feb 20, 2017

Ah, but you don't look like a professor! A recent statement from a (female) patient says it all, doesn't it?

Since the first women were admitted to medical schools – quite a while ago in most countries, the participation of women in clinical and academic medicine has increased steadily. Overall, women represent the...