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Comment Re:Get rid of the dinosaurs (Score 1) 263

But the workers would have been observed both before and after the checklists were implemented. While possibly improving overall care throughout the study, the Hawthorne effect shouldn't be the cause of the improvements after the checklists were implemented.

Even if one study isn't enough to change standards of care in the entire country (which I agree with), it should be enough to get a hospital somewhere to trial checklists. They should already be collecting infection data and data on the cause of deaths inside the hospital, so there may not be much of a Hawthorne effect then.

Comment Re:Get rid of the dinosaurs (Score 1) 263

In the case of ICU checklists, nurses every year are required to do more and more documentation (an average of 18 pieces of paper for a new non-ICU admission to my hospital) and every checklist or additional page you add to that is taking time away from patient care. So what sounds like a great idea may in fact cause worse outcomes because it puts the nurses focus on a paper rather than their patient.

I agree. Someone should run a study where they first record error rates, infection rates, death rates, etc., then develop checklists based on that data, implement those checklists, and finally record the same data while the checklists are in use. That way you'd have at least some experimental evidence arguing either for or against checklists. Doctors all love evidence-based medicine, so I'm sure they'd get behind whatever the outcome, or at least support additional studies to gather more evidence.

... Reads TFA ... Oh, they already did such a study, and it said checklists improve overall patient care. Awesome. Why don't you believe in evidence-based medicine?

Feed Engadget: Letterman's head writer faces sparking, smoking PowerBook adapter (engadget.com)

Filed under: Laptops

Granted, we've seen our fair share of Apple products getting a bit hot under the collar, and while the PowerBook AC adapters never were truly regarded as top-notch pieces of equipment, it seems that this particular one chose the wrong guy to get all sparked up on. Justin Stangel, a head writer / producer for the Late Show with David Letterman, was presumably writing up the night's monologue when he was uncomfortably faced with a sparking AC adapter. As any true professional would do, he actually filmed the volatile device getting its spark (and smoke) on rather than evacuating the area, so be sure and click on through to see what the fuss is all about.

Continue reading Letterman's head writer faces sparking, smoking PowerBook adapter

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