Hi,
I tend to avoid sending references because they may reflect a
bias.....particularly on such publicized
issues as extended shifts for truck drivers, pilots and residents and
physician error. I hope those below will
not be offensive or biased and will not be a distraction from the point.
Hours
http://focus.hms.harvard.edu/2004/Nov12_2004/sleep_medicine.html
http://www.snma.org/downloads/snma_residency_work_hours.pdf
http://62.189.48.33/Articles/2006/08/31/208771/Investigators+find+air+traffic+controller+of+crashed+Comair+CRJ+had+two+hours'+sleep+in+past.html
Death I try to provide balance. We have long known that you should be
vigilant on hospitals.
It is a general practice here to mark the limb to receive surgery.
http://www.healingdaily.com/Doctors-Are-The-Third-Leading-Cause-of-Death-in-the-US.htm
http://www.acponline.org/journals/ecp/novdec00/sox.htm
My point is that we know, but do not fix........ we get excited when
our can't do culture is exposed.
Our president said the other day in a speech bin Laden is determined to
attack...... USA.
Does that sound familiar?
Del
chasinb wrote:
Do you have some sources for these facts? That would be very useful if
we want to use this data. Barbara Chasin
Del Thomas Ph D wrote:
A correction on medical deaths the correct number is 98K per year.
There have been several recent reports on resident
duty time. Apparently the accident rate doubles for duty over 12
hours. The same problem may have been a factor
with the runway accident at Lexington's Blue Grass Airport. FAA rules
require 2 traffic controllers to be on duty.... there was only one
Also, there are shift length rules for controllers and flight staff as
well. A problem. Down time starts when they they get off the plane
and ends when they board. So down time includes the time they need to
get from the airport to a hotel....etc.
911, Katrina and Lexington exposed what had been there.... the
Valerie Plane incident is an example of what can happen when
one tries to speak truth to power.
Del
Del Thomas Ph D wrote:
Lecture halls, teacher/preacher models and grades are not the only
factors that promote the learned ignorance seen
in 911, FEMA, or not being able to get a plane on the correct
runway.... or 90+ deaths a year due to physician error.
The good old American can do is false consciousness. For example,
we are now being told that we have prevented
attacks......... forgetting that there was a ten year gap between the
first and second trade center attacks. In an interview
regarding regime change in Iran Michael A.
Ledeen failed to mention we over threw a their democratically elected
government
in 1951.
We have learned to ignore .... because our educational system was
intended as a dalliance situation for the sons of the chosen
...... until they took over daddy's company. So it didn't matter
that we had a sage on a stage....and focused on the transfer of
information ..... adoptive learning. As Durkheim has warned us this
mechanical stuff is primitive ...... it is the non linear.....organic
adaptive learning that is required......
Take a look at Hampshire college....they never required SAT's and there
are no grades or exams more then 60% of their graduates
have gone to grad school. And while not all of their grads are Ken
Burns, Jon Krakauer or Sander
Thoenes.......... Hampshire grads have gone on to win
numerous prestigious academic
fellowships including 14 Fulbrights, Mellon and Javits fellowships, and
a Guggenheim fellowship, among others.
A interesting feature of the college is that it starts with the plan
not the budget...... as a result the average class size is 16.
Del
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