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Software and tech folks: interested in capacity, saturation, and adaptation that happens in medical facilities? I got you — my partner at @AdaptiveCLabs Dr. Richard Cook (@ri_cook) is a pioneer of Resilience Engineering and studied this for literally decades (thread)...
First, for those who have not read it, I give you the seminal “How Complex Systems Fail” paper: adaptivecapacitylabs.com/HowComplexSyst…

(largely considered to be the “gateway” paper to safety in complex systems and incidents)
Next up, “Being Bumpable: Consequences of resource saturation and near-saturation for cognitive demands on ICU practitioners” on the topic of what coping strategies hospitals use in managing saturation of incoming patients

researchgate.net/publication/33…
Interested in peer code review, pair programming, and/or ‘swarming’? You might find “Collaborative Cross-Checking to Enhance Resilience” interesting, which looks at 3 incidents in healthcare where cross-checking played a key role researchgate.net/publication/22…
One of my favorite papers is “The Messy Details: Insights From the Study of Technical Work in Healthcare” about what it looks like to study the nitty-gritty researchgate.net/publication/22…
Btw, I once replaced mentions of clinical settings and put in “software engineering and operations” and the article still works incredibly well: docs.google.com/document/d/1r7…
Finally (there’s much more than this tho) there is “Adapting to New Technology in the Operating Room” researchgate.net/publication/14…
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John Allspaw
@allspaw
The potential for you as an engineer to know things about your systems that your colleagues (even those on your team, who you've worked alongside for a long time) don't know is higher than many think.
What's more is that not only do they not know what you know, you might mistakenly believe they they *do* know it.

Which means when opportunities come up to reveal this "knowledge-past-each-other", you're not likely to bring it up with them.
(aside: this phenomenon is known as the 'Fundamental Common Ground Breakdown")
Read 9 tweets
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John Allspaw
@allspaw
On the topic of Incident Analysis, I don't believe the industry has a "dissemination" problem - that they produce post-incident write-ups but people just won't take the time to read them.

It seems many think this is the case. I don't.
I believe that the skills necessary to produce quality, compelling and genuinely insightful write-ups is in very short supply.

(I also think the allure of "template-driven postmortems" unfortunately enables this poor quality to continue.)
People aren't reading (and commenting, and highlighting, and referencing, and asking questions) about them because they don't (typically) reveal anything of interest for the reader!

Doing this well can be done, and the results are undeniable when this expertise exists!
Read 7 tweets
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John Allspaw
@allspaw
After @ph and I gave a talk about dev and ops cooperation (and a bit about “continuous deployment”) at @velocityconf in 2009, I was told by some attendees that:

1. We were “fucking lunatics”
2. Deserved to be fired for suggesting the things we spoke about were possible
Many believed them to be radical ideas at the time, some still do!

Similar reactions came about the “blameless postmortems” blog post I wrote in 2012.

Some concepts and ideas take time to grok/work through/spread/refine/evolve, even those that evoke strong defensive reactions.
I believe the same is happening wrt concepts of Resilience Engineering (and therefore progressive incident analysis expertise) right now.

Very happy to have fellow travelers on this front, just like I was very happy to have @ph ten years ago!
Read 3 tweets

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Syrian Network
@snhr
Tweets series of what have been highlighted in the report “#SyrianRussianAlliance Forces Target 24 #Medical Facilities in the Fourth #DeEscalation Zone Within Four Weeks”
sn4hr.org/?p=53713
1/5 The failure of the #UnitedNations’ mechanisms to take any action to force the Syrian regime to stop bombing the protected #hospitals and facilities, the inability of the Security Council to act due to the #Russian veto, and the failure to create an international coalition...
...responsible for protecting civilians and medical and civilian facilities, have all contributed to enabling the #SyrianRegime and its allies to continue with their barbaric #Strategy of bombing of medical facilities.
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Lillis Tuckerman
@wanderingwomb1
Miscarriages and toilets. CW - graphic thread about miscarriages, incredibly sensitive topic (I know, I've been there). Do women really suffer miscarriages in public toilets or is this a "crazy topic" made up by GC feminists to advance a transphobic agenda?
This was the question posed by @RipTaraWB, arguing that this was "a feminist brain fart of attack" on trans women. Are miscarriages in toilets a TERF weapon to attack trans women? Or is a real trauma and NOT all about trans women?
Well, for me personally although I had surgical management for my miscarriages, I certainly experienced lots of bleeding from my failed pregnancy in public toilets

Read 33 tweets
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The People's Archive
@PARInetwork
The landmark #SacharCommittee report that collected & analysed data on the social,economic & educational status of Muslims in India is now available in our resource section. Specifically,it tried to gauge if & why Muslims are under-represented in govt departments & other spheres.
Here are some of its findings. ruralindiaonline.org/resources/soci…
The 2001 Census showed that #literacy rates were low among Muslims, Scheduled Castes and Scheduled Tribes.
The perception that religious conservatism among Muslims is a major factor for not accessing #education is incorrect. As with many Indians, the main reason for ‘educational backwardness’ of Muslims is abject poverty, which forces many children to drop out of school.
Read 15 tweets
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Chris Allison
@ToferC
Now up: Zachary Brown, Lead Data Scientist at S&P Global on #DataScience and #OpenEducation for the enterprise. Dayjob: #AI, Sidehustle: building #digital skills using #opensource #ODSCWest @School_GC
#DigitalLiteracy - Why? Effective work today requires a lot of associated learning. @linuxfoundation @github #VersionControl #Visualization -- continuous learning is critical. Optimal tools & processes are probably not the ones you are using now (Matlab vs. Scikit-Learn)
Need an evolving understanding for what tools are available today to get your work done. If you want your business people to work with your #datascience team, they need to understand what data is and what it can do. Also helps to avoid chasing buzzwords and bling.
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Nicole Sanchez
@nmsanchez
Hello #tech folks--who is organizing our community around family separations and other immigration atrocities? Please RT so we can find each other. Thanks
Here is a thread we should all be following:

Read 4 tweets

Trending hashtags

#ODSCWest #Iowa #enforcement #toilet #medicine #VersionControl #Washington #Syria #oil #Datascience #Trump #Malaysia #telecom #diversity #Fed #nurses #Yuan #welfare #IMF #Australia #Sochi #Medical #Xinjiang #Ńō #California

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