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“ ”The investigators at Johns Hopkins and elsewhere had also observed that when nurses were given a chance to say their names and mention concerns at the beginning of a case, they were more likely to note problems and offer solutions. The researchers called it an “activation phenomenon.” Giving people a chance to say something at the start seemed to activate their sense of participation and responsibility and their willingness to speak up.
Additional quotes by Atul Gawande
Your chances of avoiding the nursing home are directly related to the number of children you have,
the vital questions are the same: What is your understanding of the situation and its potential outcomes? What are your fears and what are your hopes? What are the trade-offs you are willing to make and not willing to make? And what is the course of action that best serves this understanding?
The seemingly easiest and most sensible rule for a doctor to follow is: Always Fight. Always look for what more you could do. (...)
But our fight is not always to do more. It is to do right by our patients, even though what is right is not always clear.