first10em.bsky.social
https://first10em.com/
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This... is disturbing. Thanks for sharing this education... I think.
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I am not sure equating judgement to decision rules is appropriate
Decisions rules are simplified - pared down judgement; they are rigid; they don't have anything like the complexity of expert judgement
Both should be studied
Thus far, rules have essentially never won
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For us it’s about exactly the elements in your last paper - recognising that sometimes the situation doesn’t fit the protocol or policy. The reporting provides an opportunity to ascertain whether the policy needs to change.
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Has NSW ambulance published on their program?
Seems like the kind of thing Casey and I like to banter about
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Nice! It might interest you to know that NSW ambulance has pathways for reporting and analysing “variance to practice”, another thing I think many hospitals could learn from.
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I like the idea of measuring variance, but I always worry about the set point
Excellence is variance from baseline, but not something to be wheeled in
Most attempts to diminish variance I have seen in North America seem to aim more towards mediocracy
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Famous Billy quote about being an ER doc #MedSky
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Now I went down the rabbit hole...
www.propublica.org/article/musc...
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Just participated in Dr. Lin’s Synapse course. Amazing education!
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More on the evidence supporting this take here
first10em.com/the-pediatri...
Video out on YouTube sometime soon
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Accompanying #FOAMed blog post:
first10em.com/let-them-eat/
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Accompanying #FOAMed blog post:
first10em.com/let-them-eat/
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completely agree.
a Delphi study designed to gain consensus from experts on evidence-lite topics is terrific and these are useful.
but we shouldn't confuse a Delphi study with an evidence-based clinical practice guideline.
the reality though is that these get jumbled together a lot.