Aaron Calhoun

@RBC_PICU Yes. Right now we are only planning on using N95 masks for aerosolizing procedures.

Anyone out there in #PedsICU #COVID19 land using face masks over N95s so that they can reuse N95s between patients? Yet?

@BetsyHuntMD Thanks Betsy. This is helpful information.

Thus far, cancelling SP/TA events. No events with large clusters in room simultaneously; divide groups to arrive so no large groups in lobby; mandating gloves for manikins & trainers & clean manikin & hands after; cancelling in situ except Just-In-Time patient oriented requests.

@twhitfill I guess that's what happens when you are named after a Harry Potter character....

Rubius can’t even deliver on their first program (after repeated delays of the trial) and is abandoning development of PKU. What a joke. $RUBY ir.rubiustx.com/news-releases/…

Kids and COVID-19: What Parents Should Know m.yale.edu/jmn @YalePediatrics @ctemsc @rbabyfoundation

COVID-19 Isn’t As Deadly As We Think slate.com/technology/202…

@twhitfill @aoifemlbrennan To me it resembles a low-altitude, extremely brief match of Hackysack. #hackysackhandshake

@aoifemlbrennan Fist bump, elbow nudge, or....whatever this is?

The most challenging part was overcoming the handshake reflex today #CowenHealthCare

Let's spread these pediatric #coronavirus resources from trusted sources-- retweet and MAKE THIS INFO GO VIRAL AAP: tinyurl.com/twd3tgk NPR: tinyurl.com/rhmq6zq CDC: tinyurl.com/r5zndrd @pedsready @EMSCImprovement @YalePediatrics @yaleem2 @CTEMSC @AAPDelMonte

@davidgrantsim In Gawande's Checklist Manifesto, the first line on the sample aviation checklist is "fly the plane." Processes seem to work the best (and cover more contextual variation) in my experience when room for critical thought is explicitly incorporated.

@AWCalhounMD Complacency and diminished vigilance so often the largest risk factor.

Here is something I struggle with: If we accept that good processes can lead to both good & bad outcomes and conversely bad processes can lead to good or bad outcomes, how can our learning from events ever be generalised to processes that should be emulated in future?

@davidgrantsim Indeed! The phenomenon seems to be at its worst when there is a tacit assumption that a given process has completely encompassed all possible variance in clinical context and so therefore good judgment is no longer needed in that domain.

@s_eller @SocraticEM @DebraNestel @SSHorg I'm glad you liked it! First time on Twitter and first time on a podcast in one week. I'm finally in the 21st century! Now to head back to my scrolls 🤓

@davidgrantsim I have seen several situations where a process that was put into place resulted in diminished critical thinking. The staff involved assumed that the process was robust enough to take care of everything.

Does that mean that we can only ever have contextualised directly related to the event? Does that mean that reflecting and learning in action is the only valid learning that provides strategies for dealing with variance in system?

@davidgrantsim Great questions David. I have noticed this myself and wonder whether critical thinking, rather than process, should be our real focus (not that these are mutually exclusive).

@y2kessler Yes! Please consider serving INSPIRE in either of these leadership roles!

Final call!! — great sim research leadership needed— INSPIRE Executive Board Call for Nominations 2020 surveymonkey.com/r/inspirenom20…

@twhitfill @annabelxt Thanks Man. First-ever tweet and its about canned water... Feels right somehow...

@AWCalhounMD @annabelxt Ha agreed! Welcome to Twitter by the way :-)

$9M raise for...... canned water? 🧐 techcrunch.com/2020/02/20/liq…

@annabelxt @twhitfill There's something profoundly wrong and yet profoundly brilliant about that... #HighQualityH2O

@twhitfill i can't