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There is no guarantee, however, that limiting residents' shifts is the key to patient safety. Dr. Kenneth Polonsky, chairman of the Department of Medicine at Washington University in St. Louis, who co-wrote an editorial accompanying Nuckols' study in the New England Journal, says that while some studies show a correlation between fatigue and mistakes, not all reach the same conclusion. What's more, Nuckols says, studies aimed at determining the cause of a mistake are inherently complicated: they require highly skilled researchers to pinpoint exactly what went wrong and when, and many rely on self-reporting from residents...

Author: /time Magazine | Title: Are Medical Residents Worked Too Hard? | 5/21/2009 | See Source »

...issue is a complicated one, and resolution will not come easily or quickly, but policymakers and clinicians agree that increasing patient safety is the ultimate goal. "The key is that we don't want to injure patients," Johns says. "What can we do to make sure that even if [physicians are] fatigued, they can still perform at 100%? Let's do that study...

Author: /time Magazine | Title: Are Medical Residents Worked Too Hard? | 5/21/2009 | See Source »

...key difference concerns taxes. As a nonprofit, Harvard receives tax exemptions, deductions, and privileges that for-profit institutions must forgo. For example, besides innovative investing techniques, Harvard was able to build its endowment from $4.7 billion in 1990 to $37 billion in 2008 because it did not pay taxes on those gains. Relative to businesses, the federal government is subsidizing Harvard’s investment fund...

Author: By Laura M. Binger, John F. Bowman, and Benjamin J. Oldfield | Title: Harvard’s Role As a Nonprofit | 5/21/2009 | See Source »

...work. I just don't want to hear it, because I want the home space to really be free of that." Unlike in the Clinton White House, when a member of the First Lady's staff was in nearly every important meeting, Michelle does not send an emissary to key policy debates or the 7:30 a.m. meeting in chief of staff Rahm Emanuel's office. But no one who heard her on the campaign trail can imagine for a minute that she doesn't have strong views on many issues, or that her husband doesn't know what they...

Author: /time Magazine | Title: The Meaning of Michelle Obama | 5/21/2009 | See Source »

...thousands of innocents were being killed in the army's bombardments. Modern militaries typically halt hostilities when large numbers of civilians are killed. The Sri Lankan army barely paused. Reva Bhalla, director of analysis at Stratfor, a global intelligence firm, says Rajapaksa's "disregard for civilian casualties" was a key to the success of the military operation...

Author: /time Magazine | Title: How to Defeat Insurgencies: Sri Lanka's Bad Example | 5/20/2009 | See Source »

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