“The word “silo” does not just refer to a physical structure or organization (such as a department). It can also be a state of mind. Silos exist in structures. But they exist in our minds and social groups too. Silos breed tribalism. But they can also go hand in hand with tunnel vision.”
― Gillian Tett, The Silo Effect: The Peril of Expertise and the Promise of Breaking Down Barriers
When I started working in software, the hostility between software developers and QA (software testers) was obvious, but no one thought we could actually fight these silos.
Developers built the…
If you ride the New York Metro-North Harlem line from Grand Central station these days, you will see the NYU Langone Health signs flaunting the hospital’s “A” rating for patient safety dominating the station billboards. This is great. Not just because NYU Langone Health happens to be my hospital, but also because this kind of investment in advertising the hospital’s safety grade means that it’s on the agenda.
Over dinner, I had a conversation with my kid on how asynchronous communication took over our lives.
“We didn’t always have text messages, you know”, I told her.
“So you only had WhatsApp?”, she scoffed.
“We actually had to talk to someone every time we wanted to say something”.
The unappealing concept took a second to process. She rolled her eyes, “Well, that was a million years ago”.
I guess it’s more like 25. But who’s counting. Anyway, she concluded that “it wouldn’t work for gen z”.
Asynchronous communication means that you communicate and don’t expect the other side to…
How can surgery be safer and more efficient? By bringing the surgeon and the surgical team closer to the patient, earlier. Or “shifting left”.
“Shifting left” is a software development term coined at 2001. It means finding software mistakes early (thus “shifting left” in the timeline), before these mistakes become very costly.
On average, a mistake that costs $0 to fix in a planning phase, costs $80 to fix in development, $960 when found in testing, and $7600 to fix when found by customers
(you can read more about it here).
The fact that mistakes are more expensive to fix…
In the coming decade, the demand for surgical procedures is expected to continue growing. Advances in surgery create opportunities to improve the quality of life in ways that were not imaginable before, and as the population ages, more surgery is needed. Hips and knees need to be replaced; spines and hearts need to be fixed; half-marathons need to be run; serious skiing needs to be done ⛷. And age is just a number :)
Surgery is increasingly performed in outpatient settings and ambulatory surgery centers. Get your surgery and go home the same day. It must therefore be more affordable…
On my first job interview after graduating from university I was asked what would be the worst thing in a manager. “If they don’t give me any feedback” was my very definitive answer. Feedback is the essence of two way communication…right?
Well, it is easier to say that feedback is important than to actually take it when offered. Even for smart and open-minded people. Some of the smallest but most painful (and retrospectively hilarious) feedback I get has to do with English pronunciation. The combination of a non-native speaker that is also an avid reader, loves to talk and cannot…
I have recently said goodbye to my friends at Quali to start a new company (thank you Qualians for your incredible support! I miss you all).
After almost 15 years in automation, agile and Devops, I return to my original field of biomedical engineering. I hope to apply what I’ve learned in software to healthcare, improve care teams’ lives, and show that this can also move the patient outcome needle.
Sharing a home with a doctor helps you understand that healthcare transformation isn’t just about patient-experience. Unlike patient experience (virtual-care, more modalities, better access), care-team experience is rarely in the…
Some years ago we adopted Zero Bug Policy. The idea behind Zero Bug Policy is eliminating the typical unmanageable bug backlog every product secretly carries. Once any bug is reported, we decide if we fix it immediately (in the current or coming development cycle), or not. If we decide not to fix it immediately, the bug goes out of our backlog. The decision is archived, but the bug disappears.
We are basically saying: “We are never going to fix this”.
There’s comfort in thinking that one day the team would have some time on their hands, things won’t to be…
Around the first decade of the 21st century, people were file-sharing like they were preparing for the BitTorrent Olympics. The combination of “new movies” and “free” was just too good to ignore.
The first time I saw eMule installed on the work computer of a very serious network engineer, at a very serious cable and internet service provider lab, I was confused.
eMule is an open source project from 2002, a peer-to-peer file-sharing client for Windows. It was one of a few clients that made it possible to download and upload very large files much faster than before. Large files…
Last night, at NADOG meetup, Instana’s CEO and co-founder, Mirko Novakovic, introduced Instana’s APM tool. He talked about DevOps KPIs and how releasing faster actually improves software quality — with some fascinating evidence generated by Instana.
He also mentioned one of the challenges of monitoring: no one agrees on the definition of application.
This is a challenge because different users expect to see different things monitored when they think ”application monitoring”.
For a developer it could be just the micro-service she or he are working on in the dev environment.
For a performance test it could be just the services…