TED演讲：试验 排除错误和万能神力(9)

Now I've been sort of banging on about this for the last couple of months, 在过去的几个月里，我反复在讨论这个问题， and people sometimes say to me, Well Tim, it's kind of obvious. Obviously trial and error is very important. 有时有

TED演讲：试验 排除错误和万能神力(10)

Until then, until then I'm going to keep banging on about trial and error and why we should abandon the God complex. 到那时候，到那时候，我会继续讨论测试和排除错误这个话题，以及为什么我们需要抛弃万能神力的态

TED演讲：医生们会犯错误(11)

What they need is an environment to be able to do that. 他们只是需要一个场合来吐露心声。 What they need is a redefined medical culture. 他们需要的是一个重新定义的医学文化。 And it starts with one physician at a time.

TED演讲：试验 排除错误和万能神力(1)

It's the Second World War. A German prison camp. 这是二战期间，一个德国集中营。 And this man, Archie Cochrane, is a prisoner of war and a doctor, and he has a problem. 这个人，阿奇卡克伦，是战俘也是一名医生，他遇到

TED演讲：医生们会犯错误(2)

Now let's take this back into my world of medicine where I'm a lot more comfortable, 现在让我们回到我的世界，医疗领域。这个领域我比较熟悉， or perhaps a bit less comfortable after what I'm going to talk to you about. 但我接

TED演讲：医生们会犯错误(3)

And that was the message that I absorbed when I was in med school. 这就是我在医学院时得到的信息。 I was an obsessive compulsive student. 我是一个有着强迫症倾向的学生。 In high school, a classmate once said that Brian Gol

TED演讲：医生们会犯错误(4)

And that wasn't a difficult diagnosis to make. 这不是一个困难的诊断。 I made it and I set to work treating her. 作出诊断后我开始着手帮她治疗。 I gave her aspirin. I gave her medications to relieve the strain on her heart. 我开

TED演讲：医生们会犯错误(5)

So I signed the discharge papers, and an ambulance came, paramedics came to take her home. 我在出院单上签了名， 一辆救护车来后急救人员将她送回了家。 And I went back to my work on the wards. 之后我回到了我在诊所的工

TED演讲：医生们会犯错误(6)

And I was shocked and shaken to the core. 我震惊不已， 吓得不得了。 And I went through this roller coaster, because after they stabilized her, she went to the intensive care unit, and I hoped against hope that she would recover. 之后我的

TED演讲：医生们会犯错误(7)

And it wasn't because of my attending; he was a doll. 而这也不是因为我的主治；他人非常好。 He talked to the family, and I'm quite sure that he smoothed things over and made sure that I didn't get sued. 他和那家人好好的谈过。

TED演讲 医生们会犯错误(8)

And two days later I came to do my next emergency shift, and that's when my chief asked to speak to me quietly in her office. 两天后，又轮到我在急诊室值班。那时我的主任要我去她的办公室里私下谈谈。 And she said the t

TED演讲：医生们会犯错误(9)

But each time, they were gnawing at me, eating at me. 但每当我想到这两起病例， 那种感觉都会折磨啃噬我。 And I'd like to be able to say to you 而我也希望我可以告诉你, that my worst mistakes only happened in the first

TED演讲：试验 排除错误和万能神力(2)

So Archie splits the men under his care as best he can into two equal groups. 所以阿奇就把他的病人平分 成两组人。他给其中的一半维他命C。他给另一半维他命B12。 He gives half of them vitamin C. He gives half of them

TED演讲：医生们会犯错误(10)

It's a system in which there are two kinds of physicians -- those who make mistakes and those who don't, 在这个制度当中，只有两种人 -- 犯错的不犯错的， those who can't handle sleep deprivation and those who can, those who have lo

TED演讲：成功是一条延续的旅程(3)

And yeah, the black cloud faded a little bit, but so did all the work, because I was just floating along. 乌云似乎有点消散了，但工作也是，因为我如坠云中。 I couldn't care less if clients ever called. 我根本不在乎客户有没

TED演讲：不要一悔再悔(5)

So let's say for instance that you're on your way to your best friend's wedding and you're trying to get to the airport and you're stuck in terrible traffic, and you finally arrive at your gate and you've missed your flight. 比如，你在去你朋友

TED演讲：不要一悔再悔(4)

So let's start off by defining some terms. What is regret? 首先让我们定义一下几个词语。什么是后悔？ Regret is the emotion we experience when we think that our present situation could be better or happier if we had done something d

TED演讲：不要一悔再悔(3)

This idea is nicely captured by this quote: Things without all remedy should be without regard; what's done is done. 有句话很好地表达了这个观点：放开无法挽回的事情；泼出去水收不回来。 And it seems like kind of an admi

TED演讲：不要一悔再悔(2)

And this was all actually quite shocking to me, because prior to this moment, I had prided myself on having absolutely no regrets. 这让我十分震惊，因为在那之前，我告诉自己，我绝对不会后悔的。 I made a lot of mistakes and

TED演讲：不要一悔再悔(1)

So that's Johnny Depp, of course. And that's Johnny Depp's shoulder. 这是强尼德普，很显然，这是他的肩膀。 And that's Johnny Depp's famous shoulder tattoo. Some of you might know that, in 1990, Depp got engaged to Winona Ryder, and h