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We implemented this checklist in eight hospitals around the world, deliberately in places from rural Tanzania to the University of Washington in Seattle.

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The whole idea of Scrum revolves around Sprints, of committing to tasks at the beginning of the sprint, working on these during the sprint, and demoing what we did at the end.

How can engineers spend more time writing code that moves the needle for the goals of their team, instead of being bogged down by infrastructure issues or working around problems with their dependencies?

How can the whole organization improve its throughput, while engineers also stay happy, and improvements stick around long enough to compound?

So around the turn of the last century, I started to think, "Wouldn't it be wonderful if one could take this logic and turn it upside down?"

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