The company also has just emerged from a spate of labor problems, with two local union strikes at key factories and a nearly three-month strike at key parts maker American Axle and Manufacturing Holdings.

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The company also has just emerged from a spate of labor problems, with two local union strikes at key factories and a nearly three-month strike at key parts maker American Axle and Manufacturing Holdings (nyse: AXL - news - people ).

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Instead they attracted two legged solutions rather than problems, and gave us the key differentiator that was so crucial to our success.

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The key insight of the book is that problems arise when the two syndromes are mixed.

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With QPID, an anesthesiologist or a nurse at Mass General can pull in less than two minutes, says Zalis, key information, such as allergies, heart problems, and medications that could be buried in a report or a lab panel.

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They understand the key issue here: things will only get worse: two-thirds recognize that the problems facing the health care system will affect all of us if they're not fixed.

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