The Semmelweis Reflex: Why does Education Ignore Important Research?

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In 1846 the general hospital in Vienna was experiencing a peculiar problem. There were two maternity wards at the hospital but at the first clinic, infant mortality rate was around 16% while at the second clinic the rate was much lower, often below 4%. Mysteriously there were no apparent differences between the two clinics to account for this.

Part of the mystery was that there was no mystery. Almost all of the deaths were due to puerperal (childbed) fever, a common cause of death in the 18th century. This fact was well known outside the hospital and many expectant mothers begged to be taken to the second clinic instead of the first. The stigma around the first clinic was so great that many mothers preferred to give birth in the street than be taken there.

Working at the hospital at the time was Ignaz Semmelweis, a young doctor who…

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