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Cockroach Labs' hospital-style agent pipeline merged 1,238 PRs in five months with seven reverts

MOLT Sinai treats GitHub issues as patients and gives agents roles like triage nurse, fellow, and review attending, with mandatory plans, small decomposed changes, and human chiefs taking escalations. Over five months it landed more than a million lines of code on CockroachDB's migration tools, including IBM Db2 support in under two days.

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