Re: Panic sells
The Onion: If The Heat Doesn't Kill The Elderly, I Will
70 posts • joined 20 Jul 2011
It would make more sense to deprecate the use of NHS numbers as unique patient identifiers and replace them with National Insurance numbers as unique patient identifiers.
There may be a very small number of permanent migrants to the UK who do not have NI numbers (such as dependents of another person who do not pay tax or claim benefits) and it may be that new immigrants to the UK should be advised to apply for an NI number as soon as possible.
Children would be treated in the same manner as adults. Children have NI numbers which are created when their birth is registered but at present the Department of Work and Pensions does not routinely issue them until 15 years and 9 months of age. However there is no reason why their NI numbers cannot be issued earlier if there is a use for them.
We should charge non-British citizens for use of state education, with an exception for asylum seekers. At present entitlement to state education for economic migrants is based solely on residency and not on whether they are net contributors to the Exchequer.
I await cries of racism from those in the public sector who use ever increasing demands on public services as justification for their jobs.
"The Reg hears near-constant news of its adoption for serious work by reputable companies."
Now that would be interesting.
I noticed she ommited to wipe the injection area with alcohol beforehand, presumably slightly increasing my chances of an infection, but I didn't say anything.
It used to be thought that was the case, but now it turns out that as long as the skin is visibly clean, disinfecting it doesn't make any difference for blood taking.
The fact that software is licensed rather than sold allows software manufacturers to get away with a great deal.
I can't think of any product which can be sold, be found to be flawed in a way that makes it unfit for the purpose for which it was sold and the vendor of which can't be compelled to repair, replace or offer a refund. However, because software is licensed the Consumer Rights Act 2015 and Sale of Goods Act 1979 don't apply.
The NHS has lawyers; I'd like to see them test this against Microsoft in court.
The security versus convenience compromise is usually wrong in the NHS because messages from doctors, nurses, pharmacists etc on the front line are ignored by those who make the implementation decisions.
I worked in one large hospital where management decided to tighten up security and have a whitelist of accessible websites. Unfortunately they didn't include the British National Formulary, TOXBASE etc with predictably hairy results. When they eventually responded to this they overreacted and scrapped far too many security measures with predictably hairy results in the other direction.
"Server down today, try again tomorrow."
"How do you fix a dead server by sharing passwords?"
By trying a different server to which I don't have access because I'm not supposed to need access. I can request a password for that server of course (with the request countersigned by my line manager and my line manager's line manager) which will almost certainly be rejected by someone who won't read / won't believe the reason I give for needing it and with the usual response time of twenty working days.
"For routine medicine you can always wait a couple of seconds, and in most emergency cases you *treat what you see in front of you* not what some computer says."
"A couple of seconds"? More like "Server down today, try again tomorrow." Need to look at an X-ray or some blood tests? Better just "treat what you see in front of you." Do most of the IT boondoggles I deal with increase the risk of death? Probably not. Increased risk of serious harm through delays in correct treatment, plus more pain and distress for the patient? Oh yes.
"Anyone who has applied for EU money in science will know that there is a massive political agenda to what they support. E.g.
Requirements for partnership with weak EU based institutions.
Bans on working in certain areas,
Bans on working with certain non-EU institutions even when they are world leaders.
The gross cost of applying often greater than the grant when all the failed bids are added together
The delays are so long that the bid ceases to be relevant
The paperwork for compliance is often a significant part of the projects costs
They don't even pay on time!"
But could those issues be fixed if we had a bespoke agreement (pdf) as the Swiss do? I use the Swiss as an example of the principle of such an agreement, not necessarily the detail.
"Because when you fire somebody, you get a new somebody who'll just go and make the same stupid mistake again. The real answer is to remove a non-typing finger (you know the one!!) and turn the debacle into a learning opportunity."
Docking a percentage of the pay of all the individuals responsible (all the way up the corporate heirarchy) would help to concentrate the minds of those who need to learn and save the NHS money. Win/win!
Good reference. This is why people who are not chronic alcoholics are dehydrated after drinking alcohol because of reduced retention of water and an osmotic diuresis, whereas chronic alcoholics are not dehydrated but have low sodium because of increased retention of water, decreased sodium intake and increased sodium excretion in urine (in an attempt to increase water excretion to counteract the increased water retention because water follows sodium along the osmotic gradient between blood and urine across cell membranes in the kidney).
A PACS monitor is quite a bit more substantial than a normal LCD monitor and so not that difficult to confuse with an all-in-one unit.
The doctor gave you the asset number of the monitor, so why did it take you so long to identify it as such?
Since you wasted 90 minutes while a patient that needed an X-Ray looking at waited, I'm sure you're smart enough to figure out why the doctor didn't say thank you.
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