Monthly Archives: March 2011

Where does the EU fit in?

Fear of competition from the European “Common Market” gave us BS 5750.  Now European legislation is used to enforce ISO standards. The British Standards Institute (BSI) employs over 5500 staff worldwide and is the largest standards body in the world. … Continue reading

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“Less government – better outcomes?” Prove it!

UKAS has had a think tank.  Lord Lindsay, the chairman, has been leading discussion on the response UKAS can make to the coalition government’s plans for less regulation.  You can read about it on p4-5 here. UKAS’s position is secured from competition in the UK by legislation.  … Continue reading

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Metrical perfectionism is often inappropriate for biological systems

UKAS comes from an engineering background.  Although the readings are less important than conforming to the written procedures for obtaining them, UKAS tries its best to practice metrical perfectionism.  This might be appropriate for machines but often it is not … Continue reading

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Lean loonies are doing it to their kids – more transmissible obsessive disease

Elements of the proven Toyota Production System were repackaged to be sold by consultancy companies as “Lean.”  Properly implemented, it can be very effective.  For a variety of reasons, mostly these projects fail. You can read about the management consultancy swindle … Continue reading

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A better kind of change

While laboratories bog down in various quality initiatives, Simon Caulkin describes massive efficiency and outcome improvements that have been shown in a stroke unit.  He thinks savings of over 20% could be made on the wards. Was this acheived by … Continue reading

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Why don’t nurses care?

John Seddon asks, Why don’t nurses care? We have seen many news reports over the last few weeks of nurses failing to care for patients. Most commentators blamed the people. It reminds me of the then minister of adult social … Continue reading

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The Bribery Act 2010

ISO 17025 requires a statement in the Quality Manual that staff will not participate in bribery and corruption.   This sounds good to me but not everyone agrees it’s so simple.  In fact most of the world’s population probably thinks otherwise. … Continue reading

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Muir Gray says, “Bye Bye Quality, Hello Value”

The professional pathology organisations that sold Clinical Pathology Accreditation to UKAS did so in the nick of time, albeit without understanding why.   So-called quality is yesterday; now quality will be assumed of professionals and value will take the place of … Continue reading

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End of the quality improvement movement

The problem is larger than accreditationism.  Robert Brook of the Rand Corporation argues in the JAMA that 40 years after the birth of the quality improvement movement, we still don’t know much about what’s been accomplished. He writes of clinical … Continue reading

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