Monthly Archives: November 2011

Regulating doctors and medical practice

The Witchdoctor’s colleague thinks “about 50%” of his working time was wasted.  This sounds to me like a more productive career than most.  For many people the work they did that was useful to others could be an order of … Continue reading

Posted in Bureaucracy, Computing, Management, Medicine, NHS, Politics | Tagged , , , , , , , , , , , , | 1 Comment

Pathologists’ 70% claim

The relatively small amount of money spent on pathology services undoubtedly has disproportionate leverage on further medical care. Pathologists often claim that 70% of clinical decisions are influenced by laboratory medicine data. Where did this figure come from and what … Continue reading

Posted in Laboratory medicine, Management, Medicine, NHS | Tagged , , , , , , , | Leave a comment

Obsessive Compulsive Personality Disorder

Obsessive Compulsive Personality Disorder video. What if such a person had conceived accreditation? What if ISOs were written by rooms full of them, or those unable to think differently?

Posted in Bureaucracy, Management, NHS, Psychology | Tagged , , , , , , | Leave a comment

The Perils Of Obsessive Measurement

You didn’t click the link about obsessive measurement in the last post?  Read it now.  I’ll spoon-feed you.  Learn about Goodhart’s Law –  a target cannot be a measure.  Can an outcome be a target? The Perils Of Obsessive Measurement … Continue reading

Posted in Bureaucracy, Economics, Management, NHS | Tagged , , , , , , , | 1 Comment

How to assess the quality of a pathology service: surrogate measures

The Royal College of Pathologists has published a draft report entitled How to assess the quality of a pathology service.  Report of a meeting held to discuss the evaluation of medical laboratories in the context of health service reform. Despite praising ISO 15189, … Continue reading

Posted in Bureaucracy, Cartel, Laboratory medicine, Management, Medicine, NHS | Tagged , , , , , , , , , , , , , , , , , , | Leave a comment

When is a standard not a standard?

When it’s a double standard. Inspectors accredit private laboratories to an ISO standard in a less rigorous way than they do EC Official Control Laboratories or National Reference Laboratories. Private laboratories can be cheap because they pay for poorly trained … Continue reading

Posted in Bureaucracy, Cartel, Forensic science, Laboratory medicine, Medicine, NHS, Practical problems, Science | Tagged , , , , , | Leave a comment

UK Metric Association falsehood exposed

Here is a nice story of how unelected pressure groups lobby the unaccountable EC.  It has the power to force the unwilling into complying with the minority aims of their single-issue groups.  It’s how the inspection cartel has grown. That’s how Washington works … Continue reading

Posted in Bureaucracy, Cartel, Politics, Science | Tagged , , , , , , | Leave a comment

Radical traceability problem

Could the SI system be breaking down?  The kilogram (yes, THE kilogram) is no longer that. The International Prototype Kilogram (IPK) has been surreptitiously changing its weight. Is it insured?  Is it accredited?  How do they accredit the traceability of the standard … Continue reading

Posted in Bureaucracy, Cartel, Politics, Questions, Science | Tagged , , , , | Leave a comment

A missing link?

It’s not just St. Paul’s Cathedral that has problems.  Dr Dalrymple describes a small outbreak involving a common variant of the accreditation mindset, albeit without a certificate on conspicuous display.  It involves delusions of working in an airport : “The women were not … Continue reading

Posted in Bureaucracy, Management, Politics, Practical problems, Psychology | Tagged , , , , , | Leave a comment