Category Archives: Medicine

Medicine

Margaret McCartney: A summary of four and a half years of columns in one column

Nothing to do with accreditation, just the poor thinking that lies behind it.  Dr McCartney is critical of inappropriate screening.  ISO accreditation is certainly that.  Some of her points most relevant to accreditation are below.  Click through to the BMJ to … Continue reading

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Scott’s parabola gives hope

Scott described the growth and death of fads in surgery: It’s not so different from the curve based on real data published by Walsh which observed the fate of other management fads: Walshe, K. Pseudoinnovation: the development and spread of … Continue reading

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Weak evidence for ISO 9001 not being much good in hospitals

Uptake of ISO 9001 in European hospitals is lower than specialised healthcare accreditation schemes (15%) of 73 hospitals in this study.  So evidence on its effectiveness is weak. “There is little hard evidence of the impact of these systems on hospitals to … Continue reading

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Change Board Recertification

US doctors have got themselves organized to oppose being exploited to prove their ability. http://changeboardrecert.com/ is the place to read what’s happening in US medicine. We need to see similar organization against labs being exploited for accreditation by the ISO … Continue reading

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The muddled mind of a UKAS assessor

UKAS’s latest technical bulletin gives further insight into the muddled thinking that lies behind the ISO scheme. Medical Royal College examinations, Continuing Professional Development, GMC registration, revalidation etc. etc. are all unable to render doctors competent any more. And UKAS … Continue reading

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Accredited forensic fakery – how assured are you feeling?

We have seen previously how Randox was fleeced by UKAS in paying for the false assurance of accreditation to ISO 17025.  It didn’t stop “rogue scientists” altering forensic results. Another forensic company has been drawn into the investigation.  Trimega Laboratories boasted … Continue reading

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Essential Services Laboratories

If you’ve read John Seddon you will know that the front office – back office arrangement will be a disaster.  It may have been sold promising economies of scale and a new computer system, neither of which will work out … Continue reading

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No gain without pain

A profile of child branding cases in Kashmir valley Rashid, AF et al.  Journal of Forensic and Legal Medicine Volume 49, July 2017, Pages 50–53. https://doi.org/10.1016/j.jflm.2017.05.001 https://s100.copyright.com/AppDispatchServlet?publisherName=ELS&contentID=S1752928X1730046X&orderBeanReset=true ________________________________________ Highlights •The article is a two year study on Child branding practices … Continue reading

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Validation and verification guesswork

Dr Bignardi has done a lot of work with validation and verification required by ISO 15189 for just one laboratory device. Validation and verification of automated urine particle analysers.   http://jcp.bmj.com.sci-hub.io/lookup/doi/10.1136/jclinpath-2016-203958. He reports it more simply in the Royal College of … Continue reading

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Exciting developments in healthcare

UKAS says Brexit will require more accreditation.  HM Government seems inclined to believe this.  The Royal College of Physicians (RCP), NHS England, the Institute of Physics and Engineering in Medicine (IPEM), the Royal College of Radiologists (RCR) and the Society … Continue reading

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