Category Archives: Medicine


Getting Rid of Stupid Stuff

Melinda Ashton wrote in Getting Rid of Stupid Stuff  November 8, 2018 N Engl J Med 2018; 379:1789-1791. DOI: 10.1056/NEJMp1809698. In the second category — documentation that could be completed more effectively — we identified a feature called the rounding row that … Continue reading

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Accreditation of US hospitals did not improve patient outcomes

The BMJ published Association between patient outcomes and accreditation in US hospitals: observational study by Lam et al. BMJ 2018;363:k4011 The Boston doctors investigated over 4 million patient outcomes in this retrospective observational study. Their conclusions? “US hospital accreditation by … Continue reading

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Top court rules against German certifier in French breast implant case

This blog has previously pointed out that assessment bodies evade liability for the false promises they certify.  They are “delivering assurance” yet avoiding legal liability for the screening inspections they undertake. No longer!  France’s highest court found TUV Rheinland guilty … Continue reading

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CQC inspections have “little measurable impact” on services, analysis finds

The BMJ has reported a lack of evidence that the inspection regime of the Care Quality Commission improves services. Can we now expect similar scrutiny of UKAS’s inspections of pathology services? We might predict that those employed in the lab … Continue reading

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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. 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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