Tag Archives: screening

Do all accreditation programmes do harm?

Muir Gray memorably wrote, All screening programmes do harm; some do good as well, and, of these, some do more good than harm at reasonable cost. The first task of any public health service is to identify beneficial programmes by … Continue reading

Posted in Bureaucracy, Laboratory medicine, Management, Medicine | Tagged , , , , , | 1 Comment

As Ebola screening, so quality screening

Ebola is the news of the moment. Enhanced airport screening is one of the measure that the government department of theatrics is using to make everyone feel safer. Mabey et al. noted the lack of evidence that this might work.  They calculated … Continue reading

Posted in Bureaucracy, Medicine, Practical problems | Tagged , , | Leave a comment

Screening is not particular good

Assuring health and safety by screening is usually a bad idea.  While there may be occasional benefits for a few individuals, it works poorly for populations, has unexpected negative consequences and is very inefficient.  This blog has previously pointed out that ISO … Continue reading

Posted in Bureaucracy, Cartel, Economics, Laboratory medicine, Science | Tagged , , , | Leave a comment

Overdiagnosis: when good intentions meet vested interests

Overdiagnosis: when good intentions meet vested interests—an essay by Iona Heath does not mention accreditation.  It’s about the financial interests that have led to overdiagnosis and overtreatment.  When you read the essay, you’ll have to substitute “UKAS assessment” for the various patient screening … Continue reading

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

‘You’re the doctor, what would you do?’ Stop it.

Theodore Dalrymple summarises the issues on screening for diseases.  ISO accreditation is a screening test with poorer performance characteristics.  It is also a treatment that offers no cure, just endless repetition. Unproven prevention; no hope of a cure – since … Continue reading

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

Thinking the unthinkable…and investigating it

“The Prostate Intervention Versus Observation Trust (PIVOT), led by Timothy Wilt, began in 1993 with 731 subjects, following them over 12 years to monitor their health.   “It compared cancer patients who had their prostate gland removed with those monitored … Continue reading

Posted in Laboratory medicine, Medicine, Practical problems, Psychology, Questions | Tagged , , , , , | Leave a comment