
Dictionary
Only place you will find sympathy.
Between Shit and Syphilis.
Your choice which is which.
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354 publicly visible posts • joined 20 May 2010
There is guidance on this. And specifications for lighting levels. Not that any hospital I work at has ever followed any of these.
Yes it is my day job.
And even wearing white clothes is stupid.
Failure to fulfil the imaging chain to the end point is potentially legally actionable - did you report this in a controlled environment meeting the international standards. One day a lawyer will learn this.
I use Cerner daily. The amount of duplication and noise in a mostly unstructured record is appalling. And having been on the selection process and part of implementation (I'm clinical) they never bring any known solutions from other implementations in NHS.
I agree with others that this needs a open standards format up front and a proper data exchange schema. Decentralised with central pointers? Vendor neutral stores
Scotland did well in the early 2000s - tested several options for EPR/RIS/PACS/others and listed a couple of each type that were interoperable. Each site could have a local preference of a known integrate-able systems.
Solved problem for radiology - look up IHE and the connectathons.
I can assure you that is not true. Been there. Qualified.
Interesting views re MCQs - sometimes you have to test base knowledge. Other parts examine reasoning and interpretation.
I google daily to review/confirm/learn - without the core knowledge AND problem solving i would be a much poorer doctor (Attending MD to the left pondians).
I know where to look, how to balance data sources and critically review.
And I still stand by : I can teach a bright 18yo to do any part of my job. You just need a shitton to cover it all - and together they can't do what I do - I can switch taska and jump specialities and synthesise.
Whilst your suggestion has merit, some badges come and go - like my bronze.
I also agree that there are times it is necessary if you are posting close to the employment knuckle. I've done that too.
Perhaps a % would work, with some absolute thresholds. It should be possible to register (no pun intended) and make a few topic relevant posts on a single/couple of threads. Beyond that, some accrual of kudos may be necessary - number of posts, up votes, down votes
[edit for spelling]
It states no state can claim sovereignty.
Nothing about businesses or individuals. Bit of an oversight. icon---->
New magnets - really do need access control.
Shown the kit by the lead and how it was all keypad access to the main doors etc.
So I asked what the two mains isolator switches above the door were for.
Don't know...
I demonstrated that they provided power to the door locks. Left door, right door. I was asked not to share. not 'til now.
Still there when I left a few years later. Whether they were still connected that way??
Fax has gone. Thankfully.
We are (nearly) paperless - revert to paper is a disaster.
Medical Royal Colleges are clear that internet access is a prerequisite to be able to work in some (most, and definitely my) speciality safely.
The days of departmental libraries of up to date references are long gone.
I research scientific papers daily in my day to day job in a district general hospital - to the benefit of the patients and referrers to diagnostics.
Scotland had a pragmatic plan in the 1990s.
They tested a bunch of systems and their interoperability. They then said these are your choices for Lab/diagnostics/EPR/pacs etc with 2or 3 preferred providers in each class.
Buy these systems - big support/discount. Roll your own, good luck.
Strangely lots came into line while providing the choice for best local fit.
I was there at the time.
As a Radiologist who would be in this situation, I can assure you this is untenable.
There is the problem of producing a written report and then having a mechanism to retrospectively enter it on hospital systems.
Worse still is some installations have a single screen/instance for the scanner so you are either scanning, or reporting. both in parallel may not be achievable.
At my NHS trust, we have 6 scanners across 3 sites and it is not possible to report at the rate scans are acquired during the day time and impossible "out of hours" with 1 radiologist available.
I am assuming that remote reporting is not possible - as where would the e-reports land?
The only mitigation is massively reducing scans to only those that are life-and-death.
The rules are changing despite management expectations.
http://thecodelesscode.com/case/154 seems apposite
Penalty clauses?
Quote 2(K/M/B)
when it is >2X quote - full refund and all additional costs at the companies expense - including any competitor that needs to remediate.
Doesn't cover scope change (cf catbert)
Not understanding the problem is too common as posted above x lots.
Councils never setting action thresholds (ok different from initial point above if needed - direction of travel not a destination) is stupid.
I do NHS and we are shit at changing process.
Where I work, the parts of diagnostics on the vlan (10*) have no access to the hospital LAN or NTP or elsewhere. Running 5 minutes or more adrift (flagged x lots to IT) meant I managed to time travel such that I issued a report on an image that had yet to be taken. According to the time stamps.
Love the NHS.
And our CT scanners will only do NTP with Japan.
I run my own NTP across the few computers at home. It just makes sense.
NHS England is a government body
GMC is a government QUANGO - it s not a professional body - it is a regulator controlled by the government
AoMRC is run by those awaiting an honour (CBE/Knighthood etc)
RCoA is an independent body and nothing to do with the NHS. It deals with anaesthetists who work IN the NHS.
It fucked up
Almost as badly as the COVID excel shit.
Not my College (RCR)
And I am geek/nerd enough to do a decent job with excel.
And currently managing better SQL searches on local productivity than the flailing efforts of medical management.