It said "Virgin could take on Tesla", so I thought it was about a fellow Slashdotter forming his own company.
Nothing at all. That is just the "PC Card" that is played whenever rude or abusive people don't like to be told they are acting like wanton children. It's their excuse to act as rude as they like for the sake of the attention it brings them.
Back when I was in college, the concept was known as Political Correctness, Multi-ethnic Cohesiveness, and Inclusiveness Actions, which people attempted to encourage in business settings. It got shortened to "PC Card" in the early 2000's.
There were insufficient bathroom breaks; European in the seat.
You two have a good understanding of the tradeoffs involved with decision-making. Unfortunately, many people do not and see suboptimal outcomes as "errors" in a very black-and-white world. I think the IOM report fed into many fears.
I am continuously annoyed about the IOM report -- as other posters have said, it is now out of date, and sensationalist IMO in the way it counted mistakes and deaths / errors. An "error" that had no effect in a critically ill patient who died 3 days later was counted as a fatal outcome. On the other hand, the sensationalism at the time might have been a bit warranted -- doctors are often very complacent and perhaps the attention was needed / desired to get large scale action. However, it had the side effect of the erosion in trust in those that work very hard, diligently, and conscientiously every day.
I very, very rarely use handwritten prescriptions. Certainly as inpatient (patients who are currently in the hospital) essentially all major medical systems have computer order entry as of 2012. In my outpatient clinic (people just coming for a doctor appointment) it is 100% computer medical scripts with automatic interaction and allergy checking. All of my hospital system is this way.
I can't remember ever having ANY medication or dosing error. Obviously I can't know about it if I don't catch it, but computer order entry, automatic checking, and the many layers of check from doctor, nurse practitioner, pharmacist, and nurse, (and patient!) does provide a safety net.
Can we do more? Well, banning handwritten prescriptions would be a pretty bad idea (if I'm in a community clinic wanting to give a patient some antibiotics for an ear infection, I think I should be allowed.) There are side effects to every initiative. Encouraging computer use is indeed being done, but limited by cost concerns.
The cupcake is a lie.
Very nice. A friend of mine just wrote an easy to use cloud app that does many of these steps automatically. Free yourself from GoDaddy!
This is simply not true.
If you are legitimately speeding (safely) to perform an urgent operation, the police may escort you to the hospital, enter with you, verify you are about to do an operation, then leave you without a ticket (it happened to several of my colleagues, usually late at night.)
Just being pulled over and showing your hospital badge / white coat is not going to help you 99+% of the time. *Especially* if you were driving in a dangerous fashion. One of my friends has a funny story on how he tried it after being pulled over, and his ID says:
The police officer laughed and gave him the maximum fine.
Totally agree with you. I'm a cardiologist, and this article just is full of alarmist oversimplification. Leaders in this industry are not complete idiots, and currently all of the connectors that they describe ARE incompatible (except, as you note, the intrathecal, as it is often essentially stock IV tubing, but ports are covered with a big warning / sticker.)
Making "special" tubing, as the article glosses over, may make the problem worse (e.g. situation:
Nurse: Quick, we need an IV in this patient in the ER, his pressure is low.
Tech: We don't have any IV tubing in this bay, but there is some black intrathecal tubing.
Nurse: Let's just use that for now (a tube is a tube) for the IV and change it later. It is an emergency.
5 minutes later, somebody comes along with spinal anesthetic, and now that it is "safe" with a color-coded tube, doesn't trace the tube to the insertion and just injects it into the patient.)
All safety legislation / efforts have consequences, and may not actually make people safer. Here, the situations described are *EXTREMELY RARE*, and frankly, likely due to negligence (I don't have exact details for each instance, but likely the person did not trace the tube, or jury-rigged incompatible connectors together.) Safety cabling may lead to a false sense of security, and current connectors are already incompatible. There is no shortcut or excuse for constant vigilance.
To be or not to be, that is the bottom line.