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Stanford apologizes after vaccine allocation leaves out medical residents

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41–50 of 251 posts

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#41
post #28

Earlier quoted context omitted.

I think most people are misunderstanding the likely root cause. > An algorithm was used to assign its first allotment of the vaccine. The algorithm prioritized health care workers at highest risk for COVID infections, along with factors like age and the location or unit where they work in the hospital. Residents did not have an assigned location, and along with their typically young age, they were dropped low on the…

I don't think I was assuming anything in particular about the intents. it's a rather important thing not to check on actual data, including residents in the sample, isn't it? they just never bothered to test the algorithm, didn't even review the results it spit out, before delivering the results as a plan? (it is quite possible indeed they didn't, I'm not saying that is a coverup for some other motive, I'm saying tha…

[deleted]

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#42
post #12

The labor of medical residents is something hospital systems exploit during normal times, but that exploitation has severely deepened during the pandemic. At the hospital my partner works at, respiratory therapists and nurses got a $10k bonus for working during COVID; the residents got nothing despite working insane hours in ICU, routinely working more than the legally mandated 90 hours per week. Just because doctors…

> I can name 3 other local hospital systems in my city that have vaccinated administrative & C-suite/VP level staff I don't understand why society is putting up with this. Right now if you're not in a daily COVID-facing role (i.e. an actual front line medical worker) or in a nursing home you should not be getting the shot. This makes my blood boil. There should have been laws passed regarding ordering of the distribu…

And all is plebs do is comment on their actions. If they have no consequences why would they stop screwing us?

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#43
post #28

Earlier quoted context omitted.

I think most people are misunderstanding the likely root cause. > An algorithm was used to assign its first allotment of the vaccine. The algorithm prioritized health care workers at highest risk for COVID infections, along with factors like age and the location or unit where they work in the hospital. Residents did not have an assigned location, and along with their typically young age, they were dropped low on the…

I don't think I was assuming anything in particular about the intents. it's a rather important thing not to check on actual data, including residents in the sample, isn't it? they just never bothered to test the algorithm, didn't even review the results it spit out, before delivering the results as a plan? (it is quite possible indeed they didn't, I'm not saying that is a coverup for some other motive, I'm saying tha…

You may be misunderstanding what this is a plan for. All Stanford medical staff are expected to be vaccinated over the coming weeks; the allocation in question is for deciding who's getting vaccinated today, with the first available shipment. It does seem like this particular error could have been caught easily, but conducting a thorough, laborious review process rather than getting shots in arms ASAP would have been an even worse decision.

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#44
post #18

> According to an email sent by a chief resident to other residents, Stanford's leaders explained that an algorithm was used to assign its first allotment of the vaccine. The algorithm was said to have prioritized those health care workers at highest risk for COVID infections, along with factors like age and the location or unit where they work in the hospital. Residents apparently did not have an assigned location,…

There are no dumb honest mistakes when it comes to putting people’s lives at risk. Engineering and algorithmic errors like this and the Boeing 737 max debacle are absolutely worth being outraged over.

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#46
post #28

Earlier quoted context omitted.

I think most people are misunderstanding the likely root cause. > An algorithm was used to assign its first allotment of the vaccine. The algorithm prioritized health care workers at highest risk for COVID infections, along with factors like age and the location or unit where they work in the hospital. Residents did not have an assigned location, and along with their typically young age, they were dropped low on the…

I don't think I was assuming anything in particular about the intents. it's a rather important thing not to check on actual data, including residents in the sample, isn't it? they just never bothered to test the algorithm, didn't even review the results it spit out, before delivering the results as a plan? (it is quite possible indeed they didn't, I'm not saying that is a coverup for some other motive, I'm saying tha…

Well, we're all agreed that this was a dumb mistake that could've been easily avoided. And, the admins should own up to it and implement a QA process to avoid a second occurrence.

That said, I think the reason this story is getting so much attention is because of the assumed selfish intent. And, that assumption is probably wrong.

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#47
post #18

> According to an email sent by a chief resident to other residents, Stanford's leaders explained that an algorithm was used to assign its first allotment of the vaccine. The algorithm was said to have prioritized those health care workers at highest risk for COVID infections, along with factors like age and the location or unit where they work in the hospital. Residents apparently did not have an assigned location,…

There are no dumb honest mistakes when it comes to putting people’s lives at risk. Engineering and algorithmic errors like this and the Boeing 737 max debacle are absolutely worth being outraged over.

Agreed that society should be more critical of mistakes that put people's lives at risk. But, this decision scores fairly low by that measure. If I had to guess, 0.00001 residents would have died due to this error. There are many more attention-worthy mistakes to be critical of if this is the main concern.

I think the real reason this story is getting attention is because people are assuming selfish intent. I think this assumption is probably wrong.

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#48
post #18

> According to an email sent by a chief resident to other residents, Stanford's leaders explained that an algorithm was used to assign its first allotment of the vaccine. The algorithm was said to have prioritized those health care workers at highest risk for COVID infections, along with factors like age and the location or unit where they work in the hospital. Residents apparently did not have an assigned location,…

The outrage stems from the fact that they doubled down on it after the problem was pointed out, this is what caused things to escalate to the level it did, which became a PR nightmare and resulted in them reversing their position. Heads should roll over this, not because there was a mistake in the algorithm, but because the leadership cannot be trusted to make correct decisions in the face of obvious errors.

> The outrage stems from the fact that they doubled down on it after the problem was pointed out

This might be the reason you're outraged, but most outraged people here don't even know the administration doubled down on their position. They're outraged due to assumed selfish intent. I think this assumption is wrong.

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#49
post #45

I can't really get upset until I understand who got it instead of the resident.

C-Suite and WFH admins - the low risk, safe group. The system forgot front-line infantry (again)

Not “The system”, but the people in charge forgot them.

Re: Stanford apologizes after vaccine allocation leaves out medical residents

#50

Earlier quoted context omitted.

> It is ridiculous there aren't much more clear/specific guidelines, and in some cases enforceable policies/regulations, from the federal government. It's like nobody's driving the bus here. Why is this not California's fault? States were each permitted to establish their own procedures, which somewhat makes sense given the challenging distribution requirements of the Pfizer vaccine. Montana has significantly differe…

At all levels, sure. Most states you know have established clear guidelines sayign who gets it and when? Including specifics on what medical staff within a hospital system would get it? Like not just "health care staff" or "first responders" (everyone in the Stanford Medicine system is that already right, this is about who within that group gets it). Please back that up by showing me such clear guidelines from a few…

New York's plan: https://www.nbcnewyork.com/news/coronavirus/ny-unveils-draft...

Phase 1 says "Healthcare workers in patient care settings"

Tennessee's: https://www.tn.gov/content/dam/tn/health/documents/cedep/nov...

Phase 1 says "hospital/free-standing emergency department staff with direct patient exposure and/or exposure to potentially infectious materials"

Other states have similar wording. You'd really have to twist yourself into a knot to convince yourself that a work-from-home administrator falls into the categories specified above. Shame on any state who didn't include wording like that - there was nothing stopping them from putting some common-sense wording in their plans. Beyond the written rules, you'd also have to be a selfish idiot to think that just because you're related to a healthcare company that you should get it this week if you're working from home. If I were in that kind of role, shame would be enough to stop me but as we've seen the elite often have no shame.

(edit) California's own plan [0] says Phase 1-A includes "paid and unpaid persons serving in healthcare settings who have the potential for direct or indirect exposure to patients and infectious materials and are unable to work from home". So if Stanford was really vaccinating admins who are working from home, then it seems like they violated state guidelines and should be punished appropriately.

[0] https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20...

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