51–60 of 251 posts
Our institution built a new billion dollar hospital and did not include call rooms.
Great job.
> "[A]lgorithms are made by people and the results ... were reviewed multiple times by people," You got that right. The way they talk about "an algorithm did it" makes it seem as as if they think that somehow explains it, like there was only one algorithm possible handed down from god or something. We'll be seeing more and more of this of course. "We can't be blamed, it was an algorithm! We can't be blamed for trusti…
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…
What ever happened to starting out with assuming good intentions?
Earlier quoted context omitted.
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 bee…
This wasn't some random HR benefits process that they screwed up. It was a triage process. A medical triage process. That's what they should be good at.
Earlier quoted context omitted.
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.
So, I'm not sure that it makes a difference if some people—hearing about their screw-up—are angry for the wrong reason.
To be clear, I'm with you that this probably wasn't a mustache-twirling attempt to divert vaccinations from the frontline staff. But I don't think that it matters much, given the medical expertise we would expect from an organization like this.
Evidence like this suggest that medical leadership for the most part care very little about house officers (residents), and that is pretty universal. Our institution built a new billion dollar hospital and did not include call rooms. Great job.
Earlier quoted context omitted.
An algorithm is clearly a virtual scapegoat. They’ll need to interview those who were involved in coding it. Dig deeper to find out why.
The quoted explanation sounds pretty complete to me. They used "assigned location" to determine who was working with COVID patients, but residents don't have an "assigned location", so they were incorrectly passed over even though they do in practice work with COVID patients. Maybe that doesn't completely exonerate the administrators from blame, because someone should have sanity checked the plan, but it also seems l…
It's not like Stanford didn't know a limited supply vaccine was coming several months ago, there was time to figure this stuff out.
And it would have been, if it had been a high enough priority.
Earlier quoted context omitted.
> 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…
There is a massive pushback against taking the vaccine going on right now. People coming up with a litany of different reasons not to take it. One of those reasons is a lack of trust in the government. If that smiling 34 year old has a lot of constituents telling him they are scared to take it because it might not be safe it becomes his duty to stand up and take it as early as possible with a smile on his face. What…
Right now there's a huge shortage of vaccines compared to the number of people who are both eligible and willing. No need to worry about the unwilling at this point since there's not enough to go around anyway.
Congress took it because they think they're more important than the rest of us, and apparently they think they're even more important than the frontline workers who are still waiting.
Earlier quoted context omitted.
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 bee…
It wouldn't have required a laborious review process. A quick skim through the list, looking at 20 or so random recipients near the top, middle, and bottom, would have quickly shown that frontline workers were clustered near the end. You would have seen that some people were WFH, but at the top. This wasn't some random HR benefits process that they screwed up. It was a triage process. A medical triage process. That's…