Thomas John Rose's activity
In group: Service Design
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Thomas John Rose posted an update in the group Service Design 7 months ago
Clearly not a computer error.
https://www.bbc.co.uk/news/health-66917025
Certainly a Process Management, Process Design, and Quality Management error!
I agree Tom, calling it a ‘computer error’ suggests some sort of large glitch in the system – which, in itself would be problematic if there wasn’t some way of flagging such an error as it happened so that it could be quickly identified and rectified. However, this article suggests that the process made it easy for “human error” to occur on a regular basis, or, rather, almost inevitable that these errors would occur on a regular basis. The fact that feedback wasn’t listened to makes this case worse, as the error was seemingly allowed to continue, unchecked. I would argue there’s certainly a design issue here.
Relevant snippet from the article: “A source at Newcastle Hospitals told the BBC that consultants had raised issues about the electronic patient record system for years, complaining it was slow and hard to use, but had not been listened to.
In a letter sent to staff about the problem, and seen by the BBC, the Newcastle Trust explains that letters drafted by one member of staff have to be signed off by a second clinician – who must change their user status to “signing clinician” – before they can be sent.
If that doesn’t happen, letters end up in a consultant’s document folder and remain unsent until they are signed off correctly.”
Thanks for your comments Hawys. Miss management was key, both in the design and the operation of this IT application. I’m sure that during these two phases of the project the process management was dire or non existent. Certainly no proper process design. There are loads of interesting articles on the NHS’s previous experiences with IT projects – or was this the dregs of a previous project? See : https://www.computerweekly.com/opinion/Six-reasons-why-the-NHS-National-Programme-for-IT-failed
for example. IT is so important within process design – when will they learn?