i'll admit i have no idea what i'm talking about but isn't there some Plan B options? something that's more manual? or are surgeons too reliant on computers?
There are plan B options like paper charting, downtime procedures, alternative communication methods and so on. So while you can write down a prescription and cut a person open you can't manually do things pull up the patient's medical history for the last 10 years in a few seconds, have an image read remotely when there isn't a radiologist available on site, or electronically file for the meds to just show up instantly (all depending on what the outage issue is affecting of course). For short outages some of these problems are more "it caused a short rush on limited staff" than "things were falling apart". For longer outages it gets to be quite dangerous and that's where you hope it's just your system that's having issues and not everyone in the region so you can divert.
If the alternatives/plan b's were as good or better than the plan a's then they wouldn't be the alternatives. Nobody is going to have half a hospital's care capacity sit as backup when they could use that year round to better treat patients all the time, they just have plans of last resort to use when what they'd like to use isn't working.
(worked healthcare IT infrastructure for a decade)
> So while you can write down a prescription and cut a person open you can't manually do things pull up the patient's medical history for the last 10 years in a few seconds, have an image read remotely when there isn't a radiologist available on site, or electronically file for the meds to just show up instantly (all depending on what the outage issue is affecting of course).
I worked for a company that sold and managed medical radiology imaging systems. One of our customers' admins called and said "Hey, new scans aren't being properly processed so radiologists can't bring them up in the viewer". I told him I'd take a look at it right away.
A few minutes later, he called back; one of their ERs had a patient dying of a gunshot wound and the surgeon needed to get the xray up so he could see where the bullet was lodged before the guy bled out on the table.
Long outages are terrifying, but it only takes a few minutes for someone to die because people didn't have the information they needed to make the right calls.
Seems like a possible plan would be duplicate computer systems that are using last week's backup and not set to auto-update. Doesn't cover you if the databases and servers go down (unless you can have spares of those too), but if there is a bad update, a crypto-locker, or just a normal IT failure each department can switch to some backups and switch to a slightly stale computer instead of very stale paper.
There are problems with getting lab results, X-rays, CT and MRI scans. They do not have paper-based Plan B. IT outage in a modern hospital is a major risk to life and health of their patients.
It's often the case that the paper fallbacks can't handle anywhere near the throughput required. Yes, there's a mechanism there, but it's not usable beyond a certain load.
I think it's eventually manageable for some subset of medical procedures, but the transition to that from business as usual is a frantic nightmare. Like there's probably a whole manual for dealing with different levels of system failure, but they're unlikely to be well practiced.
Or maybe I'm giving these institutions too much credit?
zamadatix|1 year ago
If the alternatives/plan b's were as good or better than the plan a's then they wouldn't be the alternatives. Nobody is going to have half a hospital's care capacity sit as backup when they could use that year round to better treat patients all the time, they just have plans of last resort to use when what they'd like to use isn't working.
(worked healthcare IT infrastructure for a decade)
danudey|1 year ago
I worked for a company that sold and managed medical radiology imaging systems. One of our customers' admins called and said "Hey, new scans aren't being properly processed so radiologists can't bring them up in the viewer". I told him I'd take a look at it right away.
A few minutes later, he called back; one of their ERs had a patient dying of a gunshot wound and the surgeon needed to get the xray up so he could see where the bullet was lodged before the guy bled out on the table.
Long outages are terrifying, but it only takes a few minutes for someone to die because people didn't have the information they needed to make the right calls.
sqeaky|1 year ago
Seems like a possible plan would be duplicate computer systems that are using last week's backup and not set to auto-update. Doesn't cover you if the databases and servers go down (unless you can have spares of those too), but if there is a bad update, a crypto-locker, or just a normal IT failure each department can switch to some backups and switch to a slightly stale computer instead of very stale paper.
jmcgough|1 year ago
lr1970|1 year ago
nubinetwork|1 year ago
regularfry|1 year ago
Bjartr|1 year ago
Or maybe I'm giving these institutions too much credit?