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Computer Virus Forces Hospital To Divert Ambulances
McGruber writes "The Atlanta Journal Constitution newspaper is reporting that a hospital with campuses in Lawrenceville and Duluth, Georgia turned ambulances away after the discovery of 'a system-wide computer virus that slowed patient registration and other operations.' They're only currently accepting patients with 'dire emergencies.' A spokeswoman for the hospital said the diversion happened because 'it's a trauma center and needs to be able to respond rapidly.' The situation began on Thursday afternoon and is expected to last through the weekend."
The hospital is still treating patients in emergency situations but is asking people with minor ailments, such as sore throats or sprained ankles, to contact their regular providers, Okun said.
We're in a sad state when people need to go to the hospital to deal with sore throats and sprained ankles.
Facts do not cease to exist because they are ignored. -Aldous Huxley
I work at a trauma center, and we go to diversion all the time. It happens whenever the ER gets backed up to the point that the patients would be better served by going to a less-full ER than by coming to ours, even if that ER is a little further away. This happens at least twice weekly, although perhaps not as often as other, less busy ERs. Yes, the virus undoubtedly brought them to this clogged state much faster, but this isn't nearly the crisis the summary (or the article it is summarizing) makes it out to be.
Hospitals are often quite badly prepared for this sort of thing. A big problem is the number of computerised "medical devices" where the vendor insists on a very specific update policy (or very specific restrictions on 3rd party software).
I worked at one hospital where Confiker took the whole IT system down. A big problem in repairing the damage was that there were a lot of PACS (digital X-ray/CT/MRI viewing/storage) workstations where the PACS vendor would not permit the relevant windows updates or a 3rd party anti-virus to be installed on the servers/workstations. They relented after a 24 hour stand-off, after they realised that they was nothing they could do to keep the system happy enough to meet the SLA without the updates and a suitable anti-malware.
I work at another hospital now, where similar lack of updates due to comparability with old business apps prevents updates. E.g. The PCs still run XP SP1 (even the brand-new quad core xeons). There also doesn't appear to be funding for updating anti-malware - the hospital use Sophos 7 (which became unsupported last year).
This hospital has chronic problems with virus/malware infestation on a number of office machines - but while IT can clean the computers manually, there seems to be a reservoir if infection on file-servers, USB drives, etc. So the infections come straight back after a manual deletion. This hasn't caused a catastrophe locally, so management don't seem to care, but it is a major annoyance, as infected documents frequently end-up getting e-mailed out to other hospitals/doctors and destroyed without trace by the recipient's e-mail system. Docs have been known to put the files on a USB stick, take it home, clean it with an up-to-date virus scanner and then e-mail it out.
I did a contract with one last March which was upgrading to new state of the art medical billing system to be Obamacare compliant.
Ran Windows 7? No. Windows XP Service pack 3 right? No. Windows XP SP 2 with IE 6?!
Normally it is not an issue but with HIPPA it is very serious this irritated me. Someone can literally hold the hospital hostage if these medical records for tens of millions of dollars and they need at least a patched and still supported version of XP like corporate America does. The problem is custom medical software and custom devices for Xrays and MRIs use IE 6 still and are not certifed with XP SP 3 ... unless you give them $$$$ to buy all new epuipment over again. This is new software being developed in 2010 I may add requiring IE 6 and some software wont even run with SP 3 on XP. This means no security patches.
It does not surprise me there are viruses on hospital computers as they can't be patched. WIth HIPPA you would think a hospital would always demand and use state of the art fully patched systems for security. But if were the medical records software company or make MRI machines I would be still requiring IE 6 too so I can then price gouch and double dip and charge3 another $400,000 in 2013 when support ends. I can make even MORE money. ... end rant
The greed is incredible in the industry, but doctors can be the most and worst clients and users if you chat with anyone who supports them. THey feel supperior because they have those PHDs and make tons of money. Luckily I just helped install stuff and ignored the rest of the staff. As a result I.T. staff just never upgrade as they do not want to deal with these users at all
http://saveie6.com/
What happened back then was it took a lot more staff to treat a lot more people. This issue isn't keeping doctors from treating patients, it's keeping them from treating as many patients. Everything is probably having to be done on paper, which means that someone (a nurse more than likely) has to walk that paper where ever it needs to be. This has the double impact of taking more time than it normally would, and requiring someone to take time out their normal duty to move it. That is why they are still taking actual emergency cases, and turning away non-life threatening, less serious cases. So that the ER does not get completely backed up that they can't treat a life-threatening case that may show up.
The only thing necessary for evil to triumph is for it to be pitted against a slightly greater evil
Perhaps, but IE is a major security hole. At the very least, hospitals should be absolutely required to use a secure browser. Secondly, with ERP, etc, being browser based, there's no difference from an operator standpoint between Windows and OpenBSD. You still click links, you still open tabs, you still get to set the wallpaper on the background. Ergo, there's no rational reason to use something that's expensive and insecure over something that's cheap and secure. If there are no platform-specific apps (they're all web-based) then go with the OS that is least likely to endanger service.
It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
While I might agree that some people do become stupid with tech (and oversimplify the complexity that computers are covering up and compensating), we also can't oversimplify the fact that it's not trivial to go back 20+ years to pre-computer procedures overnight for a temporary problem that will go away in a few days (or minutes or hours, as in the case of the tire shop employee).
Besides employees not getting paid enough to go the extra mile (or that they're supposed to be doing something else), the likely end reason is likely that it isn't affordable or efficient or even possible. As it is, a common complain in the healthcare industry is that they're understaffed, and with automation, the number of employees has been reduced so much they would never be able to deal with the backlog manually (assuming that enough employees had the training to deal with pre-computer issues). Not to mention that in a complex team workflow, exceptions would make it risky (ie, if the patient isn't registered in the system, his/hers tests can't be attached, so the doctors can't access them properly, opening the hospital to liabilities).
Old systems likely broke down and got replaced by digital systems that require much less from their operators. Before they might have been able to print, but maybe that printer isn't there anymore. Going all the way back to pre-computers might mean leaches.
As for your tire experience. Maybe the employee was lazy and wasn't willing to go the extra mile. Or maybe he didn't have a yellow pages or a company directory (which might have been on-line). Or, likely, he is supposed to tend the counter, and isn't allowed to do something else when he is supposed to be servicing people coming in the door (or answering the phone). In the "olden days", we might have been dealing with the store owner, which would be more inclined to GEM, but with franchises and staffs cut to a minimum for the sake of 80%+ normalcy, it's no surprise that the quality of service suffers.
In spirit, I agree that computers have made it too easy for stupidity to thrive. In fact, they have made it so easy that it is endemic at the business level, not just at the employee level. Rather than doing the work, businesses just farm it out to someone else, and then to someone else (ie, the "Cloud philosophy"), and you end up dealing with shells that are so far removed from the data that have no knowledge or interest in providing a reasonable service that falls slightly outside the normal expectation. And even when it's a typical offering, quality is often substandard and it only fulfills the need in the most general sense. But I'm starting to digress to another topic, so I'll stop.
...is that they have created a system where in they can't function as a hospital without computers.
When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.