Lesson One in Tech Support: Make Sure It’s Plugged In
Back when I did tech support, I realized that we often overlook simple fixes while looking for complicated ones.
In my part of the world, there has been a minor uproar over prostate care at a local VA hospital. Lots of patients receiving radiation therapy did not get the proper amount of radiation “seeds” implanted in them. Some got too many; most got too few.
Reports blamed a “computer interface problem.”
There was a problem all right. The computer that would have been used to verify proper insertion of the “seeds” had been unplugged. Read the story here. A nugget:
For a year, starting in November 2006, the computer workstation with the software used to calculate the post-implant dosages was unplugged from the hospital’s network.
All that time, no one took steps to plug it back in, work around it, or tell patient-safety officials, investigators found.
This illustrates two things. One:
And, much more importantly, two: