rscho

16 ms·

211.
by rscho 2y ago
There is. But that's still a far cry from a fully integrated language feature.
212.
by rscho 2y ago
No, it will get in the way more than anything else. As has been said elsewhere in thread, what we need to ensure in R is mostly runtime constraints (array shape, number in specific interval, etc. ) this would require a super heavy and comp
213.
by rscho 2y ago
Static types seem like a bad idea for most R use cases. Contracts, on the other hand would be absolutely stellar. A-la -SQLite style.
214.
by rscho 2y ago
Electronic health records have dismal ergonomy, usually. They're profiled for billing performance instead of care performance.
215.
by rscho 2y ago
Would you suffer serious nonlethal complications from false alarm to (maybe) save your room neighbour that you've never met before? This wouldn't be captured.
216.
by rscho 2y ago
Most of those alarms will warn about trivial everyday results, that may (with rather low probability) cause death down the line. My bet is they'd get mostly ignored very quickly.
217.
by rscho 2y ago
Do you get burglars multiple times a day? I bet not...
218.
by rscho 2y ago
One thing tech people absolutely don't understand is how much 2024 medicine is know-how and not science. And that's not for lack of trying to make it science. There are certainly things that could be improved, even through trivial
219.
by rscho 2y ago
No, many people working in clinical units wouldn't. Because of what might happen on false alarms. What GP said: more meds, more interventions. It's not clear at all whether such systems would help with current workflows and curre
220.
by rscho 2y ago
Agreed. Adaptive thresholds are better than average thresholds.
221.
by rscho 2y ago
Essentially, it depends on workplace integration, i.e. how much effort it takes to discover the alert trigger. From personal experience, I'd say the upper limit of inconvenience is 'click the alert' on mobile, and 'mov
222.
by rscho 2y ago
Because tech people don't understand how healthcare systems work, and reciprocally healthcare workers have neither the education nor the time to understand new tech. The result is what you get today: people from both sides shouting at
223.
by rscho 2y ago
Medicine isn't science because science is not as advanced as many would think. The lack of workplace integration is also a big factor. I don't think we discourage second opinions, except maybe in some for-profit structures. The ba
224.
by rscho 2y ago
Across the board thresholds is exactly what we usually have. I'm not so sure about the false positives being so high. I expect most of the effect to result from additional nurse whipping (sorry, 'targeted warning').
225.
by rscho 2y ago
I agree. That's a much more compelling use of statistics than the shitty neural nets and whatnot we are usually served in healthcare.
226.
by rscho 2y ago
With such a false positive rate, I expect the staff on site to find ways to negate the effect pretty quickly.
227.
by rscho 2y ago
... that beeps and boops nonstop. Yes, but on top of that the error rate in measurements is staggering. It's difficult even to get reliable vital signs. Also, much of the stuff we're measuring is of unclear purpose. We don't
228.
by rscho 2y ago
Visit a hospital and see how measurement samples are taken. Your idea might be applicable with 10x the budget.
229.
by rscho 2y ago
Why 'balking hard'? Just saying that this is trivial use of statistics, but for once it's intelligent use. Still, if the false positive rate is too high, the effect won't last long.
230.
by rscho 2y ago
The english NHS is not Europe in general. Some western European nations still have relatively good quality care without ruining themselves. Although admittedly, this is getting less and less common.
231.
by rscho 2y ago
Well, calling this AI seems like a long shot. What seems causal here is 'warn early', and indeed I'm sure it would work even better if you outputted a warning displayed full screen on the nurse's phone. It's quite p
232.
by rscho 2y ago
Well, maybe it would be even more efficient to have enough staff to keep you alive...
233.
by rscho 2y ago
GRUB allows to choose your kernel at startup. Had a bad Debian (testing) update, chose an older kernel for a while with no problem at all.
234.
by rscho 2y ago
> I'm not paying my doctor to be a therapist or a rabbi. I am paying for the best medical care I can get - and if I want to prolong my life (in whatever condition), that's my choice. Not saying anything else. > When I hear &
235.
by rscho 2y ago
It's natural to be afraid. I'm afraid too, at times. But people are only willing to suffer so much. In this regard, US people offer an interesting contrast: they tend to view as normal not to suffer at all in routine care (minor s
236.
by rscho 2y ago
Yeah. It's just my experience. Not claiming anything beyond my personal perception. In my country, we also tend to put quality of life first.
237.
by rscho 2y ago
I don't really have a comparative opinion about that. What I mean is that I've seen countless examples of US patients and docs willing to go to extremes of treatment that would be considered unreasonable elsewhere. But I was just
238.
by rscho 2y ago
Yes, I went back to a country with socialized medicine where patients as well as doctors are still relatively courteous to each other. It was a huge relief to leave the US, professionally speaking. BTW, I don't really get why you'
239.
by rscho 2y ago
> a lack of understanding of technology Unfortunately, it's the other way around. The tech sector understands very little about clinical medicine, and therefore spends its time fighting windmills and shouting in the dark at docs.
240.
by rscho 2y ago
TBF, 'medical error' is a super wide definition. Most aren't diagnostic errors, and they encompass all healthcare professions, not only doctors. It makes a big difference in interpretation and potential solutions.

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