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	<title>Comments on: &#8216;Cultural metrication&#8217; and the NHS</title>
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	<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/</link>
	<description>Commentary on the measurement muddle in the UK</description>
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		<title>By: Ezra Steinberg</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20273</link>
		<dc:creator>Ezra Steinberg</dc:creator>
		<pubDate>Fri, 26 Mar 2010 05:41:42 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20273</guid>
		<description>Along the lines of what David Brown mentions, I have been using a CPAP machine (Continuous Positive Airway Pressure) for over 10 years to treat my sleep apnea (quite effectively, I might add).

The weird thing is that the air pressure is measured in terms of the pressure needed to maintain a column of water x cm high. So, in my case the machine is calibrated for &quot;13 cm of H2O&quot;).

Does the NHS measure CPAP pressure in this same bizarre fashion? I don&#039;t even know how this got started (though I understand the first CPAP machine was invented in Australia back in the 70&#039;s).

In any case the goal should clearly be for all personnel in the medical professions to use true SI exclusively. Let&#039;s hope that can be accomplished soon.</description>
		<content:encoded><![CDATA[<p>Along the lines of what David Brown mentions, I have been using a CPAP machine (Continuous Positive Airway Pressure) for over 10 years to treat my sleep apnea (quite effectively, I might add).</p>
<p>The weird thing is that the air pressure is measured in terms of the pressure needed to maintain a column of water x cm high. So, in my case the machine is calibrated for &#8220;13 cm of H2O&#8221;).</p>
<p>Does the NHS measure CPAP pressure in this same bizarre fashion? I don&#8217;t even know how this got started (though I understand the first CPAP machine was invented in Australia back in the 70&#8217;s).</p>
<p>In any case the goal should clearly be for all personnel in the medical professions to use true SI exclusively. Let&#8217;s hope that can be accomplished soon.</p>
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		<title>By: David Brown</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20267</link>
		<dc:creator>David Brown</dc:creator>
		<pubDate>Thu, 25 Mar 2010 17:37:36 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20267</guid>
		<description>No one has mentioned blood pressure.  It is universally measured in the NHS using mmHg (mm of mercury).  This is not an SI unit.  Since I suffer from hypertension and regularly monitor my own blood pressure I have got used to the unit.  In fact I&#039;ve not even worked out the equivalent in Pa, which is uncharacteristically lax of me.  It would be interesting to hear if anyone has come across any different blood pressure units being used in medicine.</description>
		<content:encoded><![CDATA[<p>No one has mentioned blood pressure.  It is universally measured in the NHS using mmHg (mm of mercury).  This is not an SI unit.  Since I suffer from hypertension and regularly monitor my own blood pressure I have got used to the unit.  In fact I&#8217;ve not even worked out the equivalent in Pa, which is uncharacteristically lax of me.  It would be interesting to hear if anyone has come across any different blood pressure units being used in medicine.</p>
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		<title>By: Ezra Steinberg</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20257</link>
		<dc:creator>Ezra Steinberg</dc:creator>
		<pubDate>Sun, 21 Mar 2010 18:00:58 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20257</guid>
		<description>Given Alex&#039;s comment, I&#039;m wondering how doctors and nurses outside of hospitals could be convinced to use only metric scales and record all data in metric. Logically, it would seem to me that everyone associated with the NHS, whether working in a hospital or not, should be doing this.

</description>
		<content:encoded><![CDATA[<p>Given Alex&#8217;s comment, I&#8217;m wondering how doctors and nurses outside of hospitals could be convinced to use only metric scales and record all data in metric. Logically, it would seem to me that everyone associated with the NHS, whether working in a hospital or not, should be doing this.</p>
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		<title>By: Alex Bailey</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20254</link>
		<dc:creator>Alex Bailey</dc:creator>
		<pubDate>Sun, 21 Mar 2010 13:11:39 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20254</guid>
		<description>A friend remarked to me yesterday that as recently as Friday morning she was told during a doctors appointment that she had &quot;lost 3 pounds since her last visit&quot;, the scales used to weigh here being visibly dual unit and no attempt was made to mention any weight in kg. This is a person who relies on a number of medications and actually does use metric scales at home!

It seems clear that there is currently no effort being made to stamp out this potentially life-threatening practice; it seems crazy to me that when so many professionals (both medical and otherwise) recognise the dangers that nobody is willing to tackle the issue head on. While we all realise that politicians see metrication as a political hot potato it&#039;s criminal that they&#039;re so unwilling to act even when public safety is concerned!</description>
		<content:encoded><![CDATA[<p>A friend remarked to me yesterday that as recently as Friday morning she was told during a doctors appointment that she had &#8220;lost 3 pounds since her last visit&#8221;, the scales used to weigh here being visibly dual unit and no attempt was made to mention any weight in kg. This is a person who relies on a number of medications and actually does use metric scales at home!</p>
<p>It seems clear that there is currently no effort being made to stamp out this potentially life-threatening practice; it seems crazy to me that when so many professionals (both medical and otherwise) recognise the dangers that nobody is willing to tackle the issue head on. While we all realise that politicians see metrication as a political hot potato it&#8217;s criminal that they&#8217;re so unwilling to act even when public safety is concerned!</p>
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		<title>By: Robin Paice</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20253</link>
		<dc:creator>Robin Paice</dc:creator>
		<pubDate>Sun, 21 Mar 2010 09:38:53 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20253</guid>
		<description>Ezra - we dealt with this in our article last December at http://metricviews.org.uk/2009/12/nhs-risking-patients-lives-with-imperial-scales/
All the references are there.</description>
		<content:encoded><![CDATA[<p>Ezra &#8211; we dealt with this in our article last December at <a href="http://metricviews.org.uk/2009/12/nhs-risking-patients-lives-with-imperial-scales/" rel="nofollow">http://metricviews.org.uk/2009/12/nhs-risking-patients-lives-with-imperial-scales/</a><br />
All the references are there.</p>
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		<title>By: Ezra Steinberg</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20252</link>
		<dc:creator>Ezra Steinberg</dc:creator>
		<pubDate>Sun, 21 Mar 2010 06:49:57 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20252</guid>
		<description>The LACORS web site has a page dated 3 Nov 2008 (http://www.lacors.gov.uk/lacors/NewsArticleDetails.aspx?id=20484)  which describes the problems they found with weighing machines in hospitals, then mentions a repeat inspection to be held in spring 2009 followed by a &quot;final report to be produced on the change that the project has helped bring about&quot;.

I can&#039;t seem to find anything about this repeat inspection much less the final report. Does UKMA have any information on these items?</description>
		<content:encoded><![CDATA[<p>The LACORS web site has a page dated 3 Nov 2008 (<a href="http://www.lacors.gov.uk/lacors/NewsArticleDetails.aspx?id=20484" rel="nofollow">http://www.lacors.gov.uk/lacors/NewsArticleDetails.aspx?id=20484</a>)  which describes the problems they found with weighing machines in hospitals, then mentions a repeat inspection to be held in spring 2009 followed by a &#8220;final report to be produced on the change that the project has helped bring about&#8221;.</p>
<p>I can&#8217;t seem to find anything about this repeat inspection much less the final report. Does UKMA have any information on these items?</p>
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		<title>By: Martin Vlietstra</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20249</link>
		<dc:creator>Martin Vlietstra</dc:creator>
		<pubDate>Sat, 20 Mar 2010 08:47:00 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20249</guid>
		<description>While I am satisfied that British hospitals use metric units as a matter of routine, there is possibly a culture of &quot;We will use metric units to keep the auditors happy, but will otherwise use imperial units&quot;.  

Apart from making medically-oriented articles unintelligible for the man in the street (unless the units are dumbed down), there is also the risk that medical staff who think in terms of imperial units in respect of their personal lives will be slow to pick up errors (such as recording 572 kg instead of 57.2 kg) because &quot;these are just meaningless numbers&quot;. 

There is also the risk of a figure-conscious nurse switching scales to show imperial units so that she can check her own weight, and then forgetting to reset them, resulting in a person&#039;s weight being recorded as 128 kg rather than 80 kg (12 st 8 lbs) Following recent government announcements, this might well become a thing of the past due to dual-unit scales being prohibited in hospitals.</description>
		<content:encoded><![CDATA[<p>While I am satisfied that British hospitals use metric units as a matter of routine, there is possibly a culture of &#8220;We will use metric units to keep the auditors happy, but will otherwise use imperial units&#8221;.  </p>
<p>Apart from making medically-oriented articles unintelligible for the man in the street (unless the units are dumbed down), there is also the risk that medical staff who think in terms of imperial units in respect of their personal lives will be slow to pick up errors (such as recording 572 kg instead of 57.2 kg) because &#8220;these are just meaningless numbers&#8221;. </p>
<p>There is also the risk of a figure-conscious nurse switching scales to show imperial units so that she can check her own weight, and then forgetting to reset them, resulting in a person&#8217;s weight being recorded as 128 kg rather than 80 kg (12 st 8 lbs) Following recent government announcements, this might well become a thing of the past due to dual-unit scales being prohibited in hospitals.</p>
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		<title>By: Ezra Steinberg</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20248</link>
		<dc:creator>Ezra Steinberg</dc:creator>
		<pubDate>Fri, 19 Mar 2010 23:10:47 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20248</guid>
		<description>So, then why hasn&#039;t anyone from BWMA been protesting all these years that using &quot;grains&quot; instead of &quot;milligrams&quot; is more &quot;natural&quot; for patients? Same story for keeping the old L-s-d money (doesn&#039;t 12 have more integral divisors than 10)?

I still shake my head at the incredibly selective nature of their protests. But, of course, the government&#039;s unwillingness to complete metrication is the real crime since most of the British public doesn&#039;t seem likely to rise up en masse and erect barricades in protest.</description>
		<content:encoded><![CDATA[<p>So, then why hasn&#8217;t anyone from BWMA been protesting all these years that using &#8220;grains&#8221; instead of &#8220;milligrams&#8221; is more &#8220;natural&#8221; for patients? Same story for keeping the old L-s-d money (doesn&#8217;t 12 have more integral divisors than 10)?</p>
<p>I still shake my head at the incredibly selective nature of their protests. But, of course, the government&#8217;s unwillingness to complete metrication is the real crime since most of the British public doesn&#8217;t seem likely to rise up en masse and erect barricades in protest.</p>
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		<title>By: Jeremiah</title>
		<link>http://metricviews.org.uk/2010/03/cultural-metrication-and-the-nhs/comment-page-1/#comment-20247</link>
		<dc:creator>Jeremiah</dc:creator>
		<pubDate>Fri, 19 Mar 2010 22:31:01 +0000</pubDate>
		<guid isPermaLink="false">http://metricviews.org.uk/?p=914#comment-20247</guid>
		<description>In order for the NHS to go completely SI, it will require more then just assuring all the scales read in kilograms only.  Hospital staff must be required to have a working knowledge of SI units and must speak only in SI while on the job, both amonst themselves and to patients.
 
When hospital staff are weighing patients, it doesn&#039;t help the situation if they have one eye on the scale and the other on a conversion chart. It defeats the purpose of the metric only scale if they convert measures either via charts or by other means and refer to the converted results rather then the measured from that point on.  
 
Experience, competence and a feeling for metric numbers can only come from daily use.  If hospital staff convert then they will never obtain the needed familiarity with metric units and will be more prone to mistakes.  Thus dosing errors will continue as will misplaced decimal points, as the errors will never be noticed due to lack of familiarity with the metric system.
 
Recording data in records in both SI and non-SI units must also stop and only SI must be used.  Reading the wrong numbers on the record can be just as dangerous as making a wrong calculation. 
 
Assuring that the language of the hospital is always SI is as important as making sure all the instruments are SI. 
</description>
		<content:encoded><![CDATA[<p>In order for the NHS to go completely SI, it will require more then just assuring all the scales read in kilograms only.  Hospital staff must be required to have a working knowledge of SI units and must speak only in SI while on the job, both amonst themselves and to patients.</p>
<p>When hospital staff are weighing patients, it doesn&#8217;t help the situation if they have one eye on the scale and the other on a conversion chart. It defeats the purpose of the metric only scale if they convert measures either via charts or by other means and refer to the converted results rather then the measured from that point on.  </p>
<p>Experience, competence and a feeling for metric numbers can only come from daily use.  If hospital staff convert then they will never obtain the needed familiarity with metric units and will be more prone to mistakes.  Thus dosing errors will continue as will misplaced decimal points, as the errors will never be noticed due to lack of familiarity with the metric system.</p>
<p>Recording data in records in both SI and non-SI units must also stop and only SI must be used.  Reading the wrong numbers on the record can be just as dangerous as making a wrong calculation. </p>
<p>Assuring that the language of the hospital is always SI is as important as making sure all the instruments are SI.</p>
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