Who in earth designed this VHIMS system and why haven't they been sent to prison? How many people have suffered by this? The Victorian Health Department relies on this evil joke of a system: http://www.health.vic.gov.au/clinrisk/vhims/ The policy of promotions by 'merit' somehow finishes up keeping anyone intelligent or principled out of executive jobs in this field. I have actually used the VHIMS system and the absolute failure of management to care that it made things worse contributed to my growing sense of danger and injustice. The attitude to safety and the law in public hospitals is absurd - no better than in Florence Nightingale's time. Hospital managers are reckless; they are laws unto themselves. Inside excerpt from Auditor General's shocking report on Victoria's hospitals.