Electronic Health Records: First, Do No Harm? - InformationWeek

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Healthcare // Electronic Health Records
Commentary
6/26/2014
09:06 AM
David F Carr
David F Carr
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Electronic Health Records: First, Do No Harm?

EHRs are commonly promoted as boosting patient safety, but are we all being fooled? InformationWeek Radio investigates.

(Source: HealthIT.gov)
(Source: HealthIT.gov)

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jagibbons
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jagibbons,
User Rank: Ninja
6/26/2014 | 11:05:22 AM
Worrisome
While I also believe there will be eventual benefits in adopting EHR, the current state, at least as outlined in this article, is very worrisome. Mistakes like those shared can be very costly to the patients, as well as the providers if serious injury or death results. Practitioners across the entire market need access to data about their patients, but it needs to be secure and accurate.
JamesK888
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JamesK888,
User Rank: Apprentice
6/27/2014 | 2:40:20 PM
Will you address gag clauses
A recent RAND study indicates that "Vendor gag clauses... limit the ability of researchers, providers, and regulators to access data regarding EHR glitches that may jeopardize patient safety..."

Can you ask Dr. Silverstein to comment on this?

Thanks!

http://www.rand.org/pubs/research_reports/RR308.html
SteveRobbin
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SteveRobbin,
User Rank: Apprentice
6/27/2014 | 9:15:36 PM
It's all about Chosing a right Vendor
I think the main reason of the problems which discuss above are" Not chosing the right EHR Vendor" . I in my office using Nortec Software Inc. Electronic Health Records Software and i didnot find any single problem which mention above. Why? because when i contact Nortec management for their software they take complete knowledge of my work and requirement and after sevral meetings we decied which package is best for my office.
David F. Carr
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David F. Carr,
User Rank: Author
6/30/2014 | 10:06:57 AM
Re: It's all about Chosing a right Vendor
Particularly in the larger, hospital implementations, I don't think you can say picking the right vendor is the end of the story. Even if the base software package is perfect (which it's probably not), there are dozens of issues with training, testing, adapting procedures, and so on that can either go right or wrong.
David F. Carr
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David F. Carr,
User Rank: Author
6/30/2014 | 11:05:33 AM
Re: Will you address gag clauses
Legal restrictions on the reporting of EHR safety pitfalls are one of several gaps in the regulation of health IT Silverstein addresses in this post on the FDA's ruling that health IT represents a "sufficiently low risk" that it need not be regulated like a medical device. I'm sure he'll be quite happy to address why gag clauses in EHR vendor contracts are inappropriate.
David F. Carr
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David F. Carr,
User Rank: Author
6/30/2014 | 11:31:26 AM
Informatics vs. IT: Doctor Revolt Against EHR at Athens Regional Medical Center
One example points to of "bad health IT" is the recent Athens Regional Medical Center revolt by doctors who began resigning en masse, saying the new computer system being implemented there "endangers patients" (see Silverstein's blog). The issue was not ncecessarily the software program chosen but the lack of involvement of medical personnel in the selection, implementation, and rollout of the technology.

The doctors made sufficient noise over this that the CEO of the medical center subsequently resigned.

Near the end of the column, I quote Silverstein on the difference between business-oriented IT for hospital operations and health informatics. One of his themes is that health IT implementations are too often led by CIOs and project leaders with inadequate appreciation for informatics as a discipline. That's one of the points I plan to discuss with him as part of the online radio program.

In defense of hospital CIOs, I should mention that many I've spoken with are quick to acknowledge that they are not and cannot be the leaders on the clinical implementation of these systems and that their organizations' CMIOs, CNIOs, and other clinical leaders are important partners in a successful EHR implementation. But how often is that reality rather than rhetoric?
tekedge
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50%
tekedge,
User Rank: Moderator
7/1/2014 | 12:00:01 AM
EHR
The concept of EHR is really innovative. But itS basiS is still involves humans updating it and should be done regularly and accurately. Mistakes here can make a difference between life and death and that is what frightens most people
tekedge
50%
50%
tekedge,
User Rank: Moderator
7/1/2014 | 12:06:46 AM
EHR
The comment by Mr Silverstein Eliminate Bad Health IT made me pause and think how unhealthy IT can be treated to become healthy and we can record it's treatment in ITHR
David F. Carr
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50%
David F. Carr,
User Rank: Author
7/1/2014 | 3:14:29 PM
IW Radio Replay: Is Digitizing Healthcare Making It Less Safe
If you missed attending our program live, the replay is available now:

http://www.informationweek.com/radio.asp?webinar_id=103&_mc=sm_iwk_editor_davidcarr
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