When Patients Fear EHR - InformationWeek
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When Patients Fear EHR
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David F. Carr
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David F. Carr,
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7/28/2014 | 9:41:17 AM
Defending the value of EHR versus paper
This is an important counterpoint to the concerns expressed here:

Electronic Health Records: First, Do No Harm?

While it's important to make electronic health records systems safe and usable, it does no good to spread fears about their misuse that drive patients to prefer paper (even when that paper will ultimately be transcribed to an electronic record).
pcharles09
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pcharles09,
User Rank: Ninja
7/28/2014 | 9:45:47 AM
How will they know?
In many cases, how will the patients know EHR is used? They usually still fill out paper forms.
mhasib
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mhasib,
User Rank: Author
7/28/2014 | 11:12:21 AM
Re: How will they know?
As I mentioned in the article, frequently they do not know. It is important to inform and educate people. Healthcare providers such as doctor's offices that have implemented electronic health records should have patients fill out paper forms. My doctor's office gives people a tablet computer to review and update information. It is quite cool and makes my visits a lot more pleasant - I hate filling out paper forms.
mhasib
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mhasib,
User Rank: Author
7/28/2014 | 11:16:13 AM
Re: Defending the value of EHR versus paper
Agree misuse is a human frailty which needs to be dealt with but should not be used to stifle progress and innovation which is already saving thousands of human lives.
David F. Carr
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David F. Carr,
User Rank: Author
7/28/2014 | 11:25:28 AM
Re: Defending the value of EHR versus paper
What is your take on the concern over EHR glitches / usability issues leading to medical errors? Is it a real problem?
mhasib
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mhasib,
User Rank: Author
7/28/2014 | 11:32:36 AM
Re: Defending the value of EHR versus paper
Medical errors are one of the leading causes of death in the USA but these errors are not caused by technology. They are caused by humans who are either not using technology or misusing technology. Similarly, cars do not cause accidents (except in cases of manufacturing defects) -- people do.
DarrellP725
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DarrellP725,
User Rank: Moderator
7/28/2014 | 12:52:27 PM
Re: Defending the value of EHR versus paper
Dr. Hasib, you say innovation is "already saving thousands of human lives." In 2005, RAND published the results of a study which predicted a savings of 100,000 lives and $77 billion a year from EHRs. However, by 2011, history had made it clear that the prediction (based on a heavily biased study) was completely false. Even RAND disowned it. On what evidence do you base your claim that "thousands are being saved?" 
DarrellP725
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DarrellP725,
User Rank: Moderator
7/28/2014 | 1:13:44 PM
Re: Defending the value of EHR versus paper
"Many members of the public mistakenly believe electronic health records (EHRs) are less secure than paper files." As far as I know, you are the first person in years to claim that EHRs are more secure than paper. And for good reason: They are not. The HHS "Wall of Shame" is filled with digital breaches - not paper. On April 8, the FBI warned that EHRs are becoming increasingly vulnerable to hackers. (See: "Health Care Systems and Medical Devices at Risk for Increased Cyber Intrusions for Financial Gain").

http://www.illuminweb.com/wp-content/uploads/ill-mo-uploads/103/2418/health-systems-cyber-intrusions.pdf

Paper records cannot be hacked from the other side of the world.
mhasib
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mhasib,
User Rank: Author
7/28/2014 | 1:16:23 PM
Re: Defending the value of EHR versus paper
I attend healthcare conferences where I listen to presentations from US and international researchers, scholars and doctors. I also talk to doctors and other practitioners who use EHRs and share with us their research and stories. 
DarrellP725
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DarrellP725,
User Rank: Moderator
7/28/2014 | 1:23:39 PM
Re: Defending the value of EHR versus paper
Can you share the evidence on which you base the claims of EHRs' superior safety and security?

Personally, I haven't seen any such studies.
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