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Electronic Medical Records Management Causes Problems 2011/08/13

Posted by nydawg in Digital Archives, Electronic Records.

does this sound familiar? ” One paper published this year by the Public Library of Science, written by U.K. doctors, notes that “there is a large gap between the postulated and empirically demonstrated
benefits of eHealth technologies [and] their cost-effectiveness has  yet to be demonstrated, despite being frequently promoted by policymakers and ‘techno-enthusiasts.'”  . . .

“Despite the political — and computer industry — push to adopt electronic health record systems, there are plenty of researchers who
want to see proof before investing billions of dollars.  That’s one of the ironies often cited by skeptics: For an industry that relies on
data and evidence-based measurements to make decisions on the clinical and pharmaceutical side, there isn’t a lot of evidence supporting the notion that electronic health records produce cheaper care or better outcomes.  “Health IT lacks the scientific rigor of medicine itself,”  Dr. Silverstein said.
. . .
“Having analyzed 3,850 computer-generated prescriptions received by a commercial outpatient pharmacy chain, a clinical panel found that 452 of the prescriptions, or about 12 percent, contained errors. (A “computerized” prescription is one that is typed into a computer, rather than a note pad; an “electronic” prescription is one that has been transmitted by email or wireless to a pharmacy.)  Of those, 163 contained mistakes that could have led to “adverse drug events.” Most errors were mistakes of omission — a doctor left out an important piece of data. . .  . “But the larger point is computerized systems do not automatically outperform paper ones.  One prime example locally: the hepatitis C-postitive kidney that was accidentally transplanted from a live donor into a patient at UPMC.  The entire transplant team missed a highlighted alert in the hospital’s electronic records system; doctors later complained to the Post-Gazette that UPMC’s system “is, at best, cumbersome to use and difficult to adjust for any one doctor’s particular needs.”
So the eternal questions remain, “why digitize?” and “what metadata is required” and “what storage medium will it be accessed or saved?”

Read more: http://www.post-gazette.com/pg/11219/1165767-114-0.stm?cmpid=MOSTEMAI…




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