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I thought the whole promise of electronic records was to avoid transcription errors -- if the doctor enters it into the record himself, there's less chance of s
by Johnny555 3y ago
I thought the whole promise of electronic records was to avoid transcription errors -- if the doctor enters it into the record himself, there's less chance of someone misreading or mistyping his notes later.
- cfu28 3y agoI don’t have the source on hand, but during my clinical informatics rotation it was mentioned that many early EMR implementations actually increased drug errors
- youainti 3y agoI wonder if that was a true rate change or a change in detection.
- cfu28 3y agoIt was an increased rate of adverse effects due to drug mistakes, which is monitored and easily detected so unlikely due to just an increase in detection
- Aeolun 3y agoSeeing my clinician fight the EMR to figure out what the stupid drug was called certainly didn’t help my impression of EMR systems anyway.
- analog31 3y agoThat may be the medical purpose of electronic records, but there's a business purpose -- billing -- and an administrative purpose that includes security and regulatory compliance. All orchestrated by the same software. If I were given one guess, it would be that the medical purpose for authentication is to avoid accidentally corrupting the data, e.g., typing Alice's prescription into Bob's screen. But the authentication technology is distorted by a security purpose that may be unnecessary and is being regularly bypassed. For instance, just having people enter their initials into every entry or screen would go a long way towards eliminating erroneous entry, without being too burdensome.
- kuchenbecker 3y agoThe problem with what you describe is alert fatigue. This IS the selling point, therefore we can catch all errors! WARNING: patient medication dose higher than expected (override) WARNING: patient already received dose within recommendations (override) WARNING: patient is allergic to medication (override, mistake)
- di4na 3y agoPromise yes. Reality on the ground is that there were governmental subsidies to implement them, so everyone got them. How much they actually help vs create problems is still an open research problem