According to “Doctors Find Barriers to Sharing Digital Medical Records” by Julie Creswell (Links to an external site.), published in The New York Times, on September 30, 2014, hospitals cannot communicate with each other because they use records created by different companies. The software is not compatible.
One study, “The Accuracy of Electronic Medical Record Medication Reconciliation in Emergency Department Patients,” by Andrew A. Monte (Links to an external site.) et al., published in the Journal of Emergency Medicine in July 2015, compared medication lists on the EMR of patients admitted to emergency departments with what the patient reported taking in the previous 48 hours. For the electronic medical record to be useful, it needs to be accurate. One of the benefits of the EMR is that it follows the patient to every health-related encounter. An EMR that inaccurately lists the patient’s medications also follows the patient and can do harm. The EMR was 100 percent correct in only 21.9 percent of cases. The inaccurate lists “were more likely to include [prescription] medications that the subject did not report using and were more likely to not include non-prescription, vitamins, supplements, and herbals that the subject reported using.” Forty-five percent of the EMRs incorrectly reported patients not taking nonprescription medications. Seventy-six percent did not report nonprescription medications that the patients were taking. The fact that prescription medications were overrepresented in the EMR medication lists suggests that they were out of date. Inaccurate medication lists can lead to both duplication of medicine and drug interactions.
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- Discuss the issues raised of the computerization of health records.
- How can patient confidentiality be safeguarded, given the establishment of a vast national database of medical records?
- When a mammogram is done, it can be read by a technician, checked by special software, and scanned by a computerized scanner. If the image is misread, who is responsible—the technician, the software publisher, and/or the hardware manufacturer?
- Today, medical personnel need to be retrained in certain telemedicine technology areas. How would you convince them to retrain?
- Given that computers are playing a more active role in surgery, what steps would you recommend be taken to protect patients from the effects of computer viruses, electrical malfunctions, and software bugs?
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Dess, G., Lumpkin, G., & Eisner, A. (2012). Strategic Management(6e). Boston: McGraw-Hill Irwin.
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