Revision [166]
Last edited on 2010-05-09 02:58:45 by MartinWehlouDeletions:
Revision [165]
Edited on 2010-05-09 02:55:46 by MartinWehlouAdditions:
There is also good reason to assume that too many prescriptions are continued beyond their point of usefulness, simply because it's too difficult to go through the review process. As long as they don't cause actual harm, it's easier to just leave them unchanged.
In the presence of some diseases, such as kidney or liver failure, dosages of medications given for other conditions such as diabetes or hypertension must be adjusted, but if the EHR system is not aware of the existance of organ failures since that information is hidden in plain text, there is no way the EHR system can help warn for these problems or help adjust dosages.
If the patient has a disease that is marked "confidential" but that forms a contraindication for some medications, there is nothing the EHR can do to prevent serious medical errors from occurring due to this confidentiality. The EHR has no "idea" exactly what is held confidential and which consequences this may have for other therapies, so it actively promotes dangerous prescription behavior.
In the presence of some diseases, such as kidney or liver failure, dosages of medications given for other conditions such as diabetes or hypertension must be adjusted, but if the EHR system is not aware of the existance of organ failures since that information is hidden in plain text, there is no way the EHR system can help warn for these problems or help adjust dosages.
If the patient has a disease that is marked "confidential" but that forms a contraindication for some medications, there is nothing the EHR can do to prevent serious medical errors from occurring due to this confidentiality. The EHR has no "idea" exactly what is held confidential and which consequences this may have for other therapies, so it actively promotes dangerous prescription behavior.
Deletions:
In the presence of some diseases, such as kindney or liver failure, dosages of medications given for other conditions such as diabetes or hypertension must be adjusted, but if the EHR system is not aware of the existance of organ failures since that information is hidden in plain text, there is no way the EHR system can help warn for these problems or help adjust dosages.
If the patient has a disease that is marked "confidential" but that forms a contraindication for some medications, there is nothing the EHR can do to prevent serious medical errors from occurring due to this confidentiality. The EHR has no "idea" exactly what is held confidential and which consequences this may have for other therapies, so it actively promotes dangerous prescription behaviour.
Revision [164]
Edited on 2010-05-09 02:53:51 by MartinWehlouAdditions:
- Dangerous omissions due to confidentiality
Deletions:
Revision [163]
Edited on 2010-05-09 02:38:41 by MartinWehlouAdditions:
In the presence of some diseases, such as kindney or liver failure, dosages of medications given for other conditions such as diabetes or hypertension must be adjusted, but if the EHR system is not aware of the existance of organ failures since that information is hidden in plain text, there is no way the EHR system can help warn for these problems or help adjust dosages.
=====Absurd and dangerous omissions due to confidentiality=====
Confidentiality in the medical records is currently applied to care givers, so that information originating from "hidden" caregivers is not shown to other caregivers without the patient's permission. Prescriptions also have to be subjected to these rules, causing twisted and dangerous situations to occur. Examples:
- Medication started by a "confidential" source becomes confidential. One can argue about the safety of this, but at least it's consistent with the intention of the law.
- Medication started by a "non-confidential" source is visible to others, but any changes to that medication such as an increase or decrease in dosage done by a "confidential" source is invisible, so the "non-confidential" source only sees the unchanged, erroneous, dosage. This is outright dangerous.
=====Contra-indications and confidentiality=====
If the patient has a disease that is marked "confidential" but that forms a contraindication for some medications, there is nothing the EHR can do to prevent serious medical errors from occurring due to this confidentiality. The EHR has no "idea" exactly what is held confidential and which consequences this may have for other therapies, so it actively promotes dangerous prescription behaviour.
=====Absurd and dangerous omissions due to confidentiality=====
Confidentiality in the medical records is currently applied to care givers, so that information originating from "hidden" caregivers is not shown to other caregivers without the patient's permission. Prescriptions also have to be subjected to these rules, causing twisted and dangerous situations to occur. Examples:
- Medication started by a "confidential" source becomes confidential. One can argue about the safety of this, but at least it's consistent with the intention of the law.
- Medication started by a "non-confidential" source is visible to others, but any changes to that medication such as an increase or decrease in dosage done by a "confidential" source is invisible, so the "non-confidential" source only sees the unchanged, erroneous, dosage. This is outright dangerous.
=====Contra-indications and confidentiality=====
If the patient has a disease that is marked "confidential" but that forms a contraindication for some medications, there is nothing the EHR can do to prevent serious medical errors from occurring due to this confidentiality. The EHR has no "idea" exactly what is held confidential and which consequences this may have for other therapies, so it actively promotes dangerous prescription behaviour.
