tag:blogger.com,1999:blog-23447705.post2325845692436620802..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: AusHealthIT Poll Number 243 – Results – 9th November, 2014. Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-23447705.post-59539897364962042672014-11-10T23:09:22.691+11:002014-11-10T23:09:22.691+11:00It is interesting to note the number of test resul...It is interesting to note the number of test results incorrectly ascribed to the wrong patient which are only discovered when the bill goes to the wrong person! <br /><br />Pushing results to the PCEHR requires care.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-3599971919586548732014-11-10T21:22:07.204+11:002014-11-10T21:22:07.204+11:00Parallel systems are dangerous for patients. In Ho...Parallel systems are dangerous for patients. In Hospitals it is a challenge to ensure that there is a single (or close to) source of the truth or that parallel systems are synchonised.<br /><br />Sometimes the omission of a record is more dangerous than a wrong record - if the record is wrong enough then it may be recognised as such.<br /><br />Having a partial diagnostic record in the PCEHR or Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-23268220035908960522014-11-10T19:28:19.801+11:002014-11-10T19:28:19.801+11:00Does this saga not show how parallel systems are w...Does this saga not show how parallel systems are worse than useless and dangerous.<br /><br />Patients need access to real live systems, not pale imitations. <br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-70003439477889153322014-11-10T19:16:35.160+11:002014-11-10T19:16:35.160+11:00Hypothetical 3: Sam’s shadow.
Sam was due to fly...Hypothetical 3: Sam’s shadow.<br /><br />Sam was due to fly out to India for 2 weeks for work, and needed to see his GP for a check-up. While there, he mentioned a nagging persistent cough. His GP suggested he have a chest X-ray just to be sure, and wrote out a request form for a local Medical Imaging service. <br />Sam had the X-ray taken; then the next day he flew out to India. Meanwhile,Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-8556028890019323912014-11-10T19:00:21.089+11:002014-11-10T19:00:21.089+11:00Keep building new things that way you never have t...Keep building new things that way you never have to fix the mess up, which probably all seems to hard anyway and a thousand excuse can be found as to why. The problem is it just gets harder the more new stuff they do.<br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-36334080794124688252014-11-10T16:12:16.187+11:002014-11-10T16:12:16.187+11:00Re Lara's "experience".
It would se...Re Lara's "experience".<br /><br />It would seem the IT system worked exactly as designed. Neither the the test nor the test results showed up on her eHR.<br /><br />The fact that billing, prescription and new provider details showed up also seems to be exactly as the IT system was designed.<br /><br />Draw your own conclusions.Bernard Robertson-Dunnhttp://www.problemsfirst.com.aunoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-91735572522365088992014-11-10T15:27:44.769+11:002014-11-10T15:27:44.769+11:00I certainly fear this is just the sort of thing th...I certainly fear this is just the sort of thing that might happen. An awful saga!<br /><br />David.<br />Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-73951386257594248042014-11-10T15:02:29.596+11:002014-11-10T15:02:29.596+11:00Hypothetical 2: could this happen?
16-year old Lar...Hypothetical 2: could this happen?<br />16-year old Lara was very worried and went to see a GP. Not her usual family GP, because she could not let her parents know that she was probably pregnant and wanted to have a termination. She explained this to the new GP; remembering that her parents had set up a PCEHR record for her a few years ago, and knowing that they could access this record on her Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-50445031616144191522014-11-09T22:26:34.695+11:002014-11-09T22:26:34.695+11:00AFAIK the proposal is to just upload data willy ni...AFAIK the proposal is to just upload data willy nilly after 7 days. (Later modified to take some material out by the RCPA) That is what most see as stupid. If anyone has a clearer idea of what is planned - given there are now more meetings planned because of the outrage here and elsewhere feel free to explain.<br /><br />Patient consent - not challenging issues is the issue!<br /><br />David.<br Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-85811904556949033882014-11-09T22:01:52.098+11:002014-11-09T22:01:52.098+11:00The poll result is clear-cut (unsurprisingly), but...The poll result is clear-cut (unsurprisingly), but since the question did not reflect what is proposed, it's not very helpful.<br />As for conditional consent - given the unpredictability of what turns up in test results, implementation of this would be 'challenging' (& highly likely to lead to unintended outcomes).Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-60916418290358213382014-11-09T14:09:27.770+11:002014-11-09T14:09:27.770+11:00David,
Re this week's question about consent ...David,<br /><br />Re this week's question about consent to upload.<br /><br />If the PCEHR really is "Personally Controlled", the patient should have the option to decide what they want.<br /><br />They could set a default (always/never) which they could over-ride if they wanted to.<br /><br />Taking it a bit further and making it potentially more useful, they could set defaults Bernard Robertson-Dunnhttp://www.problemsfirst.com/blognoreply@blogger.com