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Elisavet M

An Unforeseen Complication of Electronic Medical Records - 0 views

www.nytimes.com/...22chen.html

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shared by Elisavet M on 07 Feb 11 - No Cached
  • Elisavet M on 07 Feb 11
     
    This article focuses specifically upon the negative implications that surface with the installation and adaptation of electronic medical records (EMR) for medical professionals targeting specifically the level of doctor/patient relationships. The author, a medical specialist within a facility, talks about his experience with the proven efficiency of the EMR system's effective retrieval of patient medical history and advanced medical database, but further accentuates emphasis on the system's flawed influence upon medical professional and patient relations. One of the primary stakeholders, the medical doctors and physicians complain that the system itself places limitations upon doctors' interactions with patients during the time of consultation (a critical part of constructing medical diagnoses); the author places emphasis upon the way he had to consistently go back and forth from the patient to the computer, in order to type in the retrieved information gained from the conversation. The act of going back and forth between patient and technological system (EMR) discouraged and urged the patient into silence, thus limiting conversation with the doctor, due to the lack of complete face to face, non interrupted evaluation and reflection of medical symptoms, history, prior experiences from the perspective of the patient. Thus, the second primary stakeholder, the patient himself, feels that he or she is not properly or fully being examined; more importantly this places the patient into the position of feeling less significant, as if his/her perspective doesn't truly matter when in reality it is the patient's responsibility to be clear and coherent with the medical professional, to help navigate the doctor into generating the correct diagnosis that will help save patient lives. The IT system involved is the EMR (electronic medical record) system that operated with the help of dozens of computer terminals that were positioned in individual workstations (hardware com
  • Elisavet M on 07 Feb 11
     
    (continuation) component) and worked on the same networking service. The software programming that came with the system helped improve the retrieval and sharing of patient medical history, organization of data, efficiency and flexibility of keying in and updating medical information etc. In connection to the scenario of Health, the limiting influence forced upon doctor/patient relationships sourced from the integration of EMR systems targets a flaw in the advantage of having instant connection to patient medical information. Not only are doctors forced to focus on correctly typing in the necessary information, thus avoiding or diminishing patient relations, but the great magnitude of medical information stored and available in EMR systems, "can push some doctors into what one EMR expert refers to as "cognitive overload" while trying to balance patient input with medical history data on the spot. Furthermore, the system's software tool, such as the fee-for-service payment system, which helps tabulate symptoms while simultaneously facilitating the billing process, continues to discourage doctors from executing patient consultation. One major issue that surfaces is reliability; the EMR system itself consists of hardware and software components that transition the doctor's attention from the patient directly onto the transferring of information into the system while in the mode of confrontation. The correspondence of data with the real world comes into significance, as the data may become unreliable due to the fact that it may be entered incorrectly (the doctor may have been focusing more upon data transmission, rather than what the patient actually stated), and additionally the use of EMR systems increase the risk of data becoming outdated, for it is solely up to the doctor's skills and attention that medical history, symptoms, side effects of the patient be kept at a steady consistency once entered into the system. Thus, although physicians and he
Kim T

Study: EMRs not always linked to better health care | Health Tech - CNET News - 0 views

news.cnet.com/8301-27083_3-20026542-247.html

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shared by Kim T on 07 Feb 11 - No Cached
  • Kim T on 07 Feb 11
     
    Medical researchers have found that the use of EMRs have not really been helping the patients. The patients who are stakeholders, who may be spending a lot of time and money giving detailed information to the hospitals may not be benefiting from it but rather are having a negative effect. EMRs are electronic medical records which were intended to benefit patients by processing information taken from the patient to find a possible solution. The information in advanced is not particularly useful, even compared to more basic EMRs. These patients are also giving personal medical information out and are putting it in danger of being seen if there is a breach of security from someone who may find access to the records. 
nicholas n

Rural Doctor Finds Benefits in Electronic Medical Records - NYTimes.com - 1 views

www.nytimes.com/...11records.html

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shared by nicholas n on 06 Feb 11 - No Cached
  • nicholas n on 07 Feb 11
     
    In looking at this article and the other articles that I have post The main It IT system is a database to store the medical records of the patients of doctors. In theory this would be great for everyone. There will be less paper waste, and it would be easier to pull up patient information at the doctor's office. Its true potential can be achieved if each doctor's database can be connected to created to create a network so any doctor can access the patients information nationally or internationally. The primary issue however, is that the doctors have no standard. Some doctors are not willing to make a transfer because there are to many implications to actually becoming all digital. So that is the issue, since there are no standard the doctors are not willing to adapt. Now this issue can affect a number of stakeholder's. The doctors can see the benefits and draw backs of this standard issue. The doctor's who adopt EHR, actually save a lot of money in the long run, and are on better terms with insurance companies, in the cases where doctors don't use EHR and if a standard is developed they will suffer for it. They will not be able to process patient information quickly, and be on bad terms with insurance companies, and the U.S government(since the government wants to only have EHR or EMR). If a standard is not developed its the patient that will suffer the most. In this world that that we live in International travel is a common place, many people can get injured abroad a EMR can give life saving information to the doctors from the foreign country. This article displays the particular benefits of EMR, the article above me is the reasons doctors do not want to adopt to EMR, and the article before mine displays the governments interest to change all the paper records to EMR.
Mitchell Springer

The Precautionary Principle - A Realistic Solution to Cell Phone Radiation? - 0 views

ezinearticles.com/?The-Precautionary-Principle---A-Realistic-Solution-to-Cell-Phone-Radiation?&id=3008249

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shared by Mitchell Springer on 17 Nov 09 - Cached
  • Cell Phone
  • those who frequently use cell phones on a certain side of their head are 50% more likely than non-cell-phone-users to develop a tumor in the salivary gland on that side of the head.
    • Mitchell Springer
      Mitchell Springer on 17 Nov 09
       
      people are frequently on their cell phones for many reasons and most of the time they have the cell phone on a specific side of their head without the knowledge of the radition coming from the cell phone can be harmful to their body
  • the precautionary principle suggests practices such as using a wired headset instead of a Bluetooth earpiece, and enabling the speaker function rather than holding the phone to your ear. In addition, rather than storing the cell phone in your pocket, keep the phone away from your body between calls. Paramount to the precautionary principle is to limit the use of cell phones whenever possible. Make fewer calls and make shorter ones. Choose a cell phone with low-radiation and limit children's cell phone usage, since their brain cells may be more sensitive to the effects of cell phone radiation.
    • Mitchell Springer
      Mitchell Springer on 17 Nov 09
       
      suggested solutions are that wired headset to be used over bluetooth earpiece, placing the phone on speaker when in a call, keep the phone away form the body in between calls, give childreen cell phone that emitt low-radiation and limit their cell phone usage since their brain cells are more senstitive to the radiation effects at a young age
  • ...2 more annotations...
  • Cell phones and other hand held devices are rapidly becoming a part of our culture. Cell phones are everywhere. They are used by 87 percent of Americans and over 4 billion people worldwide. Students in high school and now even grade school children are using cell phones to talk to each other, and text messaging has become a social norm. We are addicted to cell phones.
    • Mitchell Springer
      Mitchell Springer on 17 Nov 09
       
      introducing cell phones to younger children can create a risk factor on their health in the future. since they would want to be more so engaged with the cell phone now that they obtain one, the radiation will spill out faster onto them and it may have a greater effect on the body than to an older person
  • New technologies are emerging to shield the electromagnetic radiation (EMR) emitted from cell phones and other electronic devices. Certain chips can be attached to cell phones and earpieces to counteract the EMR, and special paint coated on your walls can limit EMR from adjacent apartments seeping into yours. These shields may help you if you stay behind them. Those who like to roam can wear special headbands, clothing, hats, gloves, and pendants designed to protect the wearer against radiofrequencies and EMR
    • Mitchell Springer
      Mitchell Springer on 17 Nov 09
       
      cell phone accessories can be used to help prevent the EMR (elecrtomagnetic radiation) from being emitted from the cell phone onto the users body
  • Mitchell Springer on 17 Nov 09
     
    i claim this article in the name of the father, the holy ghost, the mitchell and the springer
  • Mitchell Springer on 17 Nov 09
     
    Research for Criterion D--evaluate the solution
Madeline Brownstone

Electronic health records raise doubt - The Boston Globe - 11 views

www.boston.com/...nic_health_records_raise_doubt

health database CS10 integrity

shared by Madeline Brownstone on 03 Mar 10 - Cached
  • Madeline Brownstone on 03 Mar 10
     
    "Google Health and others in the fast-growing personal health record business say they are offering a revolutionary tool to help patients navigate a fragmented healthcare system, but some doctors fear that inaccurate information from billing data could lead to improper treatment."
  • ...10 more comments...
  • helen g on 18 Mar 10
     
    This article provides a possible service that can be used in the east African country our case study is on. Google health is a free service that would give all patients the opportunity to store their health records digitially, making it easier for doctors to access it. Especially if telemedicine were to be used, having electronic health records would be a great benefit. However, the issue of reliability is especially troubling when it comes to using services like Google health in this context. There have been many reported errors with the diagnoses of patients using this service, and it is crucial that the records are checked by both patients and doctors to ensure that all information listed is correct. Literacy rates are much lower in rural African settings, creating a problem for patients who may be unaware of inaccurate information on their records. Especially for individuals in critical conditions, fatal mistakes can therefore be made.
  • Santiago P. on 18 Mar 10
     
    Electronic Health Records are also used in the case study. Patients and doctors rely on these records for accurate data, but it is rather difficult, due to the lack of reliability with which Google Health updates patient's health data. In order for Dr. Ogola's plan to work (face the challenges, create a modern health system), he must implement such health records that will store patients' information on an accessible, secure and easy to use database. This would help patients, doctors and nurses share data without having to travel long distances. Data would be secure and also accessible to the three parties. However, this would require a reliable system (more than Google Health) so as to not provide inaccurate data to the patients. Patient involvement in the care of his/her own data would be required for an such an erroneous system, as would a reliable source of healthcare information on the patients. Unreliable sources can potentially damage the whole system.
  • Kristin O on 18 Mar 10
     
    The use of Electronic Health Records in this article can be applied to our case study. Firstly, it would make the transfer of patient data easier and faster, this would increase the quality of care that the hospitals and clinics offer to their patients. These Electronic Health Records can also keep data from different doctors in order, for example if a patient visits several Doctors all of their information will be in one place and ready to access when ever necessary. In the case study if doctors had a more accurate picture of the patients medical history they would be more prepared to make diagnoses, especially when they are working with strange cases. This would also help to increase the quality of treatment that the patient would receive. Digital Health Records are easy to update both the patient and the doctor can edit the Electronic Health Record, it also can keep track of test results, and medications that the patient is currently using. Electronic Health Records allow patients to be more active in their health care allowing them to see and have access to all of their medical information. Even though this IT system is ideal for our case study there are some things we should take into consideration. In our case study we would have to make sure that equality of access is equal for everyone, there may be some people living on the outskirts of villages that might not have access to Digital Health Records. We would also have to assume that everyone would know how to use the Digital Health Record. Meaning how to update it and how to look for errors. Lastly we would have to assume that the patient would make good use out of having an Electronic Health Record. They would have to constantly be updating and checking their records to see if there is any missing information or any errors within their data. Lastly, the coding system would have to be revised, it is confusing and very inaccurate, there should be a new coding system that makes understanding your own records
  • sarah d on 18 Mar 10
     
    In this article, the use of electronic health records is discussed. However, some problems arising from their use are also introduced, including inaccurate patient information. In the world of the case study, this IT system, electronic health records. is quite relevant and can be useful. EHRs can be used in Africa to connect rural doctors to hospitals and other professional health care workers in better facilities. This way patients' records can be reviewed, diagnoses can be made and other help can be given. However, if this system is taken advantage of in Africa, its users must be certain that the information in the records is accurate and comes from a reliable source. This is because if the information in a record is inaccurate, incorrect diagnosis and/or medication can be given as was the situation in the article. These kinds of mistakes can be detrimental to some patients.
  • Richie P on 18 Mar 10
     
    This article elaborates on the drawbacks of electronic health files. Although the IT System, Google Health, seems that it will make getting quality health care much easier and quicker, there is a major issue of possible inaccurate information. These inaccuracies or exaggerated diagnoses on Google Health may prevent patients from receiving the care they need, and Google Earth is prone to human error as real people are responsible for inputting insurance billing codes or mislabeling a lab test with a disease that is hoped to be ruled out. This has an impact on our African case study as this article illustrates one of the highly potential problems that arise from the use of telemedicine. Although medical centers in Africa would be able to eliminate the tedious process of paper work by instantly communicating records over the internet, these records can be inaccurate and therefore compromise an already sick patients health even further. However, for the case study, EMR's prove to be a very feasible solution for the lack of communication and distances between villages and health centers, but a solution must be made in order to counteract the potential misdiagnoses'. One solution could be that patients would check their EMR's for accuracy, but with the poor conditions of living in the African villages and poor or no internet service, this solution does not seem possible for the case study.
  • Jaymee C on 18 Mar 10
     
    This article is about a man getting his health information in an electronic health records massed up. There's an issue with the EMRs in the sense that they are sometimes unreliable. In regard to the Case study, as they want to place EMRs into their hospitals and clinics they ma have this issue with reliability. But it has shown signs of improvement from paper records. But the hospitals and clinics in the East African cities will need to hire more staff to make sure these records are up to date and accurate. As for the health of the patients, EMRs has its benefits and drawbacks. If the information is accurate then a life could be saved and that person could be properly cared for in a more timely fashion, but if the information isn't accurate they could be given unneeded surgery or given the wrong drugs. The EMRs could help the efficiency of the hospitals and clinics because they could work faster and get to more patients without wasting countless time looking through paper records.
  • Olivia M on 18 Mar 10
     
    This article arises a social and ethical issue of integrity of electronic health records. In this article, Dave deBronkart faced this issue when he transferred his medical records to Google Health. His information was inaccurately transferred because of the incorrect coding that insurance companies use. The database then used this incorrect coding and stated that Dave had other health problems, which he never had. The lack of codes makes the database more likely to make an inaccurate diagnosis. It also suffers from reliability because if the information, doctors can't rely on it to make correct diagnosis. Electronic databases are very useful and can be used in Oobunta if its integrity is improved. It will allow patients in villages that can't afford travel to share their symptoms and past medical history with doctors in the hospital. This will cut costs for both doctors and patients because they won't have to pay for transportation. It will also benefit the patients because it will let them be diagnosed accurately especially if they don't have enough resources or medical care in their village.
  • Jackie C on 18 Mar 10
     
    This article covers a recent problem that has risen from the use of Electronic Medical Records. Google's new Google Health, a service that gathers e-health records for patients all in one place has become unreliable. Google Health gathers medical information from billing records, which is an inaccurate source of information. The medical records on the site also do not distinguish between recent illnesses and past illnesses, and does not indicate the level of severity for the health issues. The diagnostic medical coding is to blame for inaccuracies in information gleaned from insurance data, mostly because it is clunky and includes tests for diseases that doctors hope to rule out, not for diseases that the patients necessarily have. The problems that the unwieldy code and medical records in Google Health bring up are enormous. Information is inaccurate and out of date, and this is potentially deadly when patients are being treated. The issue of reliability is that data in the records is out of date, and entered incorrectly, which could be the difference between life and death for patients with dangerous diseases.
  • Karen M on 18 Mar 10
     
    This article was about electronic medical records. They allow patients to share their health information with doctors over the Internet, using Goggle Health. However, this application is not completely accurate. It takes information from insurance bills. These insurance bills may not be precise in describing the treatment of a patient because of their lack of codes. This raises the issue of reliability of the electronic health records. Inaccurate records could stop a doctor from performing a life saving procedure on a patient. The article relates to the case study because it talks about the drawbacks of having electronic medical records. In order for issues with reliability and integrity to be avoided in Oobunta, patients should regularly check their records to ensure their accuracy. Doctors and patients should also communicate more to eliminate problems within the health records.
  • Mark Gakin on 18 Mar 10
     
    In this article, a new electronic health system arose. In order for one to use this newly aged system, their personal health records must be transferred. According to the article, "accuracy gets lost in translation" (Wangsness). Due to the fact that certain information is getting lost in translation, many issues have been brought up, such as reliability. Health records are vital for every individual because they contain information that cannot be found anywhere else. A loss in data, such as certain dates, can lead to many problems for the patients during treatment. As a solution, people are asked to do one thing. They are told to check out their record and see if everything is accurate. There is a positive side for this new system and it relates directly to our case study. These Google health records are easily transferable. If one needs to send out their information to a hospital for a diagnosis, they can do so in no time. In the case study, people in Africa are having trouble getting to a hospital because of the expenses and lack of transportation. By using these Google electronic health records, the people would be able to e-mail their record to a hospital for a direct prognoses. This would save them so much money and time because they would be able to complete this task in the comfort of their own home, or anyplace with internet access. These electronic health records can solve many problems in Africa.
  • T Graham on 18 Mar 10
     
    This case study tackles the issues of Integrity and Reliability. The article talks about inaccurate health records and it effect on patients who want to follow updates on their health status. The stakeholders in this articles are patients because they are the ones who need accurate information, doctors because patients come to them when they read inaccurate information about their health and the people who control the information in the databases because they are the ones responsible for whether or not the information is accurate. Integrity is an appropriate Social and Ethical Issue because the information in the databases have a been changed accidentally, in turn affecting accuracy. Reliability is even better because is directly about accuracy of data, if it is entered incorrectly. If data is entered wrong patients lose trust in them. This is especially relevant to databases which is the major IT system discussed in this article. In relation to the case study it is important to find a solution for the patients of Africa, that is as efficient as possible. In a place like the one described in the study it is important to save time by being as accurate as possible and making sure that patents and doctors can understand the information on databases, ensuring more successful treatments for the patients.
  • jonathan i on 18 Mar 10
     
    In the East African city, the medical facilities all contain databases that their patient's health records are recorded on, however the platform for each database varies between each clinic and the main hospital. This in turn makes it more difficult to exchange health records between each clinic and the main hospital.This article brings up a solution to the health records exchange problem that are within this East African Region. Google Health is a database that is in the cloud and makes it possible to exchange health records through the internet. This form of exchanging data for a patient helps to keep a patient's data up to date. Now though this could be a great solution it comes with many drawbacks from the system and the lacking materials from the East African region makes it difficulty to better utilize it.
Mark Gakin

Glide Health Makes Medical Records Mobile -- InformationWeek - 3 views

www.informationweek.com/...showArticle.jhtml

2-22-Mark Electronic Medical Records Health

shared by Mark Gakin on 07 Oct 09 - Cached
  • Madeline Brownstone on 07 Oct 09
     
    Shifting from paper to electronic medical records has long been cited as a way to improve access to information in the health system. Both Google and Microsoft (NSDQ: MSFT) have unveiled online medical records platforms, but the health industry has been slow to change.
  • Madeline Brownstone on 07 Oct 09
     
    Shifting from paper to electronic medical records has long been cited as a way to improve access to information in the health system. Both Google and Microsoft (NSDQ: MSFT) have unveiled online medical records platforms, but the health industry has been slow to change.
  • Mark Gakin on 22 Feb 10
     
    The social/ethical issue in this article is people and machines because doctors are now using medical databases to organize data. A major issue was lack of knowledge and that the information used to be all written. This disabled doctors from looking at medical records, which is why they began to use electronic databases. Clearly the area of impact is health and the IT system is medical data bases. The stake holders/people that are affected are the doctors because they can now locate information easier and patients because they can be helped faster. Using these databases had a huge impact on society because things were changed. Information is now stored differently and doctors can now work better.
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