tag:blogger.com,1999:blog-7323692122514281455.post7964243465434653201..comments2024-03-22T17:05:55.267-04:00Comments on MD Whistleblower: The Myth of Electronic Medical RecordsMichael Kirsch, M.D.http://www.blogger.com/profile/07555280388086931097noreply@blogger.comBlogger18125tag:blogger.com,1999:blog-7323692122514281455.post-33034111393829230812013-04-17T10:41:47.222-04:002013-04-17T10:41:47.222-04:00This is very interesting information. We have been...This is very interesting information. We have been doing research on <a href="http://www.chartlogic.com/electronic-medical-record-software.php" rel="nofollow">EMR</a> to see if it is a good fit for our company. So far what we've read has been so helpful. Thanks so much for sharing your article, it was very helpful for us as well.Anonymoushttps://www.blogger.com/profile/11755041481969452357noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-28714242539623042822011-07-03T03:34:32.068-04:002011-07-03T03:34:32.068-04:00As a person who is about to add an EMR product to ...As a person who is about to add an EMR product to his <a href="http://drsmart.com/ultrasoundsupplies.aspx" rel="nofollow">ultrasound supplies</a> business, this article was very informative. It's allowing me to see the constraints through your eyes. In fact, the backbone example that you mentioned (how an ER visit could be sent to your EMR) is something a friend and have discussed and currently working on it. I will definitely feed your blog posts into my twitter account b/c they are very informative.Martin Harrishttp://drsmart.com/ultrasoundsupplies.aspxnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-37636490671246415662011-02-24T07:58:58.433-05:002011-02-24T07:58:58.433-05:00I guess it's not just me. See http://on.wsj.c...I guess it's not just me. See http://on.wsj.com/gJMG3gMichael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-8278301706763984522011-01-12T20:56:32.360-05:002011-01-12T20:56:32.360-05:00Great post! I never knew that there is a Myth for ...Great post! I never knew that there is a Myth for Electronic Medical Records. Anyway, I enjoyed reading it and I learned some information about Electronic Medical Records. Thanks for the post.<br /><br /><br /><br />-krisha-electronic medical recordshttp://www.acrendo.com/noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-70923483753394161832010-12-29T10:49:04.868-05:002010-12-29T10:49:04.868-05:00I am a perfect example of what can happen when hos...I am a perfect example of what can happen when hospitals rely on EMR (Electronic Medical<br /><br />Records).<br /><br /> <br /><br />I was brought to the Southwest Medical Center Emergency Room because I could not breath.<br /><br />It was an episode caused by COPD.<br /><br /> <br /><br />I was brought by ambulance. I had a printed information sheet (given to the paramedics<br /><br />by my granddaughter prior to leaving my home via ambulance). The information sheet showed<br /><br />ALL of my current medications, allergies, name, date of birth, next of kin, blood type, etc.<br /><br /> <br /><br />While in the ER, no one bothered to review the sheet. Instead they relied on the records in<br /><br />their computer system. OLD records that did not show current allergies.<br /><br /> <br /><br />I was given an antibiotic that I am highly allergic to. Because of my condition, I was in and<br /><br />out of mental faculties. When the nurse brought in a bag of medicine to administer via the<br /><br />IV, I asked her what it was and she said just an antibiotic.<br /><br /> <br /><br />Within five minutes, I could not breath even though I was hooked up to an oxygen unit<br /><br />with a C-pap mask on. I felt my body getting hotter and hotter and my throat was closing<br /><br />and my mouth was getting dryer and dryer. I was screaming for someone to come and help<br /><br />me. A nurse came in and I told her I could not breath and she told me the oxygen unit was<br /><br />fine. I begged her to remove the C-pap mask and she would not. Instead, she called<br /><br />respiratory to come down. Respiratory said the oxygen unit was fine. I begged her to remove<br /><br />it so I could breath in the room air because I felt like I was dying. I was screaming "you are killing<br /><br />me." I looked down at my arms and they were BLOOD RED and on fire as was my entire body.<br /><br />Finally, two nurses came in and I asked what was in the IV bag and they said Avelox and I said,<br /><br />I am alergic to it. They told me, "well, it's almost done now." But the one nurse told the other<br /><br />to disconnect it. <br /><br /> <br /><br />If they had taken the time to review the medical information sheet I brought with me and which<br /><br />the paramedic gave them, they would have noted my allergy to Avelox.<br /><br /> <br /><br />So, Electronic Medical Records are useless and could be VERY DANGEROUS. They are NOT UP<br /><br />TO DATE.<br /><br /> <br /><br />If you want to learn more. Just ask me. I am trying to find an attorney to help me get some<br /><br />restitution for this incident.Linda Piercenoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-82368695562598169142010-11-23T22:01:58.003-05:002010-11-23T22:01:58.003-05:00"Patients will have their medical histories, ..."Patients will have their medical histories, EKGs, medical images, etc., recorded on flash drives, which will load into any EMR system. When this occurs, it will no longer be possible to be an EMR non-believer."<br /><br />Michael, that's what the MedKaz™ is all about. Would love to have you participate in our forthcoming pilot study. At the very least, I'd like to talk with you. You can reach me at 802 484-0249, or I'll call you.Merle Bushkinhttp://medkaz.com/pilotstudy.htmlnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-59422103805552333272010-11-02T23:30:14.064-04:002010-11-02T23:30:14.064-04:00As a denial management specialist to hospitals to ...As a denial management specialist to hospitals to argue insurance denials, the EMR dilutes the recipe for accurate documentation - poignant, specific and detailed documentation that supports the status of the patient and substantiates why that patient is in the hospital. All too often professionals complete the pre-formulated checklists and one cannot tell Patient A from Patient B. It is not a substitute for narrative.<br /><br />Hospitals and professionals who engage in electronic charting need to also become environmentally conscious - the mounds of paper that are being wasted are incredulous. There seem to be a few companies that minimize wasting and also have a layout that is conducive to professional thought processes(i.i. tables of lab results rather than one day of lab results on each page). The EMR companies seem to be dictating the standards, while it should be the professsionals to minimize error etc.<br /><br />ElaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-59850857454592569302010-10-24T12:46:28.313-04:002010-10-24T12:46:28.313-04:00Thanks, Scot, for your comment and the link to you...Thanks, Scot, for your comment and the link to your fine blog.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-38526882513869812742010-10-22T13:25:56.786-04:002010-10-22T13:25:56.786-04:00See the new JAMIA article:
J Am Med Inform Assoc....See the new JAMIA article:<br /><br />J Am Med Inform Assoc. 2010 Nov 1;17(6):617-23.<br /><br />Health information technology: fallacies and sober realities<br /><br />Karsh BT, Weinger MB, Abbott PA, Wears RL.<br /><br />Department of Industrial and Systems Engineering and Systems Engineering Initiative for Patient Safety, University of Wisconsin, Madison, Wisconsin, USA.<br /><br />Abstract<br /><br />Current research suggests that the rate of adoption of health information technology (HIT) is low, and that HIT may not have the touted beneficial effects on quality of care or costs. The twin issues of the failure of HIT adoption and of HIT efficacy stem primarily from a series of fallacies about HIT. [Not discussed are the origins and maintenance vectors of those fallacies, a topic for significant research itself - ed.] We discuss 12 HIT fallacies and their implications for design and implementation. These fallacies must be understood and addressed for HIT to yield better results. Foundational cognitive and human factors engineering research and development are essential to better inform HIT development, deployment, and use.<br /><br />I have a brief post on it at http://hcrenewal.blogspot.com/2010/10/jamia-health-information-technology.htmlInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-38994412812237522822010-10-22T10:47:56.609-04:002010-10-22T10:47:56.609-04:00Melody, thanks for the link. No need to 'lurk...Melody, thanks for the link. No need to 'lurk'; step right out in front!Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-5028261694119310442010-10-21T19:58:05.226-04:002010-10-21T19:58:05.226-04:00Dr. Kirsch,
I'm a "lurker" on your ...Dr. Kirsch,<br /><br />I'm a "lurker" on your site, and a frequent reader of the HealthCare Renewal site. Though you might find this article of interest as you go forward with your adventure in electronic technology. http://hcrenewal.blogspot.com/2010/10/21st-century-emr-experiments-screwing.html#links<br /><br />MelodyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-83210220772456254282010-10-10T17:35:45.145-04:002010-10-10T17:35:45.145-04:00Thanks for your suggestion, Nick. I may pass on yo...Thanks for your suggestion, Nick. I may pass on your suggestion of a comment to my office manager, as we try to keep the office communications at a PG-13 rating.Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-1241489851143483362010-10-10T17:22:34.421-04:002010-10-10T17:22:34.421-04:00Though I like EMR in general, you are right on abo...Though I like EMR in general, you are right on about a problem in the lack of prose. Tell your office manager to f off. Going to a point and click assessment is no longer being a good doctor, and we're not willing to do that.Nicholas Fogelson, MDhttp://www.academicobgyn.comnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-26196035116402754842010-10-09T12:53:22.021-04:002010-10-09T12:53:22.021-04:00As long as we are treating human beings, medicine ...As long as we are treating human beings, medicine will continue to be clinical judgements made by physicians. Useful medical records need to reflect that fact, a fact often lost on point and click and template EMR that rely on ICD-9 coding. EMR Clinic notes tend to be long, verbose and vague. Useful assesments are those similar to the "sclerotic" assessment above- I know what Dr. Kirsch is thinking about. We have not figured out how to best use EMR for clinical practice, but the government has unfortunately already defined that for us with their "clinically meaningful use" criteria. Those criteria are not really designed to let physicians and nurses practice their best medicine, but rather to keep tabs on "quality" and billing. If EMR as it now exists, was really such a great idea, you would not need incentives. No incentives were needed for physicians to adopt cell phones or electronic scheduling. Simply put, the present EMR's suck, and the promise of "instant access" to patient information (labs, etc) is poor at best.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-74608907028439947282010-10-08T15:49:05.412-04:002010-10-08T15:49:05.412-04:00While I am not a medical professional and some of ...While I am not a medical professional and some of the items in this post were difficult for me to understand, I know that in the recent years whenever I go to a doctor, they have a number of my medical records from other offices electronically transferred. It makes things much better and easier for patients, doesn't it?Urinehttp://www.redurine.comnoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-1273326596140458582010-10-03T21:58:03.963-04:002010-10-03T21:58:03.963-04:00Obama's claim that EMR would free up $20 billi...Obama's claim that EMR would free up $20 billion was such a howler that even some of his supporters took him to task for it. It also took his administration about a year to define just who would have their EMR purchases covered by the stimulus and who wouldn't. I still don't trust him, and will just have to get used to the penalty I'll incur for not buckling under.A. Baileynoreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-77557347947103294142010-10-03T13:44:04.375-04:002010-10-03T13:44:04.375-04:00Nice site, and useful information
Thank youNice site, and useful information<br />Thank youtreatment of obesityhttp://treatmentofobesity-inadults.blogspot.com/noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-8618361305294407832010-10-03T12:44:20.312-04:002010-10-03T12:44:20.312-04:00Developers of EMR software need to have a full und...Developers of EMR software need to have a full understanding of the process, including the purpose of things such as the H&P, HPI, etc. It sounds like you have 2 processes that are trying to be addressed with 1. Coding draws information from the H&P, but it's a different animal. For an EMR to be successful, the developers must realize these differences.Anonymousnoreply@blogger.com