tag:blogger.com,1999:blog-7323692122514281455.post7469683342136228901..comments2024-03-22T17:05:55.267-04:00Comments on MD Whistleblower: Avoiding Drug Interactions and Side Effects - Be Warned!Michael Kirsch, M.D.http://www.blogger.com/profile/07555280388086931097noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-7323692122514281455.post-81808988143481799642018-04-27T15:54:37.264-04:002018-04-27T15:54:37.264-04:00@DrBones, do you think this defense will persuade ...@DrBones, do you think this defense will persuade a judge and jury?Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-55657926607690795712018-04-27T11:08:07.249-04:002018-04-27T11:08:07.249-04:00"The Computer Made Me Do It"
Will this ..."The Computer Made Me Do It"<br /><br />Will this become a valid defense, not that the computer programmers have shifted the blame to us???DrBoneshttps://www.blogger.com/profile/01322354018559236742noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-76163421014400579582018-04-26T14:04:16.983-04:002018-04-26T14:04:16.983-04:00Years ago I worked for an organization responsible...Years ago I worked for an organization responsible for developing the warnings in the computerized EHR. I was responsible for researching primary medical literature to identifity the basis of the warnings and translate the warnings to the information contained in the database. I have also been a dispensing pharmacist who recieved a daily barage of warnings. Although I am sure things have progressed since I worked on developing the warnings, I doubt that some of the issues of translating risk identified by studies and case reports to prospective Drug Utilization Review (DUR) alerts have been improved. <br />Have you ever tried to communicate with the developer of those warnings to discern exactly what the issue is and how the warning applies to your situation? I have. <br />My time would have been better spent talking to a brick. There is no useful feedback or dialogue.<br /> Our insurance carrier sent my husband a letter suggesting he talk with his physician about adding a medication based on his risk profile. I called the phone number on the letter and asked to speak with the physician who signed the letter. I did not feel based on what I knew that the situation applied to him. I still have not gotten an answer from the insurance carrier. My husband was upset, I wasted a lot of time and the letter wasted our time. No clinical person called me back. I spoke with a nurse who could not explain the basis of the letter. She could not refer me to anyone else. <br />My point, until there is some meaningful feedback and assessment of the utility of the warnings and an effort to eliminate unneeded warnings we will continue to waste time and become numb to all the alerts. Jean Hhttps://www.blogger.com/profile/14639692968343441378noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-53555127074258982752018-04-12T07:07:40.348-04:002018-04-12T07:07:40.348-04:00@rotator, I have the Krazy Koffee issue on my list...@rotator, I have the Krazy Koffee issue on my list for a future post. Michael Kirsch, M.D.https://www.blogger.com/profile/07555280388086931097noreply@blogger.comtag:blogger.com,1999:blog-7323692122514281455.post-52427334285707148022018-04-11T22:58:35.479-04:002018-04-11T22:58:35.479-04:00And now coffee is known to the state of california...And now coffee is known to the state of california to be a carcinogen and <br />hazard to humans....rotatorhttps://www.blogger.com/profile/01489496135116846713noreply@blogger.com