[sbis_l] Fwd: Opportunity for mobile Health?

mais ainda sobre esta discussão, com algumas opiniões mais sensatas….

Begin forwarded message:

From: Jeff Brandt <jlbcsi@gmail.com>

Subject: Re: Opportunity for mobile Health?

Date: 3 de outubro de 2014 16:14:05 BRT

True, along with the HIE and healthcare.gov...

On Fri, Oct 3, 2014 at 11:12 AM, Charles Jaffe, MD (HL7) <cjaffe@hl7.org> wrote:

Whether accurate or not, the Washington Post blamed the EHR system. Here is the headline.

 

The Washington Post: Dallas hospital blames EMR flaw for release of Ebola patient as a more complete picture of his travels emerges

 

Take it for what it's worth, the NY Times and Bloomberg News have picked up on the story of the "EHR failure." My point is that the shortcoming of EHRs, and there are many, have become the scapegoat for all system failures.

 

Chuck

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From: owner-mobilehealth@lists.hl7.org on behalf of Jeff Brandt
Sent: Fri 10/3/2014 11:09 AM
To: Charles Jaffe, MD (HL7)

For those that were not on the HL7 mobile health taskforce call this morning, we were discussing this case.  It was reported that the hospital didn't have an EHR.  I sent this article to correct that and not to imply that an EHR was at fault.  

Yes I agree that it was a workflow and/or policy problem, however the information didn't get to the Point of Care as later reported.  We still have work to do.

Sorry I forgot this went to many people.

Jeff

On Fri, Oct 3, 2014 at 10:58 AM, Charles Jaffe, MD (HL7) <cjaffe@hl7.org> wrote:

May I suggest that the newspaper got it wrong. It wasn't an EHR issue, it was a policy issue. You cannot blame the technology for the bad policy.

 

The triage nurse who took the history, simply entered the information into the ADT information. The critical travel history should have been verbally conveyed to the ER physician, not simply entered into the  digital record.

 

There are a long list of people, processes, and policies to blame, but the technology should be at the very bottom of that list.

 

Chuck

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From: owner-mobilehealth@lists.hl7.org on behalf of Gora Datta
Sent: Fri 10/3/2014 9:30 AM
To: HL7 Mobile Health List Serv
Subject: Opportunity for mobile Health?

Folks:

 

Earlier in our call today, we were discussing the Ebola-Texas case and the initial travel data capture that took place at the hospital.

Looks like it wasn’t paper process issue but an “EHR” issue as noted in this article: http://www.healthcareitnews.com/news/ehr-flaw-core-us-ebola-outbreak?mkt_tok=3RkMMJWWfF9wsRonvqrMZKXonjHpfsX56egsUKWylMI%2F0ER3fOvrPUfGjI4ARMZrI%2BSLDwEYGJlv6SgFQ7LHMbpszbgPUhM%3D

 

Thanks.

 

Gora