Skip to main content

EHRs Pose Risks For Providers

The takeaway: Beware trusting what you didn't create and can't validate.

I've wondered when risk managers would speak up on the liability risks of basing treatment decisions on EHRs.  Right about now as it turns out...

From Mary Vanac writing for MedCity News,
"Two Case Western Reserve University professors say potential software or hardware problems, as well as user errors, could make the systems liabilities.
“'Plaintiffs whose alleged injuries are associated with EHR systems could sue healthcare providers for medical malpractice,' wrote Sharona Hoffman, professor of law and bioethics, and co-director of Case Western Reserve’s Law-Medicine Center, and her husband, Andy Podgurski, professor of computer science at the university’s School of Engineering, in their article E-Health Hazards: Provider Liability and Electronic Health Record System published in the Berkeley Technology Law Journal."
Let's say you're an ER physician treating a patient in full cardiac arrest.  Let's also say the patient's EHR contains some clinical information but you know the patient travels extensively and has received care elsewhere.  No matter what politicians and EHR vendors tell you, the risk managers are right: you (and your patient) are at LESS risk if you assume the electronic record is, at best, incomplete and, at worst, inaccurate.

In short, beware trusting what you didn't create and can't validate.  Sorry.  I've seen Nirvana and it's NOT spelled E-H-R.


Comments

Popular posts from this blog

Michael Porter On Health Care Reform

Michael Porter, writing in the New England Journal of Medicine, proposes "A Strategy For Health Care Reform - Toward A Value-Based System." His proposals are fundamental, lucid and right-on, meaning they're sure to be opposed by some parties to the debate, the so-called "Yes, but..." crowd. Most important, in my opinion, is this: "... electronic medical records will enable value improvement, but only if they support integrated care and outcome measurement. Simply automating current delivery practices will be a hugely expensive exercise in futility. Among our highest near-term priorities is to finalize and then continuously update health information technology (HIT) standards that include precise data definitions (for diagnoses and treatments, for example), an architecture for aggregating data for each patient over time and across providers, and protocols for seamless communication among systems. "Finally, consumers must become much mor...

gapingvoid cartoon #378

Buy your own, here.

"An Affordable Fix For Modernizing Medical Records"

...from the Veterans Health Administration and Midland (TX) Memorial Hospital. I know enough about my own strengths and weaknesses to know that I'm no IT expert. But I am acutely interested in examples of people and teams thinking differently to solve long-standing, intractable problems and, for better or worse, there are lots of those to be found in the IT realm. Yesterday, it was a story about a team adding iPhone portability to MEDITECH functionality, delivering to harried physicians better access to clinical data and more productive hours in every work day. (Wow. Apple in the boardroom AND the physician lounge. Has to be an IT traditionalist's worst nightmare. But I digress...) Today, the Wall Street Journal features a story about Midland (TX) Memorial Hospital finding an affordable, open-source alternative to proprietary EMR systems : "In the push to digitize America's hospitals, Midland Memorial faced an all-too-common dilemma: a crying need for information ...