MESSAGE
| DATE | 2007-06-12 |
| FROM | Ruben Safir
|
| SUBJECT | Subject: [NYLXS - HANGOUT] Panel on Healthcare Digital Information Systems,
|
As an expereinced practioners who has managed the turnover of a major
hospital from a virtual manual ordering system to a digitialized,
Physician Order Entry based system, we have seen first hand how hospital
systems, as designed endanger patients while fustrating healthcare
workers of all stripe. And the experience of one organization using
one software is all too similar to experience of other organiations,
even when different software is used. There is a fundemental flaw in
the analysis of information technology within the heathcare system with
prevents the adoption of scientifically proven methodologies which build
usable infrastructures for record keeping and communication. Furthermore,
healthcare organizations are not precieving the necessesity of making
responsive organizational commitments to information infrastructures
which further engangers the health of patients.
But these problems are solvable, and solvable quickly. But a change in
the core adminstrative and management culturals are need from the unit
nurse to the Hospital CEO. The methods that hospital administrations
are using to solve their information technology problems, and to obtain
their goals, are not working. But a sober analysis of what information
technology can do, how it is built, how it is supported within a hospital
or from the outside, and what it costs to build and maintain needs to be
done with the same kind of scientific analysis, such as one would use
in the practice of medicine itself. This has been lacking. Just not
enough time has been invested by senior administrators in understanding
how computer systems work. These vital systems which control and work
every part of our work as healthcare workers has been shopped for like
we would shop at Macy's, rather than built like we would if we were
evaluating the contruction of a new clinic or building. And yet,
the Information Technology infrastructure is every bit as complex
as building a new Operating Room, while still adhering to learnable
fundemental design principles needed for a smooth working operation.
And the public is beginning to notice our error. Rueters has published
articles on the negitive impact that our systems are having on healthcare.
See:
http://www.medscape.com/viewarticle/518523
http://www.jamia.org/cgi/content/abstract/11/2/100
http://www.leapfroggroup.org/for_hospitals/leapfrog_safety_practices/cpoe/cpoe_bibliography
http://jama.ama-assn.org/cgi/content/abstract/293/10/1197
http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=16322178&dopt=Abstract
http://www.epj-observatoriet.dk/konference2006/powerpoints/JoanAsh.pdf
http://linkinghub.elsevier.com/retrieve/pii/S1067502703002366
NYLXS will published a white paper analysis of the current state of
Healthcare Software and lay out central principles which we hope will
become the standard reference for evaluating, training and building
healthcare systems. In addition, we hope to write at least 2 lay person
articles for publications in magazines yet identified. We hope to create
a round table to discuss the issues for academic discovery and to get a
cross polination of view points in reviewing endpoints and applications.
And finally we want to create a culture of end result analysis healthcare
infrastructure which moves the current system from one of dysfunctional
fragmentation to a system that obtains the goals which healthcare
providers and the public needs.
Ruben
--
http://www.mrbrklyn.com - Interesting Stuff
http://www.nylxs.com - Leadership Development in Free Software
So many immigrant groups have swept through our town that Brooklyn, like Atlantis, reaches mythological proportions in the mind of the world - RI Safir 1998
http://fairuse.nylxs.com DRM is THEFT - We are the STAKEHOLDERS - RI Safir 2002
"Yeah - I write Free Software...so SUE ME"
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"> I'm an engineer. I choose the best tool for the job, politics be damned.<
You must be a stupid engineer then, because politcs and technology have been attacted at the hip since the 1st dynasty in Ancient Egypt. I guess you missed that one."
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