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Category: IT fallacies

Health Service IT fiasco to cost taxpayer £700 million | The Times

1 August, 2014 (08:20) | Computers are Magic, Government policy, IT fallacies, National Programmes, Nightmares! | By: rupertfawdry

Health Service IT fiasco to cost taxpayer £700 million | The Times. The whole thing has been a shambles from start to finish. Not really surprised at this latest development.  

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Electronic Patient Records: The Fatal Flaw

17 September, 2013 (13:52) | EPR, hand held records, IT fallacies, Nightmares!, Paper Records | By: rupertfawdry

In retrospect, it’s so obvious, yet no-one seems to have been ready to think through the following: A. Electronic Records EITHER “High Security” but “Minimal Access” i.e. access only by the owner of the record and no-one else –  Never, ever any Instant Duplication of Data (but how to stop that?) OR “Useful Access” but […]

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IDCR

5 July, 2013 (09:08) | Computers are Magic, EPR, Government policy, Initiatives, Interoperability, National Programmes, Patient-Centered Care, Railways versus Roads, Standardisation | By: Helga Perry

The latest NHS England buzzword is IDCR (Integrated Digital Care Record). Guidance, standards etc. have been published in Safer Hospitals Safer Wards – reiterating the desire for fully digitised and integrated health records across all care settings by 2018. It doesn’t allow much time for NHS organisations to submit expressions of interest in the Technology Fund, though – […]

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Comparison of computerized patient record CPR, electronic medical record EMR, and electronic health record EHR software

29 April, 2013 (09:12) | Computers are Magic, Data management, Data quality, EPR, hand held records, Paper Records, Standardisation | By: rupertfawdry

Michael Kauka is the CEO of Avaz Group LLC, a leading provider of patient documentation services and technology, and a vocal proponent of electronic records — by any name — and of standards of data. Here are my responses to the seven advantages of electronic records listed in his Comparison of computerized patient record CPR, […]

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For every complex problem there’s always a simple answer….

2 April, 2013 (20:53) | Computers are Magic, Datasets, Logical Priority Standardised Q&A, Patient-Centered Care, perinatal data, primary data, secondary data | By: rupertfawdry

….which is always wrong!! Karl Le Roux’s recent article reinforces what I have always said: that data collection must never be prioritised above improving individual patient care. Clinical computer systems which put individual care first will always be complex, not just because different disciplines have different needs, but much more because branching questions are essential. As an […]

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The paperless office is about as likely as the paperless bathroom

22 March, 2013 (19:08) | Computers are Magic | By: Helga Perry

Someone in the United States Department of Defense once made the observation to a friend of mine that the paperless office is about as likely as the paperless bathroom. Here’s a French video that illustrates this point very nicely: The Paperless Future

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Paper fights back: over 50 neglected advantages of paper – BJHC

30 January, 2013 (18:13) | Casenotes, hand held records, Interoperability, IT fallacies, Paper Records | By: rupertfawdry

It may come as a surprise to learn that for over 20 years throughout Britain there has been only one whole group of people in receipt of healthcare that possesses a fully inter-operative and universally accessible record and with open access available to all those providing care: every expectant mother. Mothers and children in many […]

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Digitising the Red Book

30 May, 2012 (09:10) | Casenotes, child health records, EPR, hand held records, IT fallacies, paediatric data, Paper Records | By: rupertfawdry

I seem to be increasingly overhearing comments on a plan to provide an electronic version of “The Red Book,” by which I understand the ‘smaller than A5’ landscape floppy red cover booklet which now seems, as a paper document, to be universal for children throughout the UK. Only trouble is that everyone seems to think […]

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Why EMR is a dirty word to most physicians

19 February, 2012 (10:32) | Computers are Magic, EPR, hand held records, Interoperability, Paper Records, workload | By: Helga Perry

Take a look at – and contribute to – this excellent discussion on KevinMD, started by Adam Sharp’s article: Why EMR is a dirty word to most physicians.

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Arguments for a Universal Health Record

24 January, 2012 (15:29) | Computers are Magic, Data management, EPR, Interoperability, Standardisation | By: Helga Perry

Blogger Margalit Gur Arie puts the case for more computer Universal EHR magic, raising some interesting points. It’s well worth clicking the link and reading the full article.   Medical Records Assumption: At any given moment in time there can be only one correct version of a complete medical record for any one person Fact: […]

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