tag:blogger.com,1999:blog-9551150.post9091525582259300656..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: Affinity RNs Call for Halt to Flawed Electronic Medical Records System Scheduled to Go Live FridayRoy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-9551150.post-31076862321423741382013-09-02T14:26:49.205-04:002013-09-02T14:26:49.205-04:00By the way, the writings of August 20, 2013 at 11:...By the way, the writings of August 20, 2013 at 11:24:00 above are not just perverse, but also deranged. They write:<br /><br />"Don't give that up just because you are in front of a computer or using an EHR. It is a tool - just like any other medical device."<br /><br />By your (il)logic, the medical device industry (and pharma too!) should be subject to the same level of regulationInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-9824568832453531982013-09-02T14:20:53.502-04:002013-09-02T14:20:53.502-04:00Anonymous August 20, 2013 at 11:24:00 said...
I...Anonymous August 20, 2013 at 11:24:00 said... <br /><br /><i> IOM (back in 1999) recommended information systems as a way to bridge the chasm and to improve patient safety ... I've gone through several implementations and have been live with CERNER the past 6 years and it's been okay. Not perfect, but there is no perfect system ... Remember - you are the nurse. Not the computer. You'InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-38641494967525621902013-08-20T23:24:22.049-04:002013-08-20T23:24:22.049-04:00This is a one-sided article. Although I would agre...This is a one-sided article. Although I would agree that insufficient training, lack of clinician input (nurses, ancillary, physicians, etc) and lack of staffing are all ingredients for a go-live disaster, EHR systems are not all bad. <br /><br />I've gone through several implementations and have been live with CERNER the past 6 years and it's been okay. Not perfect, but there is no Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-17918221372465765622013-06-21T07:05:05.753-04:002013-06-21T07:05:05.753-04:00I have used cpoe for 6 years on three systems. Al...I have used cpoe for 6 years on three systems. All are different with complex idiosynchrasies. It is challenging to remember all of the random clicks needed to stop a certain monitor on a patient. <br /><br />Today, I went through a counter intuitive clicking process that I will never remember.<br /><br />The wasted profesional time is an outrage.<br />The cognitive disruption is an outrage.<br Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-41450034837505255482013-06-20T17:11:18.768-04:002013-06-20T17:11:18.768-04:00Kudos for the nurses to stand up to Cerner and the...Kudos for the nurses to stand up to Cerner and the hospital. <br /><br />These devices are known to kill patients, but neither the vendor nor hospitals want to know the truth. They always blame the user. <br /><br />I urge you nurses to make more noise!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-73967553832728570312013-06-20T09:12:21.054-04:002013-06-20T09:12:21.054-04:00Ever since CPOE has been deployed at my hospitals,...Ever since CPOE has been deployed at my hospitals, it has been a pain to have patients in the hospital and there has been a dumbing down of nurses. The nurses no longer know their patients or their problems when asked about them, because the information is all in the computer. <br /><br />It is simply peachy for patient care when I ask the nurse for a patient's blood pressure (when they call Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-64155077537310725362013-06-20T08:09:32.677-04:002013-06-20T08:09:32.677-04:00Anonymous June 19, 2013 at 7:43:00 PM EDT said...
...Anonymous June 19, 2013 at 7:43:00 PM EDT said...<br /><br /><i>Administration doesn't think the nurses know what we are talking about when we say we need more training and how this jeopardizes patient safety. </i><br /><br />Get it in writing, get it on tape, etc.<br /><br />Considering reports such as that from the IOM (see midsection of post at <a href="http://hcrenewal.blogspot.com/2012/InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-52220272764439298302013-06-20T06:13:13.180-04:002013-06-20T06:13:13.180-04:00The nurses are right. Been there amd done that. M...The nurses are right. Been there amd done that. Mayhem and chaos rule for weeks after deployments of CPOE and yes, patients die from the neglect and delays in care.<br /><br />Where are the doctors in all of this? Do they have yellow streaks down their backs?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-16490357989964817112013-06-19T19:43:05.034-04:002013-06-19T19:43:05.034-04:00Thanks for the well written article. Administrati...Thanks for the well written article. Administration doesn't think the nurses know what we are talking about when we say we need more training and how this jeopardizes patient safety. But I wonder then why they hired us if they didn't value our skills and opinions. Affinity RNAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-92053695365950736412013-06-19T17:34:41.098-04:002013-06-19T17:34:41.098-04:00It may be of interest to note that Affinity was ab...It may be of interest to note that Affinity was able to purchase, in part, the assets of a non-profit hospital in Massillon to form this new entity. The old Doctor’s Hospital was a patient centered facility built with the support and donations of the community. There was a great deal of legal wrangling to achieve this transaction.<br /><br />Nice when you can swoop in and take hard fought assetsSteve Lucashttps://www.blogger.com/profile/02457363632413213801noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-27169927417432154962013-06-19T13:40:49.967-04:002013-06-19T13:40:49.967-04:00All should be reminded that Cerner's EHR devic...All should be reminded that Cerner's EHR devices have not been approved by the FDA as being safe, efficacious, or usable. <br /><br />Yet, they are being sold throughout the USA at the behest of Congress (as are the EHR devices of the other vendors).<br /><br />What is wrong with this picture?Anonymousnoreply@blogger.com