tag:blogger.com,1999:blog-9551150.post1143886862102463659..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: ONC's Christmas Confessional on Health IT Safety: "HIT Patient Safety Action & Surveillance Plan for Public Comment"Roy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger11125tag:blogger.com,1999:blog-9551150.post-31286985785795571542012-12-27T00:06:13.297-05:002012-12-27T00:06:13.297-05:00Talk to the hand, talk to the hand.Talk to the hand, talk to the hand.Live IT or live with ITnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-59550394498516161432012-12-25T15:06:04.629-05:002012-12-25T15:06:04.629-05:00It is mind blowingly negligent that there was no p...It is mind blowingly negligent that there was no plan in place to assess (and take action to address) the unintended consequences of health IT before the launch of HITECH.<br /><br />And here we are years down the road and all that ONC can muster is this pile of gibberish and hand-waving.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-85960825733097905542012-12-25T08:12:54.524-05:002012-12-25T08:12:54.524-05:00What do I do? Is this safe?
Medicare has already c...What do I do? Is this safe?<br />Medicare has already cut my fees for providing care. I am working Christmas day. The system wastes my time, depriving patients of timely care. A patient's condition has detriorated with respiratory failure. It is urgent that treatment be altered. It took 1.5 minutes just to log on to the EMR computer. Subsequent to reviewing and evaluating blud lab test Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-13912369655752218152012-12-25T00:51:09.353-05:002012-12-25T00:51:09.353-05:00Who is in charge and what authority is vested ther...Who is in charge and what authority is vested there to protect the patients from harm? Could it be the same folks who have been the HIT cheerleaders since the Bush Executive Order of 2004? Other than the confession that you are right, and have been for years, this plan is lipstick on a pig.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-81245014029563214422012-12-24T20:31:45.889-05:002012-12-24T20:31:45.889-05:00The plan is a vindication of your work.
Too bad i...The plan is a vindication of your work.<br /><br />Too bad it is inferior and insufficient by design and will not move the safety needle considering the risks of these systems.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-1934009643523619182012-12-24T17:40:03.697-05:002012-12-24T17:40:03.697-05:00lol @ code of conduct for vendors. I am sure they...lol @ code of conduct for vendors. I am sure they'd find a way to make money on pledging themselves to something to eliminate the vendors who don't. My bet is those that make the pledge are even fouler than the ones who don't.Live IT or live with ITnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-54461520690347566782012-12-24T10:23:05.919-05:002012-12-24T10:23:05.919-05:00The safety of HIT devices has been questioned for ...The safety of HIT devices has been questioned for many years. The same devices failed in the UK. <br /><br />Outcomes from care run by EHRs have not improved in the USA despite $ billions being spent and diverted from real patient care, like medications.<br /><br />This report deceives. It comingles patient safety in general with the lack of safety of the devices that ONC and the US Government Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-85568198527822630482012-12-24T06:00:38.431-05:002012-12-24T06:00:38.431-05:00The report ignores how to remedy the code defects ...The report ignores how to remedy the code defects in the devices that ONC describes. None of the organizations that ONC declares to have responsibility have the capability or jurisdiction to recall the defective device. <br /><br />Mistakes are a way of life in the wired medical world. Hospital admin blames the users, always. The amateur IT teams are never wrong nor is the device defective.<br /Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-17048560512950679412012-12-23T20:10:55.230-05:002012-12-23T20:10:55.230-05:00ONC will monitor MAUDE of the FDA. Since when has ...ONC will monitor MAUDE of the FDA. Since when has the ONC become another FDA? What does ONC know about safety, exactly? It was never concerned about the flaws, defects, and crashes of the devices it cheers and promotes.<br /><br />Where is the protection for the users who blow the whistle? Will they be subject to sham peer review by a hospital that has contracts with the vendor to provide R and DAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-84185867887063726472012-12-23T17:31:00.860-05:002012-12-23T17:31:00.860-05:00Thanks for this, Scot. I have scanned the document...Thanks for this, Scot. I have scanned the document, and find that 'trust' appears once, only. Yet, as you say, when the trust relationship between clinician & patient-client is broken by interposition of a data-collection machine, who knows what happens to 'trust'? <br />The document notes <i>But just as paper records can be incomplete, inaccurate, and inaccessible, so can Trevor3130https://www.blogger.com/profile/08148555743063226957noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-21532396165498965392012-12-23T11:16:23.389-05:002012-12-23T11:16:23.389-05:00I like the part about the "code of conduct&qu...I like the part about the "code of conduct" for vendors. Does that mean they will stop ignoring the complaints of the users? Does that mean they will stop filling the coffers of the Congress with greenbacks?<br /><br />And, how about a code of conduct for the ONC? Will it stop being a cheerleader for HIT devices that have no proven safety and efficacy? Will it stop pontificating on Anonymousnoreply@blogger.com