tag:blogger.com,1999:blog-9551150.post1431976726871716519..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: FDA on Health IT Adverse Consequences: 44 Reported Injuries And 6 Deaths In Two Years, Probably Just 'Tip of Iceberg'Roy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-9551150.post-74358328626675377122010-12-01T09:49:54.467-05:002010-12-01T09:49:54.467-05:00"Buy generic viagra" wrote:
Comparing p..."Buy generic viagra" wrote:<br /><br /><i>Comparing paper work with IT based system is only useless.Everyone knows IT system is much better than paper work.This system may help a lot to improve health care system.deaths and injuries are really bad stuff.FDA shouls take care of this.<br /><br />December 1, 2010 7:05:00 AM EST</i><br /><br />I deleted the actual comment due to a "InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-30626759428880178802010-03-07T18:34:28.348-05:002010-03-07T18:34:28.348-05:00I don't see Nuremberg ethics [code for human e...<i>I don't see Nuremberg ethics</i> [code for human experimentation - SS] <i>is quite applicable here</i><br /><br />As the NIH Office of Human Subjects Research lists them in their pages "<a href="http://ohsr.od.nih.gov/guidelines/nuremberg.html" rel="nofollow">Office of Human Subjects Research<br />Regulations and Ethical Guidelines</a>", I will have to disagree. You can see InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-16614636541539570052010-03-06T12:00:28.536-05:002010-03-06T12:00:28.536-05:00I disagree with little you say in your essay. As f...I disagree with little you say in your essay. As far as using "paper" goes, though, my handwriting is so bad, at least partly because of essential tremor that I would have to revert to a typewriter, or is that what you mean? Here's the evolution of my "EHR:" http://behavenetopinion.blogspot.com/2010/03/ehrs-and-apa.html<br />I don't see Nuremberg ethics is quite moviedochttps://www.blogger.com/profile/03617061594621924756noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-15770499936596182692010-03-06T10:14:57.475-05:002010-03-06T10:14:57.475-05:00I would like to hear more on how ethics applies to...<i>I would like to hear more on how ethics applies to this question, not just in a general way, but if someone could cite particular applicable ethical principles.</i><br /><br />The <a href="http://en.wikipedia.org/wiki/Nuremberg_Code" rel="nofollow">Nuremberg Code</a> comes to mind. <br /><br /><i>Is the only ethical approach to abandon IT completely?</i><br /><br />No. It's using medicalInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-90544167304703186492010-03-04T23:21:31.494-05:002010-03-04T23:21:31.494-05:00I should have said no one SHOULD accept preventabl...I should have said no one SHOULD accept preventable death related to IT, and I actually agree that the powers to be are moving too fast. I am wary of EMR's. On the other hand we should not throw the baby out with the bath water. I believe rational use of IT in medicine can prevent skyrocketing costs, but errors leading to morbidity and mortality must be weighed against other costs. As for themoviedochttps://www.blogger.com/profile/03617061594621924756noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-42194806224799702142010-03-02T15:41:06.197-05:002010-03-02T15:41:06.197-05:00I should probably add that studies comparing paper...I should probably add that studies comparing paper and IT-based medical record keeping have not been universally positive. As in pharma, ignoring the studies critical of HIT is unethical.<br /><br />e.g., <br /><br />Electronic Health Record Use and the Quality of Ambulatory Care in the United States. Arch Intern Med. 2007;167:1400-1405<br /><br />Role of Computerized Physician Order Entry InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-29984944773390555482010-03-01T13:11:31.263-05:002010-03-01T13:11:31.263-05:00Moviedoc wrote:
I don't recall hearing of any...Moviedoc wrote:<br /><br /><i>I don't recall hearing of any case in which a psychiatrically "normal" individual took an antidepressant, and, zombie-like, rigged a noose with which to hang herself.</i><br /><br />Is this a straw argument of some kind? <br /><br />My point was this, in response to the question "don't you have to compare IT vs no IT": <b>No, you don'tInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-77254316521741190162010-03-01T11:41:29.132-05:002010-03-01T11:41:29.132-05:00Moviedoc, you are arguing about analogies, not the...Moviedoc, you are arguing about analogies, not the fundamentals.<br /><br />Defective technologies, especially technologies that are experiemtnal and where the full impact of the problems and defects is unknown ("tip of the iceberg"), have no place IMO in calls for rapid national rollouts with penalties for nonadopters.<br /><br />That we have gotten to that point shows an industry out InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-85390253607678825182010-03-01T11:21:11.274-05:002010-03-01T11:21:11.274-05:00Moviedoc,
Actually, there is at least anecdotal e...Moviedoc,<br /><br />Actually, there is at least anecdotal evidence that anti-depressant drugs may be related to suicidal behavior when given to patients who did not start off depressed.<br /><br />See this article by Jeanne Lenzer in Slate in 2005 about what happened when duloxetine (Cymbalta when used as an anti-depressant) underwent preliminary trials as a treatment of urinary incontinence (asRoy M. Poses MDhttps://www.blogger.com/profile/00497209843184497847noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-33114568450785105522010-03-01T11:00:37.779-05:002010-03-01T11:00:37.779-05:00Maybe I'm getting into this too late, but I do...Maybe I'm getting into this too late, but I don't believe anyone "accepts" preventable death and injury from any cause, and it seems important to define IT precisely. Would you include use of the telephone for example? What about the typewriter? Both are technologies used in the past for health care info. Your comparison to association of antidepressants and suicide also raises moviedochttps://www.blogger.com/profile/03617061594621924756noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-79455611491505434932010-03-01T10:43:04.594-05:002010-03-01T10:43:04.594-05:00Don't you have to compare IT vs no IT?
I'...<i>Don't you have to compare IT vs no IT?</i><br /><br />I'm not sure where that meme started, but it did not start in medicine.<br /><br />The answer is "no."<br /><br />That type of comparison might be minimally appropriate if one were willing to accept preventable death and injury due to IT misdesign and misimplementation, factors extant largely out of preserving convenience InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-82904552312911972972010-03-01T08:39:26.470-05:002010-03-01T08:39:26.470-05:00THANK YOU for posting this! I really like your bl...THANK YOU for posting this! I really like your blog!!<br /><br />Steve<br />Common Cents<br />http://www.commoncts.blogspot.com<br /><br />ps. Link Exchange??commoncentshttps://www.blogger.com/profile/14497825816313122743noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-67343870034105572602010-02-28T18:13:45.849-05:002010-02-28T18:13:45.849-05:00Don't you have to compare IT vs no IT? No syst...Don't you have to compare IT vs no IT? No system will eliminate all errors, but IT can be, and should be, improved based on surveillance.moviedochttps://www.blogger.com/profile/03617061594621924756noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-5082002798694500442010-02-28T16:56:11.794-05:002010-02-28T16:56:11.794-05:00Patients are exposed to high risk en masse due to ...Patients are exposed to high risk en masse due to server failures. Neither the incidence of such failures nor the adverse events caused by them are recorded as all hands come on deck to search for forms and pray that patients do not die from neglect during the oft more than 4 hours of delays. <br /><br />There is also prayer that someone knows what medications are to be given or have been given.Anonymousnoreply@blogger.com