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A (Global) Cornucopia Of Clues To Optimize Medication Use
The most common patient care intervention, issuing a prescription, is fraught with continuing challenges for patients, their caregivers, and practitioners. Patients rely on medications across a continuum of care, with expectations for self-management; some experience unintended problems along the way. For older patients, such problems often result in emergency hospitalizations, many of which could be prevented. Historically, integration to support safe and appropriate medicine use across the U.S. health care ecosystem has been sporadic, including within our siloed Medicare Part D benefit. Other countries, however, are well...
Source: Health Affairs Blog - January 6, 2015 Category: Health Management Authors: N. Lee Rucker, Michael Holden, Parisa Aslani, and Rana Ahmed Tags: All Categories Global Health Health Care Costs Health Care Delivery Pharma Policy Public Health Source Type: blogs

Global Health Update: High Bed Occupancy Rates And Increased Mortality In Denmark
High levels of bed occupancy are associated with increased inpatient and thirty-day hospital mortality in Denmark, according to research published in the July issue of Health Affairs. Authors Flemming Madsen, Steen Ladelund, and Allan Linneberg received considerable media attention in Denmark for their research findings. For one major Television channel, it topped Germany’s victory in the World Cup finals. In another story from the Danish newspaper, Information, Councillor Ulla Astman, Chairman of the North Denmark Regional Council and second highest ranking politician, who runs all of the Danish public hospitals, report...
Source: Health Affairs Blog - September 24, 2014 Category: Health Management Authors: Tracy Gnadinger Tags: All Categories Global Health Hospitals Research Source Type: blogs

Quality and Safety Implications of Emergency Department Information Systems: ED EHR Systems Pose Serious Concerns, Report Says
A report "Quality and Safety Implications of Emergency Department Information Systems"appeared in the Oct. 2013 issue of "Annals of Emergency Medicine."  It is available fulltext at http://www.annemergmed.com/article/S0196-0644%2813%2900506-4/fulltext, or in PDF via the tab, free as of this writing.First, a preamble:  I once tried to alert a hospital where I'd trained decades before, Abington Memorial Hospital (http://www.amh.org/), of impediments to safe care I'd noted in their EHR's, predominantly their ED EHR.  They did not listen.  In fact, their response to my concerns was characterized by an appar...
Source: Health Care Renewal - October 8, 2013 Category: Health Medicine and Bioethics Commentators Tags: healthcare IT risk Abington Memorial Hospital postmarketing surveillance EDIS healthcare IT regulation healthcare IT safety Chris Jay Hoofnagle emergency department Source Type: blogs

Kaiser Health News/Philadelphia Inquirer on InformaticsMD: "The flaws of electronic records"
At my Dec. 2012 post "How an interview for Kaiser Health News rekindled memories of health IT dysfunction in the 90's that persist in the 10's" I mentioned an interview by a reporter from the Kaiser Health Foundation interviewed me regarding health IT flaws.His article appeared in both the Philadelphia Inquirer and Kaiser Health News today under the title "The flaws of electronic records":Philadelphia Inquirer / Kaiser Health NewsFeb. 18, 2013Jay Hancock, KAISER HEALTH NEWSThe flaws of electronic recordsDrexel University's Scot Silverstein is a leading critic of the rapid switch to computerized medical charts, saying the n...
Source: Health Care Renewal - February 18, 2013 Category: Health Medicine and Bioethics Commentators Tags: Richard Cook Philadelphia Inquirer healthcare IT risk ross koppel David Blumenthal Kaiser Family Foundation Kaiser Health News george lundberg ONC matthew holt Jay Hancock IOM Source Type: blogs

Some Real-World Lessons for the Health IT Hyper-Enthusiasts
An article was published in Health Leaders Media yesterday by Scott Mace, senior technology editor entitled "Scot Silverstein's Good Health IT and Bad Health IT" at this link.(Actually, the terms "good health IT" and "bad health IT" themselves came as a result of my discussions in Australia with Prof. Jon Patrick of my conviction, presented to the Health Informatics Society of Australia in my Aug. 2012 talk "Critical Thinking on Building Trusted, Transformative Medical Information:  Improving Health IT as the First Step", that to be trusted and do no harm, health IT must be “done well".)Scott Mace observes:Inevitabl...
Source: Health Care Renewal - January 9, 2013 Category: Health Medicine and Bioethics Commentators Tags: healthcare IT unintended consequences healthcare IT difficulties Ddulite Kiran Raj Pandey healthcare IT toxicity Wes Fisher MD Source Type: blogs