Without reading the article, I suspect that the high
rate of reported errors might in part be due to an
excellect error tracking and reporting system--i.e. a
reporting bias.

Our hospital does not have a decision support system,
and it is not using VistA.  And yet it might not
report as many errors.

Kevin

--- Nancy Anthracite <[EMAIL PROTECTED]> wrote:
> The May 23rd issue of the Archives of Internal
> Medicine had an article about 
> the high rates of adverse drug related events noted
> in a VA Hospital. The 
> lack of decision support for selection, dosing and
> monitoring was cited as a 
> deficiency in the EMR that if corrected,  might
> prevent some of these 
> problems. The presence of drug interaction checking
> was mentioned.  
> 
> The abstract is here. 
> 
>
http://archinte.ama-assn.org/cgi/content/abstract/165/10/1111
> 
> It is my understanding that there is some decision
> support already present in 
> VistA but it is less than the ideal according to
> this article
> 
> I doubt any record system out there is ideal, but I
> can see this as something 
> that will be cited as a reason not to adopt VistA . 
> I bring it to your 
> attention so you will not be surprised by this also
> so that we can work 
> toward adding more decision support to VistA with
> the help of the medical 
> community as it grows.  
> 
> I am hoping that the release of VistA Office and the
> web site that will come 
> with it will be a place for the  VIstA users to
> debate and contribute 
> specific decision support suggestions as well as
> templates, clinical 
> reminders, etc.  I hope that users within the VA
> will also be willing to 
> contribute and that this will lead to improvements
> in VistA for everyone's 
> benefit.
> 
>  
> -- 
> Nancy Anthracite
> 
> 
>
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