IMHO this is exactly what is going on....the article does not say VistA
is the culprit....it's just the messenger...the real message is that
VistA is the "canary in the coal mine" as far as the rest of the health
system is concerned. Just imagine what the situation is like everywhere
else that doesn't have the VA's capabilities or their transparency....
Kevin Toppenberg wrote:
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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