Wholeheartedly agree. I guess the real value is we now have an honest
benchmark! ...thx/t
 
> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of Joseph Dal Molin
> Sent: Sunday, May 29, 2005 10:20 AM
> To: [email protected]
> Subject: Re: [Hardhats-members] Archives of Internal Medicine Article
> 
> 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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