Also how much is the systems fault and how much is the users not using the
product correctly because it is new or incorrect or inefficient training.

Thanks

Marc Aylesworth

C3I Associates 

AFRL/IFSE

Joint Battlespace Infosphere Team

525 Brooks Rd

Rome, NY 13441-4505

Tel:315.330.2422

Fax:315.330.7009

Email: [EMAIL PROTECTED]


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Gregory
Woodhouse
Sent: Monday, December 05, 2005 3:41 PM
To: [email protected]
Subject: Re: [Hardhats-members] Increased Mortality after CPOE
Implementation


On Dec 5, 2005, at 12:16 PM, Ignacio Valdes wrote:

> The December 2005 issue of the journal Pediatrics has a report that  
> found a coincident increase in mortality after implementing a  
> 'Commercially Sold' Computerized Physician Order Entry (CPOE)  
> system. The increased mortality may have been due to delays in  
> medication and IV administration in the ICU caused by the new  
> system: '...Although CPOE technology holds great promise as a tool  
> to reduce human error during health care delivery our unanticipated  
> finding suggests that when implementing CPOE systems, institutions  
> should continue to evaluate mortality effects, in addition to  
> medication error rates, for children who are dependent on time- 
> sensitive therapies.' The study notes that mortality rate studies  
> on CPOE as opposed to adverse drug events(ADEs) studies has not  
> been done before. The CPOE in the study DID reduce ADE's as expected.
>
> Additional summary of the article here: http://www.linuxmednews.com/ 
> 1133812163/index_html
>

To me, the most disturbing aspect of this story is that it suggests  
that perhaps software (like CPOE systems) really ought to be more  
carefully regulated. How would we react if the CPOE system were a  
drug or a medical device?

==
Gregory Woodhouse
[EMAIL PROTECTED]

"If you give someone Fortran, he has Fortran.
If you give someone Lisp, he has any language he pleases."
--Guy L. Steele, Jr.






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