Without knowing all the details of the article, it's difficult to know what
all the causes are.  But I wouldn't dismiss the sometimes negative effects
of IT on health care.  There was an article presented not too long ago
regarding some very good research in VA that pointed out some significant
issues (even in VA's CPRS).
See:  http://www.healthfinder.gov/news/newsstory.asp?docID=525875 

This presentation has some of the background (and things that can be done to
improve the situation):
http://www1.va.gov/vehu/vehu2005/ppt/213_Optimizing%20Patient%20Safety.ppt#2
1

See also:
http://www1.va.gov/vehu/WBTPages/WBT05.cfm?ClassNum=301
and
http://www1.va.gov/vehu/WBTPages/WBT05.cfm?ClassNum=137



-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Mike
Schrom
Sent: Monday, December 05, 2005 3:13 PM
To: hardhats-members@lists.sourceforge.net
Subject: Re: [Hardhats-members] Increased Mortality after CPOE
Implementation

Software doesn't kill people, people kill people! Give a flawless piece 
  of software the wrong instruction and it will execute it flawlessly, 
over and over and over. . . garbage in garbage out! Whether the software 
is flawed or not, the user has to shoulder some blame here. As 
physicians we can use technology to make tasks easier but there is a 
reason for licensing, board certification, CME, etc.

Mike Schrom

Max Mansoubi wrote:
> I do agree with Joseph, but I would also suggest some kind of 
> self-regulatory mechanism plus ISO certification for medical software....
> 
> Max Manosubi
> HIS-ET
> Rowzun Corp.
> 
> Joseph Dal Molin wrote:
> 
>>
>>
>> Gregory Woodhouse wrote:
>>
>>>
>>> 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?
>>>
>>
>> ....or instead of regulation...  all medical software should make its 
>> source code available for review, regardless of whether it is sold or 
>> not, and, medical software should be evaluated for its efficacy via an 
>> "evidence based medical model"
>>
>>
>> Joseph
>>
>>
>>
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