From: Gregory Woodhouse [EMAIL PROTECTED]
Reply-To: hardhats-members@lists.sourceforge.net
Date: Sun, 4 Dec 2005 21:42:08 -0800
To: hardhats-members@lists.sourceforge.net
Subject: [Hardhats-members] Food for thought
Is it not possible that software is not like
anything else, that it is
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
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
Thanks for your replies. I have set up an accession areain file 60. I do have multiple institutions set up.
What is a UCI? How are the tests linked to this? How is the accessioner linked to the institution?
Any input regarding the Laboratory Universal Interface and HL7 1.6?
-Robert
[EMAIL
In fact, this sounds like a case where the health care facility ignores
its pharmacists, causing an increased death rate.
Ruben
On Mon, 2005-12-05 at 15:16, Ignacio Valdes wrote:
The December 2005 issue of the journal Pediatrics has a report that
found a coincident increase in mortality after
Actually, in this case, i don't need to read the article. Blaming
Physician based order entry for an increase mortality rate is on its
face as stupid as claiming that prayer increases the growth rate of house
plants.
The only reason for an increase in mortality can only be because
Physicians
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
Is it not possible that patients might be at risk and even die from a
delay in the administration of oral and/or IV medications that were
properly ordered by physicians? It appears suspicious to me that the
mortality went up after the implementation of a new CPOE system...
Ric
-Original
On Mon, 2005-12-05 at 17:18, Carroll, Richard (EDS) wrote:
Is it not possible that patients might be at risk and even die from a
delay in the administration of oral and/or IV medications that were
properly ordered by physicians? It appears suspicious to me that the
mortality went up after the
Functional programming is a fine idea that has been around for a long
time. Church's lambda calculus predates electronic digital computers,
and LISP dates back to circa 1960. It is attractive because it
theoretically lends itself better to more formal proofs of correctness
(my own gut tells me
Could this rise come from a lack of field training, a failed
installation step or procedure, or good old human error and this is just
a wrinkle in the probabilities. Given the option, I try to charge
errors to accident rather than malice.
If this rise of pediatric ICU mortality is the direct
UCI
User Class Identification, a computing area. The MGR UCI is typically the Manager's account, while VAH or ROU may be Production accounts.
---Original Message---
From: Robert Leonardo
Date: 12/05/05 15:20:54
To: HardHats Forum
Subject: [Hardhats-members] Re: Laboratory
I dont think UCIs are relevant (I
believe in VMS UCIs are different accounts).
There can be multiple labs for the same facility
(certainly the case in VA, e.g. an inpatient lab and an outpatient lab). Each
of the labs is registered as a distinct Institution
(just a multi-divisional
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
Bhaskar,
How does GTM handle dynamically created code? i.e.
MyProc(i)
new s
set s=write _i_,!
xecute s
quit
How it the code that is executed handled (compiles, stored etc.)?
Also, if another language were to link in the object code, I assume
that one's private program could reap the
Perhaps in the old system, the doctor could write:
CMP in AM
Now in the new system, perhaps they would be expected to manually
select each of the individual lab tests from this usual package, as
there was no order set established.
Very likely, the new method takes at least 4-5 times longer to
I have just seen a copy of the article and I hope it will be available online,
perhaps in January.
There were multiple changes made in the work-flow at the time CPOE was rolled
out. Prior to the implementation, critically ill children would have orders
written before their arrival so
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