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VA staff flag dangerous errors in Oracle-built electronic health record

washingtonpost.com

41–43 of 43 posts

Re: VA staff flag dangerous errors in Oracle-built electronic health record

#41

I'll tell you how "dangerous errors" work in practice in a hospital Let's say we design a "dangerous errors" system. What it's going to consist of is some "are you sure you want to do that" style popups, and some sort of error reporting system. The error reporting system (human entered) is where it gets interesting. The real nasty errors dutifilly get reported, no choice. The nasty and/or embarrassing errors are not…

Now take your mother in to have her suffering fixed by these people!

Re: VA staff flag dangerous errors in Oracle-built electronic health record

#42
post #26

Earlier quoted context omitted.

In emergency situations (or even routine ones) where I'm administering morphine, I don't need a computer to help me figure out the dose. There are more complex dose calculations where good tech matters far more. Harold Thimbleby has some very accessible talks on safety in health tech: https://www.youtube.com/watch?v=AobMb3S5OtY&t=1034s

I suppose I'd better change my example to something that is more dependent on accurate weight. I do know that at one point there were weight/dose charts for morphine administration, e.g. https://nursing.duke.edu/sites/default/files/documents/SCD-O... but that could be an outdated practice.

The calculation charts are valid but you can give it slowly and stop at whatever dose the patient reports good effect. I do highly recommend Prof Thimbleby's talks in this topic.

Re: VA staff flag dangerous errors in Oracle-built electronic health record

#43
post #42

Earlier quoted context omitted.

I suppose I'd better change my example to something that is more dependent on accurate weight. I do know that at one point there were weight/dose charts for morphine administration, e.g. https://nursing.duke.edu/sites/default/files/documents/SCD-O... but that could be an outdated practice.

The calculation charts are valid but you can give it slowly and stop at whatever dose the patient reports good effect. I do highly recommend Prof Thimbleby's talks in this topic.

Thank you, I'll give them a look.
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