Es wäre vermessen, die USA als "Testregion" zu bezeichnen. Immerhin haben sie dort etwas mehr praktische Erfahrung im Umgang mit EMR (hierzulande gern als eEPA bezeichnet) sammeln dürfen. Und soo weit sind wir hierzulande noch gar nicht, mit unserer offline-Fotokarte. Zwei Anekdoten gefällig?
"Well, once I was subpoenaed in a malpractice case that occurred in 2006. I last saw the patient in question in 2002. But because the lawyers asked for a copy of the medical record, the entire dump of the patient's record was provided. The lawyers took note of every treating physician in this patient's care, irrespective of treating date, and filed subpoenas for 'discovery depositions.' I had to hire a lawyer, respond, and was later released from the case, but not after significant financial and emotional anguish."
A Conversation: The Legal Morass Caused by the EMR
Just look at all of the nurses, medical students, residents, pharmacists, social workers, physicians' assistants, nurse practitioners, and attending physicians from all corners of the medical globe tic-typing away each morning, noon and night. Sit at a table next to this remarkable typing pool and all you'll hear is: "click-click-click-click-click-click-click-click-click-click-'sh*t'-click-click-click-click-'dammit'-click-click-click-click-click."
I wonder what the effect of such automatic generation of notes will have on the next generation of doctors. Will they actually process what is entered, or merely become highly-efficient typists and plagiarists in the never-ending quest to become more "efficient" health care providers?
Our Most Expensive Typing Pool
Well, Dr Wes. I might already be an efficient typist (and plagiarist), but on the other hand I'm still refusing to be a mere administrator of binaries. Just off from work with real people.
Edit: einen hab' ich aber noch.
My colleague actually told me that his family had to scold the nurses because his physician friends who were not on the treatment team were perusing his medical record. This is clearly a HIPAA and privacy violation and should not happen.
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