Blood and Blood Products Safety and Risk (1996) / Chapter Skim
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3: New Ideas for Safety and Monitoring
3: New Ideas for Safety and Monitoring
Pages 67-80
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From page 67... ...
III New Ideas for Safely and Monitoring
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From page 69... ...
It is also a powerful tool for organizing patient care data, improving patient care, and strengthening communication among health care providers. That may be one of its strongest points: retrieving medical knowledge that is applicable to that particular patient at the time you make a decision.
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From page 70... ...
The computer-based patient record is valuable for improving population-based care because you can query a large number of records and learn a great deal about the community factors that lead to those patient conditions and outcomes of care. A clinical decision support system, utilizing computer-based patient records, is simply computer software that aids decision making by providing diagnostic suggestions, treatment suggestions, testing prompts, drug alerts for potential drug-drug or drug-food interactions, therapeutic protocols, and practice guidelines.
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From page 71... ...
In some cases they have measurably improved patient outcomes, but most of the studies that have looked at such systems are about improving patient care processes. For example, providing preventive care infonnation to physicians and their patients improves compliance with immunizations.
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From page 72... ...
How do we integrate clinical decision support systems into the environment and provide these systems with features that physicians will want, whether that involves communicating by typing, writing, speaking, or pushing a button. The mechanism itself may be on your desktop, or maybe its a clipboard, or perhaps its hand held, or even at the bedside of the patient.
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From page 73... ...
Some patient care data are normally computerized, such as lab records and radiology test reporting. Unfortunately, what happens is that the data are printed out of the auto analyzer onto paper and the paper is sent to the patient's floor, where two or three holes are punched in it and it is slapped into a paper medical record.
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From page 74... ...
Who is legally responsible for bad patient outcomes due to a flaw in a transmitted image or misreported medical knowledge? We need better benefit/cost methodologies, but whose benefits and whose costs should be the focus of study?
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From page 75... ...
You have to have a disclosure policy. There is no federal privacy law that generally governs health data, except those related to AIDS and some other communicable diseases.
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Do major health insurers like the Health Care Financing Administration agree that a computerized system of blood records is needed, and will these insurers pay the additional charge? All of this should be pilot and market tested.
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From page 77... ...
In addition, testing may possibly help identifiable partners of the patient avoid infection if the patient practices appropriate preventive behavior.
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From page 78... ...
Furthermore, it reduces or eliminates unproductive administrative complexities including a tortuous and sometimes flawed records trail and interventions and follow-ups by blood centers, transfusion services, hospital records departments, and multiple physicians. It targets surviving recipients and avoids tracing deceased patients.
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From page 79... ...
Public Health Service, state and local health departments, medical and blood service organizations, blood centers, hospitals, manufacturers, and in particular the national media, routine posttransfi~sion follow-up becomes an extension of the HIV program recommended by the Presidential AIDS Commission and the American Hospital Association to its member hospitals. The message must emphasize that transfusion accounts for a small fraction of these diseases and that the focus on transfusion recipients is merely a part of our overall health strategy.
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