Health IT: making care better or worse? (cont)
The debate about the sharp increase in mortality reported in Pediatrics after the implementation of a computerised physician order entry system (CPOE) at the Children's Hospital in Pittsburgh. (See FHIT entry) rumbles on.
I spotted this reference to a post-publication peer review, which states:
“A more accurate summary of the findings is that there were significant problems with the implementation process for CPOE at this hospital and that the hospital simultaneously instituted other system changes that may have accounted for adverse effects.”
Compounding the criticism of the study by health IT experts and others, the hospital’s medical director and other hospital officials have also disagreed with the study's findings, according to the Wall Street Journal.
In the UK the original study was also picked up by the E-Health-Insider website. Please look at the comments after the article, which are instructive and tell us about the polarisation of opinions on healthcare IT in the UK.
Even after 15 years of implementing health care IT it never ceases to astonish me how quick people are to criticise it and how little healthcare has learned about its implementation.
Implementing information systems without first changing processes and medical practice to accommodate them and carefully monitoring the result is folly, not to say negligence. This applies doubly to processes that may already be poor.
How long will it take us to learn these lessons?
More on the on the eHealth Blog.