Archive for April 7th, 2009

Would it be helpful for nurses to have actual X-rays on the computer? (comment)

April 7, 2009

Digital images, such as X-rays and scans, will be stored on computer – enabling them to be sent by email or stored in a USB device. This ends the need to physically transfer X-rays or scans by hand from hospital department to another. This is extremely important that the diagnosis could be made faster and so as the treatment. Also, other health professional could share the same information and of course we need the patient’s consent.
This will also eventually see patient records being stored electronically and all GPs making hospital appointments for their patients from computers in their surgeries.
People in rural areas will especially benefit because it will save many journeys to hospital. The digital image will follow the patient wherever they go and will be able to be recalled whenever and wherever they need to be accessed by a patient’s healthcare professional. In addition to patients not having to wait whilst their X-rays are processed and delivered by hand from one department to another, clinicians will no longer have to hold X-rays up to a light box in A and E to make a diagnosis.
There will be improved staff and patient safety due to reductions in radiation dosages from X-rays and avoiding the use of hazardous chemicals for film processing.
Apart from that, health professionals should learn to read the X-rays and scans so this would be more beneficial to patients through different other therapies. Although, protection of client’s private details would be another issue to be considered.

Original Post:
March 6, 2009
Currently physicians can pull up the actual x rays and ct scans on the computer but nurses can only pull up the report. Now I agree not all nurses can read X rays but in the ER, ICU and Recovery Room seasoned nurses can read basic films (chest x ray, bones for fractures, etc). I was taught this skill when I first trained in critical care. As a nurse I always appreciate the ability to look at a film and be able to see if my patient has fractured ribs, which would prepare me to understand the complications for this type of fracture. Or to see a pneumo following central line placement and have a chest tube set up at the bedside when the physician arrives. In the ER I can set up for a closed reduction if I have access to the films. Most of the time a nurse has more time to keep checking for results than do physicians. Additionally, printed reports are, in most cases, not downloaded into the computer system until long after the patient receives treatment. I am an advocate for electronic documentation and medical records however nursing education and the level of knowledge we have these days is under estimated. Yes, the radiologist reads the results and the physician orders the treatment but most nurses can anticipate what the treatment will be which in turn decreases both patient and physician wait time and decreases the risks associated with those wait times.

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A thought about how databases will stand up to our healthcare needs, comment

April 7, 2009

I get the same feeling too. As we speak, the private sector, communities, states and federal agencies are racing to build Electronic Health Records systems without adequate privacy protections. Congress has fallen far behind in protecting peoples’ right to health privacy. We hear about violations and abuses of privacy and of records almost monthly. Current laws do not adequately protect electronic health records, leaving the marketplace for “personal health records” and other products the “gold rush” of Health IT. 
Uncorrected, this can lead to the crippling of our healthcare system. When patients do not trust doctors or the health care system to protect their privacy, they withhold information, they delay or avoid care, and they become sicker.
Without control and trust, patients will not see physicians or use the health care system in an effective manner. Wary healthcare consumers will drive up costs and increase the danger to others. Further, the data collected and stored will be incomplete and filled with inaccuracies and omissions.
Without congressional input or oversight, a national electronic health records system will be built that will destroy privacy, and more importantly Americans’ trust in their health care system. All this bad news will get worse if “we” do not act to prevent it – now.

Original Post:
March 6, 2009
The past two healthcare systems I have worked for have gone to a system that will allow the providers with in the hospital to communicate with each other. Patient information can be shared from the office to the hospital and within the hospital between departments. Each healthcare system has actually acquired the same company to build their system. They feel that they have a say in what information is used and can also limit access to different individuals based on that individuals job position. With so much stealing of information that goes on within cyberspace, this does worry me. All systems are not foul proof. There are many individuals that spend countless hours trying to hack into systems in order to gain information. This is a problem for healthcare when we are supposed to be acting as patient advocates and keep our patients safe. This includes their private medical information.

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Protection of Health Care Information

April 7, 2009

The differences among privacy, confidentiality and security The terms privacy, confidentiality and security are terms used to describe aspects of access that is the ability to obtain data and information for specific purposes any by specific users. Privacy, the individual’s right to limit the disclosure of personal information. The individual has the right to feel confident and trusting of the organization that their data and information will not be used inappropriately or released without their informed consent. Confidentiality is a condition in which that personal information is shared or released in a controlled manner. When information is released the individual should feel secure in the knowledge that the released information is complete and accurate, and is being released to the appropriate source for the correct reasons. Security refers to measures that organizations implement to protect information and systems, including efforts to ensure the integrity and availability of that information and the information system used to access it. With the ability to transmit information rapidly over the Internet and to large numbers of people, each institution should have policies and procedures in place to protect identifiable data and information, and to prevent inappropriate or accidental access to health care information and data. Some of these policies may meet the requirements of accreditation bodies. Violation of privacy, breaching of confidentiality or a failure to provide adequate security measures for health information can impose severe consequences.

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