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Paper records more secure: survey Survey participants also were asked whether they agree or disagree with the following statement: "The benefits of electronic
medical records, such as better treatment in an emergency and a reduction in medical errors outweigh any potential risk to
patient privacy or
the security of patient information." Their answers: 21% indicated they strongly agree, 52% somewhat agree, 16% somewhat disagree,
9%
strongly disagree and 2% indicated they didn’t know or were unsure.
Using an interactive voice response system to improve patient safety following hospital discharge Patients often experience complications when transitioning from hospital to home. These complications are frequently related
to poor
monitoring. Using an IVRS, we were able to identify several important new health concerns arising following hospital discharge.
IRS ruling allows hospitals to provide healthcare IT to physicians The IRS issued a memorandum indicating that it would not consider such donations of IT and supporting services as kickbacks
that
would jeopardize healthcare providers’ not-for-profit status. The IRS "will not treat the benefits a hospital provides to
its
medical staff physicians as impermissible private benefits or inurement in violation of section 501(c)(3) of the Internal
Revenue Code if the
benefits fall within the range of health IT items and services that are permissible under the HHS EHR regulations".
Encryption Characteristics of Two USB-based Personal Health Record Devices We reviewed two small USB-based PHR devices which allow a patient to easily store and transport their personal health information.
This paper describes the weaknesses we discovered, outlines three critical flaws with the security model used by the devices,
and recommends
four guidelines for improving the security of similar devices.
Randomized Trial to Improve Prescribing Safety During Pregnancy To determine whether a computerized tool that alerted pharmacists when pregnant patients were prescribed US FDA pregnancy
risk
category D or X medications was effective in decreasing dispensings of these medications. Coupling data from information systems
with
knowledge and skills of physicians and pharmacists resulted in improved prescribing safety. The study was stopped primarily
due to two false
positive alert types: misidentification of medications as contraindicated in pregnancy by the pharmacy information system
and
misidentification of pregnancy related to delayed transfer of diagnosis information.
Lifecom Completes Phase 1 Clinical Trial of its artificial intelligence and graphical medical record system at OHSU Patients with a defined range of chief complaints were evaluated by a medical assistant who had been given only two hours
of
training. The Lifecom System accepts any data in any order, and presents questions based on the input data and its knowledge
repository to
refine the diagnosis. Patients were then diagnosed by a physician who did not have access to the Lifecom System diagnostic
results or
questions. The diagnosis considered most likely by the Lifecom System agreed with the physician’s diagnosis in 91 percent
of the
cases.
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