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	<title>Electronic Medical Records No PanaceaComments on: --</title>
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	<link>http://e-patients.net/archives/2008/05/electronic-medical-records-no-panacea.html</link>
	<description>because health professionals can&#039;t do it alone</description>
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		<title>By: JSimons</title>
		<link>http://e-patients.net/archives/2008/05/electronic-medical-records-no-panacea.html/comment-page-1#comment-70607</link>
		<dc:creator>JSimons</dc:creator>
		<pubDate>Fri, 14 Jan 2011 16:54:29 +0000</pubDate>
		<guid isPermaLink="false">http://72.9.147.40/archives/2008/05/electronic-medical-records-no-panacea.html#comment-70607</guid>
		<description>What protects the patients privacy?, when I have attended as a inpatient or a out patient,  I&#039;ve had to relay information on my medical history because I am being seen by a Overworked or cavalier Doctor who has never bothered to read my medical notes .</description>
		<content:encoded><![CDATA[<p>What protects the patients privacy?, when I have attended as a inpatient or a out patient,  I&#8217;ve had to relay information on my medical history because I am being seen by a Overworked or cavalier Doctor who has never bothered to read my medical notes .</p>
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		<title>By: electronic medical records</title>
		<link>http://e-patients.net/archives/2008/05/electronic-medical-records-no-panacea.html/comment-page-1#comment-263</link>
		<dc:creator>electronic medical records</dc:creator>
		<pubDate>Thu, 26 Jun 2008 07:59:31 +0000</pubDate>
		<guid isPermaLink="false">http://72.9.147.40/archives/2008/05/electronic-medical-records-no-panacea.html#comment-263</guid>
		<description>Electronic medical records are meant to enhance the provision of medical care. In order to be most effective, such records need to describe each patient as comprehensively as possible.But, at the same time,the &lt;a href=&quot;http://www.medicalcharting.com/&quot; rel=&quot;nofollow&quot;&gt;electronic medical records&lt;/a&gt;  protects the privacy of patients medical records.
</description>
		<content:encoded><![CDATA[<p>Electronic medical records are meant to enhance the provision of medical care. In order to be most effective, such records need to describe each patient as comprehensively as possible.But, at the same time,the <a href="http://www.medicalcharting.com/" rel="nofollow">electronic medical records</a>  protects the privacy of patients medical records.</p>
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		<title>By: e-Patient Dave</title>
		<link>http://e-patients.net/archives/2008/05/electronic-medical-records-no-panacea.html/comment-page-1#comment-262</link>
		<dc:creator>e-Patient Dave</dc:creator>
		<pubDate>Thu, 15 May 2008 11:13:05 +0000</pubDate>
		<guid isPermaLink="false">http://72.9.147.40/archives/2008/05/electronic-medical-records-no-panacea.html#comment-262</guid>
		<description>On the one hand, I&#039;m not surprised that there&#039;s malarkey.  On the other hand, I confess that I presumed &quot;they must have this handled.&quot;  What the heck is going on?  Is this a simple matter of humans being untrustworthy, which is unsolvable through software?  With thousands of hospital employees having access (necessarily), what system features exist to prevent abuse?

Pardon my busy ignorance, but is this story getting coverage all over the health blogosphere?

One BIG concern is that this could be a potent and legitimate reason for the public to resist - no, *reject* - adoption of EMR.

Here&#039;s a starter idea: every month email me a list of everyone whose login looked at my records, and require that hospital staff respond within one week to any inquiry from the patient about why someone did.

Okay, docs, tell me - would that be feasible or is the underlying problem that there are many many legit reasons why staff might look, so there&#039;s no way to know something unusual is happening?

That raises the question, how did these culprits get caught?  What stuck out like a sore thumb?
</description>
		<content:encoded><![CDATA[<p>On the one hand, I&#8217;m not surprised that there&#8217;s malarkey.  On the other hand, I confess that I presumed &#8220;they must have this handled.&#8221;  What the heck is going on?  Is this a simple matter of humans being untrustworthy, which is unsolvable through software?  With thousands of hospital employees having access (necessarily), what system features exist to prevent abuse?</p>
<p>Pardon my busy ignorance, but is this story getting coverage all over the health blogosphere?</p>
<p>One BIG concern is that this could be a potent and legitimate reason for the public to resist &#8211; no, *reject* &#8211; adoption of EMR.</p>
<p>Here&#8217;s a starter idea: every month email me a list of everyone whose login looked at my records, and require that hospital staff respond within one week to any inquiry from the patient about why someone did.</p>
<p>Okay, docs, tell me &#8211; would that be feasible or is the underlying problem that there are many many legit reasons why staff might look, so there&#8217;s no way to know something unusual is happening?</p>
<p>That raises the question, how did these culprits get caught?  What stuck out like a sore thumb?</p>
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	<item>
		<title>By: Susannah Fox</title>
		<link>http://e-patients.net/archives/2008/05/electronic-medical-records-no-panacea.html/comment-page-1#comment-261</link>
		<dc:creator>Susannah Fox</dc:creator>
		<pubDate>Wed, 14 May 2008 15:05:56 +0000</pubDate>
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		<description>In LA, it&#039;s celebrities&#039; health records; in DC, it&#039;s  &lt;a href=&quot;http://online.wsj.com/article/SB119802881397337777.html&quot; rel=&quot;nofollow&quot;&gt;tax records&lt;/a&gt;; in Wisconsin, it&#039;s &lt;a href=&quot;http://www.usatoday.com/tech/news/computersecurity/infotheft/2008-02-22-snooping-employees_N.htm&quot; rel=&quot;nofollow&quot;&gt;utility records&lt;/a&gt;. Even the Wall Street Journal published a guide to &lt;a href=&quot;http://online.wsj.com/article/SB121063460767286631.html&quot; rel=&quot;nofollow&quot;&gt;spying on your friends&lt;/a&gt;.
&lt;p&gt;
At a privacy event last month, I heard Marc Rotenberg of &lt;a href=&quot;http://epic.org/&quot; rel=&quot;nofollow&quot;&gt;EPIC&lt;/a&gt; cite a story from Ralph Nader&#039;s &quot;Unsafe at Any Speed,&quot; which eventually prompted automakers to install seat belts (among other reforms). As Marc re-told it, one automobile executive testifying before Congress said he and his family do not need seat belts: He practices reaching out his right arm to brace his children (seated in the front) when he saw danger ahead! The executive urged other people to practice the same method to protect their own families. Rotenberg went on to say, &quot;I think we&#039;re having a similar discussion this morning. I think we do not yet understand the responsibility that properly falls on America business when it collects and uses personal information about American consumers.&quot;

&lt;/p&gt;
</description>
		<content:encoded><![CDATA[<p>In LA, it&#8217;s celebrities&#8217; health records; in DC, it&#8217;s  <a href="http://online.wsj.com/article/SB119802881397337777.html" rel="nofollow">tax records</a>; in Wisconsin, it&#8217;s <a href="http://www.usatoday.com/tech/news/computersecurity/infotheft/2008-02-22-snooping-employees_N.htm" rel="nofollow">utility records</a>. Even the Wall Street Journal published a guide to <a href="http://online.wsj.com/article/SB121063460767286631.html" rel="nofollow">spying on your friends</a>.</p>
<p>
At a privacy event last month, I heard Marc Rotenberg of <a href="http://epic.org/" rel="nofollow">EPIC</a> cite a story from Ralph Nader&#8217;s &#8220;Unsafe at Any Speed,&#8221; which eventually prompted automakers to install seat belts (among other reforms). As Marc re-told it, one automobile executive testifying before Congress said he and his family do not need seat belts: He practices reaching out his right arm to brace his children (seated in the front) when he saw danger ahead! The executive urged other people to practice the same method to protect their own families. Rotenberg went on to say, &#8220;I think we&#8217;re having a similar discussion this morning. I think we do not yet understand the responsibility that properly falls on America business when it collects and uses personal information about American consumers.&#8221;</p>
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