http://www.nytimes.com/aponline/health/AP-Medical-Errors.html
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December 11, 2001 Project Links Medical Records
By THE ASSOCIATED PRESS
Filed at 5:53 p.m. ET WASHINGTON (AP) -- An unprecedented mix of technology giants and consumer
and doctor groups came together Tuesday to tackle one of medicine's biggest
challenges: Linking certain medical records electronically so a doctor
anytime, anywhere can get vital information to treat patients. The idea is to try to reduce the medical errors that kill thousands of
Americans each year by taming the nation's tangled maze of medical
information. The technology the new nonprofit Patient Safety Institute advocates can
link different computer systems confidentially and in real-time -- the same
way the online banking industry works, said Dr. Jack Lewin, head of the
California Medical Association and chairman of the institute. To work, patients first must consent to having their health information be
part of the project, stressed consumer advocates who are helping to run the
project. Then every doctor, hospital or pharmacy the patient uses would also
have to participate, to ensure a complete health record. But despite announcing $8 million in funding Tuesday for a pilot test of
the project, in a city to be picked next month, the group faces an uphill
battle. Previous attempts to fight medical errors by electronically linking vital
health information have failed, largely because doctors, hospitals and
technology companies can't agree on standards to ensure everybody's computer
systems are compatible, said Dr. Gregg Meyer of the federal Agency for
Healthcare Research and Quality. That meant doctors and hospitals were reluctant to make the investments
needed to digitize records. To improve Americans' safety, ``somebody has to do this,'' Meyer said. If
the new group ``brings the right players to the table to get this
accomplished, that's a wonderful thing.'' But it's not clear if the new group can. Absent from Tuesday's
collaboration were some of health care's biggest information technology
companies, such as Cerner Corp. The Patient Safety Institute, or PSI, is funded by Hewlett-Packard They argue the issue is simple: Use the same technology that makes online
banking work to link data from doctors' offices, hospitals and pharmacies,
regardless of the hardware and software each office uses, said Lewin. That way if Jane Doe lands unconscious in an emergency room, pushing a few
buttons on a hospital computer or Palm Pilot-like device would instantly show
a doctor all her allergies, medications, vaccinations, diagnoses and recent
lab test results. ``It's very important when they're seeking health care in crisis, when
they can't speak,'' that doctors learn if a patient is allergic to penicillin
or overdue for a tetanus shot, explained board member Jane Delgado of the
National Alliance for Hispanic Health. ``If Fed Ex can track packages across the country ... surely we can keep
track of medications and the particulars necessary for our health,'' added
Lisa Price of PSI funder Williams Communications, a fiber-optic network. Lewin said PSI will choose a major U.S. city within a few weeks to begin signing up participants in the first pilot test to see if such a project can work. He said various city and even state health officials have expressed interest, but wouldn't identify the leading candidates. |
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