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A New Application Matches Patient’s Travel and Family History With Medical Symptoms
WALL STREET JOURNAL Nov. 3, 2014
By Melina Beck
A month ago, Massachusetts General Hospital in Boston had no way to flag in its electronic medical records if an incoming patient had been to West Africa and had symptoms suggesting Ebola.
Now it does. Five days after the first U.S. case was confirmed in Texas, the hospital deployed a new Ebola application made by QPID Health Inc. that automatically matches a patient’s travel and family history with medical symptoms. If Ebola is suspected, the application flashes a blinking “Q” to alert hospital personnel.
Dr. Garry Choy, who helped design Mass General’s QPID system. Dominick Reuter
...EMR vendors have scrambled to add new screening questions and alerts to their systems in the wake of the missteps with the Ebola patient at Texas Health Presbyterian Dallas Hospital. That patient, Thomas Eric Duncan, who had recently come to the U.S. from Liberia, was initially misdiagnosed as having “sinusitis” and sent home, only to return three days later, gravely ill....
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http://online.wsj.com/articles/hospital-records-are-adapting-to-flag-ebola-1414977641
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Insider's view: Why there has to be a better system
THE HUFFINGTOM POST Nov. 3, 2014
By Dr. Saqub Rahim
...As the Dallas Ebola case highlights, one major issue underlying medical errors is that many practices and workflows in health care are overly complicated, clumsy, and broadly inefficient. Why would a nursing workflow with vital patient information not be designed to show up in the physician's workflow (and vice versa)? And why would that vital information not have been flagged so it was essentially impossible to ignore?
At present, providers and other health care staff often have to track down information in several disparate locations -- sometimes even within the same chart. That process is quite time-consuming, often leading to missed information and redundancy of testing/efforts. For example, the EHR at my current hospital requires me to look at more than 10 different screens per patient to get all the daily information I need to write a single note. When one multiplies that number by 15 to 20 patient encounters per day, there is ample opportunity to overlook key data by acciden....
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http://www.huffingtonpost.com/saquib-rahim/what-the-ebola-virus-and-_b_6076884.html?utm_hp_ref=healthy-living