tag:blogger.com,1999:blog-4384692836709903146.post2531958636585120281..comments2024-03-27T09:55:23.143-07:00Comments on Dispatch from the Digital Health Frontier: Paper KillsJohn Halamkahttp://www.blogger.com/profile/04550236129132159307noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4384692836709903146.post-5086794824701289262010-05-18T05:20:28.904-07:002010-05-18T05:20:28.904-07:00CPOE is a generic term. It is about as useful to ...CPOE is a generic term. It is about as useful to say "drugs are good. We should use drugs to treat diseases." True, but we should use drugs proven to work. Some drugs have been; others have been shown to cause harm. "right drug, right dose, right route."<br /><br />The same is true for medical software. We need to speak in specifics about specific software. In the referenced study, the specific software was not reported, only that it was commercially available from Cerner. On Cerner's website, I find 8 different products listed under "Cerner CPOE solutions." Are they all great? Are most of them great, but one is dangerous? Are Cerner's product just as good as anothers or does Cerner's decrease mortality while Epic Systems increases it?<br /><br />If we continue to talk in generics, companies will continue to market "me too" products based on the "fact" that CPOE is good for XYZ reason. When people use these systems and have negative outcomes, the whole system will get blamed. Worse, patients will be hurt on untested systems.<br /><br />Selfishly, I hope we move to specifics soon, so I will have more data with which to decide which systems to buy.<br /><br />Disclaimer: I have no financial or professional interest in any company involved in making healthcare IT products.Nuclear Firehttp://curbside.posterous.comnoreply@blogger.comtag:blogger.com,1999:blog-4384692836709903146.post-18998244441690462202010-05-18T04:21:16.051-07:002010-05-18T04:21:16.051-07:00Great non-alarmist post on CPOE. In this debate on...Great non-alarmist post on CPOE. In this debate on EHRs, we shouldn't loose sight of the fact the paper this tool replaces isn't the most reliable either; it is merely the form some people feel most comfortable (and thus, safer) with.<br /><br />Upgrading to a newer tool should all be about how well such a transition can affect patient care, and thus the clinician's practice.Michelle Whttp://www.occampm.com/blognoreply@blogger.com