your posting to the SIDM listserv

Robert L Wears, MD, MS, PhD wears at UFL.EDU
Fri Mar 6 19:30:52 UTC 2015


The scary thing is, this can happen even without a data breach or impersonation.  These
systems have not been designed from a data safety point of view using modern safety
critical computing methods.  Database corruption can  change patients' identities, lab
results, prescriptions, etc.  There is no independent assessment of safety, and the vendor
community has resisted attempts to address the problem.  The ONC proposed a reporting
system (so that after it's happened, you can complain about it) but even that has not come
to pass.

No other hazardous industry implements IT in this manner.

bob




On 6 Mar 2015 at 19:03, Mark H Ebell wrote:

Date sent:	Fri, 6 Mar 2015 19:03:03 +0000
Send reply to:	Society to Improve Diagnosis in Medicine
             	<IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>,
       	Mark H Ebell <ebell at UGA.EDU>
From:	Mark H Ebell <ebell at UGA.EDU>
Subject:	Re: [IMPROVEDX] your posting to the SIDM listserv
To:	IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG

> As someone who was a victim of this breach (they filed tax returns
> using our SSNĀ“s Dec 31, 2014) this hits close to home! You mean,
> someone might intercept my Viagra, Percocet, and Ativan
> prescriptions?!?!?
>
> Mark
>
> From: Vic Nicholls
> Reply-To: Society to Improve Diagnosis in Medicine, Vic Nicholls
> Date: Friday, March 6, 2015 at 11:27 AM
> To:
> "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAG
> NOSIS.ORG>" Subject: Re: [IMPROVEDX] your posting to the SIDM listserv
>
> Question for all health professionals:
>
> With the recent rash of patient ID stealing (Anthem especially), say a
> patient of yours has someone impersonate them at another practice,
> they get medical care and/or medications. No one figures it out.
>
> You go in at the patients' next appointment, and make assumptions that
> the information in the chart is correct. You make a different course
> of action (misdiagnosis) due to that information.
>
> Has any one considered about having checks other than just medication
> checks in the chart to stop a scenario like this? I can say no I'm not
> taking that medication, to the nurse when they ask. It will be struck
> off with no other comment.
>
>
>
> Victoria
>
>
>
>
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>
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Robert L Wears, MD, MS, PhD
University of Florida  	Imperial College London
wears at ufl.edu		r.wears at imperial.ac.uk
1-904-244-4405 (ass't)  	+44 (0)791 015 2219
The usefulness of IT is inversely proportion to
the size of its manual, or the amount of training required.






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine




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