your posting to the SIDM listserv

Michael.H.Kanter at KP.ORG Michael.H.Kanter at KP.ORG
Fri Mar 6 22:13:42 UTC 2015


this is not a new problem.    20 years ago we would see patients present 
to our hospital system with fake ID and catch them because we would note 
that their blood type would "change". 
As an aside, this issue can be unintentional.  Patient A comes in to your 
office and you enter all of the notes and diagnosis in the wrong patient's 
record by mistake. 
Putting patient photos in the medical record should mitigate the issue of 
wrong patient identification.

Michael Kanter, M.D.
Regional Medical Director of Quality & Clinical Analysis
Southern California Permanente Medical Group
(626) 405-5722 (tie line 8+335)
THRIVE By Getting Regular Exercise

NOTICE TO RECIPIENT:  If you are not the intended recipient of this 
e-mail, you are prohibited from sharing, copying, or otherwise using or 
disclosing its contents.  If you have received this e-mail in error, 
please notify the sender immediately by reply e-mail and permanently 
delete this e-mail and any attachments without reading, forwarding or 
saving them.  Thank you.




From:   "Robert L Wears, MD, MS, PhD" <wears at UFL.EDU>
To:     IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Date:   03/06/2015 12:28 PM
Subject:        Re: [IMPROVEDX] your posting to the SIDM listserv



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
> 
> 
> 
> 
> ________________________________
> 
> Address messages to:
> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX at LIST.IMPROVEDIAGN
> OSIS.ORG>
> 
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVE
> DX&A=1
> 
> or send email to:
> IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG<mailto:IMPROVEDX-S
> IGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>
> 
> 
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis
> in Medicine
> 
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> 
> 
> 
> 
> 
> 
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
> Medicine
> 
> To unsubscribe from the IMPROVEDX list, click the following link:<br>
> <a
> href="http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=I
> MPROVEDX&A=1"
> target="_blank">http://list.improvediagnosis.org/scripts/wa-IMPDIAG.ex
> e?SUBED1=IMPROVEDX&A=1</a> </p>

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

To unsubscribe from the IMPROVEDX list, click the following link:<br>
<a href="
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
" target="_blank">
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
</a>
</p>







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


HTML Version:
URL: <../attachments/20150306/41074df5/attachment.html>


More information about the Test mailing list