your posting to the SIDM listserv

Vic Nicholls nichollsvi2 at GMAIL.COM
Sat Mar 7 06:24:01 UTC 2015


We do have one system that went to palm recognition for whoever wanted
to use it. While some people were against it, I prefer this. The only
problem is, believe it or not, telling the admin people to use it
instead of other documents.

Dr. Wears has it right on the money.

Thanks all.

Vic

On 3/6/2015 5:13 PM, Michael.H.Kanter at KP.ORG wrote:
> 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
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>
>
> 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:
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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.
>
>
>
>
> http://LIST.IMPROVEDIAGNOSIS.ORG/
> <http://list.improvediagnosis.org/>(with your password)
>
>
> Moderator: David Meyers, Board Member, Society to Improve Diagnosis in
> Medicine
>
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>
>
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>
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> Moderator:David Meyers, Board Member, Society for Improving Diagnosis
> in Medicine
>
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Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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