I read the great post Emilienko gave us "Do not scan it does not scan" , and I liked it.
The truth is that seen from a medical point of view, the reasoning is impeccable.
To me, as a retired computer professional from the front line, I would dig a little deeper.
first say that both the design and usability of existing health information systems in our country leaves much to be desired and that from the viewpoint of human interface, are closer to the designs of the 80 that what is customary in the year 2011 ... and is not a problem of presenting information in character mode or windows ... is much deeper.
is a problem not only is A or B, only 0 and 1 ... There fuzzy, there are thesaurus, and exists mostly dialogue ...
Unfortunately, in our country, there are many clinical information systems "billet" unfriendly little usable, aggregates, cumbersome ...
Finding the balance between the requirements of the health administration for statistical purposes, management control or usability is not incompatible with HCE designs are really professional in mind.
therefore be avoided where after a multimillion-euro investment professionals HCE just going to word processing and paper.
addition, when consensus within a committee of clinical documentation, it was decided that the history is recorded (or stops recording) any item, the modification and adaptation of electronic medical records should not be more complex and more expensive than the printing request forms.
And this point is vital, because the clinical record is a living, adaptable, is THE tool, the reference point in order to effectively treat a patient.
draw power, not be curtailed by a series of drop-down fields with fixed values, or underlying the system so you can find the information needed without restricting the ability of professionals to develop and record a clinical course, are some of the challenges today's designers have healthcare information systems, apart from interoperabilities which may be required both departmental systems (laboratory, imaging, pharmacy and telemedicine systems), as Regional Health Record systems (such as GSP Aragon or Catalunya HCCC), the NHS or the framework epSOS .
local thesaurus thesaurus systematic global level, such as UMLS , coupled with semantic search mechanisms on the clinical course, can help both hospital librarians to improve the level of definition search when doing any type of epidemiological study, use of terminology such as SNOMED-CT ... is a more rational balance between the needs of the manager and the clinician.
The problem is not scanned or not, the problem is that what we do digitize obsolete technical resources, from a design you have in mind the manager and not professional.
The problem is also growing clinical repositories "as is" are much more than a longitudinal file of medical records ... these archives are the repository of organizational knowledge.
Thus, we must go much further in terms of structured recording information as it is understood today: we must start thinking about archetypes, as important is the absolute information we collect, as the context in which it is collected ... important is to know the values \u200b\u200bof TAM and TAM patient as the instrument with which to perform this action, and if the patient was standing, sitting, or lying, to give a simple example ... standards such as EN/ISO13606 mark us as a way forward in this case.
And yet even so, be islands, areas where the scan can not because the cost and usability of discarded ... stay spreadsheets and text documents, so also the repository must be accommodated to increase the clinical documentation in a format document, that is, it can not be changed once issued.
There is another small detail, not just negligible: this is usual to implement health information systems without a prior process reengineering, and not seen from an ICT perspective ... when the underlying processes are inefficient when walking free redundancy, when running the task because he always has done so "for no better reason at all, implement ICT without prior optimization is to make it run faster inefficiency, nothing more, an effective process reengineering, organizational and clinical save more than a dissatisfaction and making everyone's work more efficiently.
These are the limits of truth ... and lack a long, long way to go, right.
Photo: real picture of a microphone scanned in one end. :-)
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