That will just be ruinous not only for care but also for the NHS. The solution must be sought in better co-ordination The Department of Health said that between and , the total number of days of delayed transfers rose by 2. In that time the delayed days attributable to social care fell by You can find our Community Guidelines in full here. Want to discuss real-world problems, be involved in the most engaging discussions and hear from the journalists? Start your Independent Premium subscription today.
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Infographic: Date Night with the EHR
They seem to be more concerned with pharmaceutical enrichment through research. This is a horrible, sad, all to common story. I am a retire RN, one who worked with both paper and electronic records. I do think it is possibly the best solution to empower and encourage and require people to have their own records.
My father-in-law had been under VA care for 40 years after a brain abscess resulting from a fall off a truck a few days after D-Day. When he had several admissions in a short time, I saw his paper records—all 6 inches of them. My mother-in-law and I created a summary of his medical history to carry in our wallets for admissions, with dates and brief info about his major medical events.
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We did not include meds, as they changed often, but she kept a current list. It was very helpful the next times we were in the ER. On another note, I understand the Japanese have medical books that the parents mothers take to each appointment. Sounds good to me, but the peds office I worked in was always trying to find immunization records for families who did not keep even that record.
Unfortunately, some of those were stored in a barn across town, by the prior doctor who owned the practice.
Why Doctors Hate Their Computers | The New Yorker
A better mousetrap WILL be built. Stop telling nurses and doctors how long to be in a room or double the time. Proprietary systems do not work with each other. I work with elders in the apt setting and the next step unless you are rich is a skn. We need more help in the home. Doctors must be able to listen and have time to read and nurses have excellent training. AN RN is usually a manager- not doing enough direct care. When we decide to create a system that cares for people instead of systems that compete for the dollar on top of persons who can least defend themselves- we will save a lot of money.
My family of origin was turmoiled by catastrophic heath problems and then an early death of the other parent.
I have seen it all. Older people in general need to eat great meals with other people- give France a call- they at least know how to feed children. All the services are severely disjointed. Nobody has played the game well enough in this country to have what they need in illness or old age without help from others. A colleague recently stated at a conference that EHR is now where word processing was in the s. Certainly they solve many problems e.
They also create many problems. Any surprise that we're poorly adapted, poorly evolved, for this type of socio-structural environment? This article captured my attention because I saw the need also this past year for our health care system to have a site where any licensed doctor or nurse, hospital or other medical facility could access a patients record to find out any and all information in one place for that person. I believe that it would literally save lives and stop a lot of wasted time and procedures. Leah, in this article, was a smart and caring woman to take notes to try and keep up with the info on what her husband was being given.
I hope and pray that our health care system will cut through all the red tape and make it mandatory that all the different hospital systems will have to go outside of their systems and enter the info that might save a persons life at another facility other than their own. The limit on how quickly people can read and abstract critical information is being exceeded by these systems. Moreover, the thrust is for more written information, and not less of it. I recently underwent treatment at a large local hospital. This dilemma calls for data entry, storage, bandwidth and clutters up any system.
The signal to noise ratio is wrong. This amount of information cannot be transmitted among people in this way. Humans cannot read faster than they read.
Paper Trails: Living and Dying With Fragmented Medical Records
And you cannot give them piles of information muddied by piles of reflection and misinformation and expect them to learn it in short order. It might be possible to have computers collate and analyze it for us, but such systems do not yet really exist. My mother had COPD emphysema and congestive heart failure. The last 6 weeks of her life were spent in medical care: first in ICU for tachycardia for nine days, then to telemetry. After two days in telemetry they sent her to rehab. I repeat two days after nine days being catheterized and never getting out of bed, they sent her to rehab at the nursing facility.
In rehab she was to have two nurses assisting her to the bathroom. She walked feet the first day, and was not able to repeat that therapy.
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Too many errors to go into details, but she came to rehab the Friday before Labor Day that year. There were only two people on the whole floor of many beds 60? We asked one of the aides to come and she said she would come as quickly as possible but she had been on the floor for 16 hours without a break. The next day they let her rest. That sister came in saw my mother was very weak, asked them to read her oxygen. It was 72 and she was in tachycardia again. Back in ICU again, then again to telemetry for now many days. She was given a pacemaker because the meds would not regulate her heart rhythm.
After that, they sent her not to rehab but to transition care. The oxygen tech was so pleased when she got her oxygen up to Her type of COPD required it be kept no higher than 94 but it took multiple days of my mother hallucinating she was living back in Civil War times and knew Lincoln and another sister arguing before the tech finally realized my arguing sister knew what she was talking about.
The hospitalist at rehab was the best, he went over every little bit with us in clear terms. She started to improve and actually called me to say she decided she wanted to recover and go home until the day a nurse left the room while mom was on the side of the bed nebulizing. She had a fall risk bracelet on and was not supposed to be left alone.
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