[log in to unmask],Net writes:
>invested so much time and effort already there's a
>huge temptation to throw good years after bad and carry on. As we all
>know
>to our continuing cost.
very much the view I am taking of the state of IT in my practice at
present.
I definitely want a connection to the Net, and e-mail, and I think a
word-processor is probably useful, and of course the financial bits are
cost-effective.
but I feel remarkably uninclined to go to the trouble of getting the
rest fixed, or of paying to replace the hardware and software involved.
spending a few hundred pounds on it without NHS support might seem
sensible - as it has on occasion in the past, but it merely leads to
continued drainage of effort and cash on keeping up a system so mucked
about by DoH intervention and the market that it neither does what I
really want now, nor actually was working very well at what it was
supposed to do. The much vaunted audit trail is something I have never
really had confidence in anyway, but all those who have had a system
taken over with loss of the original designers should reflect on
whether there would in fact be a credible expert to testify that the
trail was secure, at a future time. A sealed and dated copy seems far
safer to me.
laptops are cool though, because they are so easy to use for backups
and retrieval into a patient record of simpler form, and when the main
stuff goes down, there it is.
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