[log in to unmask],Net writes:
>From: David Roberts <[log in to unmask]>
You are an old reactionary.
There are a couple of topics in here, one of which is the
administrative use of data, now if youwish to argue that the use of
data on how many people have DIabetes, and how many have outstanding
appointments or referrals, does not improve the function of the NHS
then you might make an interesting case for reducing the damnds upon
us...
but if this information is needed then it should be abstracted from our
records, not have all our records moved to somewhere where the
admindroids can pick through it.
Hence distributed querying of distributed records.
As far as urgency goes, again I fear you have missed the point.
If your partner or assistant were seeing one of your patients, next
door, while you were seeing another, I think the urgency of access to
the notes is considerable.
Again, if you wish to argue that the contents of the general practice
notes are rarely of use in managing patients then thismay apply to your
notes. In general the handwritten minimal notes are of little use, but
structured records which can be read are capable of saving wasted time,
adverse drug reactions, repeated investigations, lives and money.
Urgency is relative, but in the middle of a surgery retrieval is more
urgent than in the middle of the night, and most calls for notes arise
within the practice, not from outside, although as co-ops and PCGs grow
closer there will be more occasions when I wish my deputising colleague
to be informed of what I want done in certain circumestances about
certain patients.
>At the risk of being accused of being an old reactionary can I question
>whether the expense, effort and risk of lapses of confidentiality
>(deliberate or accidental) is really worth it for the very, very few
>times
>the very few items in a patient's history are urgently needed. Having
>practiced since 1967 I can number those occasions on the fingers of one
>hand and none have been vital to the patient's health. Are we not
>letting
>the IT enthusiasts, obsessives, far too much freedom to play with their
>toys?
>David Roberts
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