Die Systeme schalten sich zeitweise selbst ab:
Local News | Software glitch shuts down Swedish medical-records system | Seattle Times Newspaper
A four-hour shutdown of Swedish Medical Center’s centralized electronic medical-records system Monday morning was caused by a glitch in another company’s software. (…) The system (…) turned itself off because it noticed an error in the add-on software, and Swedish was forced to go to its highest level of backup operation. That allowed medical providers to see patient records but not to add or change information, such as medication orders.
Die Systeme sind zwar schweineteuer, sind aber nur so gut wie herkömmliche Dokumentationen auf Papier:
(R)eport on the effect of electronic health records (EHRs). (…) The results (…) were dismal. The investigators observed no consistent difference in guideline adherence among providers who used paper medical records compared with those who used either an EHR alone or an EHR with CDS.
Electronic health records no cure-all – The Chart – CNN.com Blogs
Researchers from Stanford University analyzed federal data on more than 255,000 patients, about a third of whom had health information carried electronically. The researchers compared the care of those patients to the care of patients without EHRs, on 20 different measures of quality – for example, whether proper medication was prescribed for patients with asthma or simple infections, or whether smokers were counseled on ways to quit. On 19 of the 20 measures, there was no benefit from having an EHR.
Die Systeme (und ihre Vermarkter) versprechen zwar das Blaue vom Himmel, können sich dabei aber nicht auf solide Daten stützen:
PLoS Medicine: The Impact of eHealth on the Quality and Safety of Health Care: A Systematic Overview
There is a large gap between the postulated and empirically demonstrated benefits of eHealth technologies. In addition, there is a lack of robust research on the risks of implementing these technologies and their cost-effectiveness has yet to be demonstrated, despite being frequently promoted by policymakers and “techno-enthusiasts” as if this was a given.
