Wednesday, May 27, 2009

Can Information Systems Make Your Doctor Better Chapter 12



Can Information Systems Make Your Doctor Better?
Case Study Questions

1. Hospitals and physicians are encountering problems with diagnosing diseases and prescribing medication due to a few different factors. They are having a difficult time diagnosing patients because of lack of an information data center. They can only rely on their own skill set as of now, if they choose to not use new technology. When only relying on themselves and colleagues there is a greater chance for error in making a diagnosis or giving a delayed diagnosis. The problem physicians run into when prescribing medication is that it is not always known what other medications the patient is on and how they will interact with new medications introduce into the system. This is also caused by lack of information. Physicians need to know all medications the patient is on in order to prescribe new medications. If management installed a database system this could help physicians with figuring out what they can and cannot give to the patient it could potentially prevent sometimes fatal combinations.

2. I think that computerized physician order entry (CPOE) and diagnostic decision-support (DDS) systems are the appropriate solutions to the above problems. In the case study it was said that these technologies are not without error, however I think that with more use and testing errors can be found and fixed. The use of these technologies will enable hospitals and physician’s offices to become much more streamline and comprehensive. CPOE can help with human errors that occur such as illegible handwriting. Little things like this go a long way when dealing with someone’s health. The DDS has proven to be successful in a study mentioned in the case for correctly diagnosing 69% of misdiagnosed or late diagnosed patients. I think that this percent shows the technology is effective. The case also stresses that this is just a tool for physicians to use and they will still ultimately have the final say in the diagnosis. It is to be used as another resource that can help a physician make a diagnosis. It even comes complete with medical journal articles and symptom matching technology.


3. The main obstacle that I see according to this case that would prevent computer systems from improving the medical industry is the resistance from physicians and medical facilities. I think that by educating physicians and continuing to test the technology with proven positive results they will warm up to the idea. Physicians have textbook training but it was also stated in the article that what they do is an art. I think they are worried they will have that aspect of their career taken from them by replacing it with computers. There is also a large cost that goes along with implementing this technology however the return on investment is said to break even within a couple of years.

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