Hi Tim,

Do not have a link handy but I do recall that the EMR discussions in the NHS
introduced this and discussed it at length. Structuring data entry format
went
a long way toward improving it. I'll see if I can come up with a link.

-Thomas Clark


----- Original Message -----
From: "Tim Churches" <tc...@optushome.com.au>
To: "lakewood @ copper . net" <lakewood at copper.net>
Cc: "Tim Churches" <tchur at optushome.com.au>; "openhealth-list @
minoru-development . com" <openhealth-list at minoru-development.com>; "Karsten
Hilbert" <Karsten.Hilbert at gmx.net>; "openehr-technical @ openehr . org"
<openehr-technical at openehr.org>
Sent: Monday, May 05, 2003 7:44 PM
Subject: Re: Re: Trusting the contents of EHRs


> lakewood at copper.net <lakewood at copper.net> wrote:
> ---snip---
> > Not trusting the content of the records is a Practitioner problem.
> ---snip---
> Indeed, although in their defence, almost every Practitioner will have
anecdotal
> evidence justifying their lack of faith in the record. My question was,
has anyone
> considered this issue in detail? How pervasive is the level of distrust,
how variable
> is it with respect to system and data source, what will it take to change
these
> attitudes? I suspect that information about quantitative test and
investigation
> results contained in an EMR/EHR are probably quite well trusted (hopefully
> justifiably), but "softer", more qualitative information less so eg does
the patient
> have any medication allergies? There is plenty of room for doubt and
variable
> interpretaion regardless of whether that question is answered in the
positive or
> the negative.
>
> Of course, these are broad sociological questions, and these are the wrong
> forums in which to ask such questions. I was just curious to know if
anyone was
> aware of any specific research being undertaken to address these
questions?
> yes, I am about to do a PubMed search now...
>
> Tim C
>
>

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