- olorum
- Apr 24, 2021
-
|
epic was deployed in Danish hospitals back in 2016 which similarly depressing results
https://www.politico.com/story/2019/06/06/epic-denmark-health-1510223
quote:The problems were evident from the start. Epic’s medical terms were not tagged for easy translation, so Galster and his colleagues had to rely on Google Translate. There were howlers. “C-section,” in the Danish version, referred to an executive suite, not an emergency birth procedure. The American specialty “speech and language pathologist” does not exist in Denmark. The Danish system for a short time offered surgeons the choice of amputating the left leg or the “correct” leg.
The translation problem went deeper than mere words, said Galster, one of 350 hired for the $500 million implementation of Epic in eastern Denmark. Epic might work in the United States, he thought, but its design was so hard-coded in U.S. medical culture that it couldn’t be disentangled.
“When you open the hood in the Epic system, it plays ‘U.S.A, U.S.A, U.S.A,’” he said.
...
The system was turned on first at Herlev Hospital, a 28-floor tower overlooking Copenhagen’s northern suburbs — and created what Galster called “indescribable, total chaos.” Many who were there are still traumatized by having seen battle-hardened doctors and nurses weeping openly for days.
In the U.S., inpatient and outpatient visits are entirely separate. In Denmark, 80 percent of patients “float in and out” of the hospital, said Mette Rosendal Darmer, chief cancer nurse at Rigshospitalet, the country’s leading research hospital. A leukemia patient, for example, might come in daily for chemotherapy for a while. A bed was ready if she needed it. If not, she went home.
With Epic, the Danish clinicians had to reenter diagnoses and medications each time patients went between inpatient and outpatient in differently configured screens. Medications didn’t transfer from one to the other either.
To prevent medication errors, “the nurses check and check and check,” said Dinne Leth-Miller, a pharmacist at Rigshospitalet.
Reports to the Danish Patient Safety Board suggested the clumsy go-live may have contributed to deaths or injuries, though none were confirmed. Amid negative audits by government agencies, press coverage was terrible. Doctors told reporters that Epic had ruined their love of medicine.
“We are always afraid that we’ll overlook something that can have fatal consequences,” internist Per Boye Hansen wrote in the newspaper Politiken in December 2017. “There is very little time for the individual patient. Most of the day is spent sitting in front of the computer and clicking the mouse.”
|
#
¿
Dec 14, 2023 10:53
|
|
- Adbot
-
ADBOT LOVES YOU
|
|
|
#
¿
May 14, 2024 05:16
|
|
- olorum
- Apr 24, 2021
-
|
since there are several danes in here
has anyone got affected by sundhetsplatformen in any way? just wondering what we've got in store when they've finished rolling it out
just don't get sick op
|
|
#
¿
Dec 17, 2023 10:57
|
|
#
¿
Dec 14, 2023 10:53
