This arrived via e-mail and I am publishing it with permission.
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Comments on the PCEHR can be grouped into three categories
1. From those with a vested interest in seeing the PCEHR in a favourable
light
2. From those concerned with the functional details, but who don’t
understand the real weaknesses of the system
3. From those concerned with the fundamentals – the state of the
information in the system
By far the most critical are those comments from multiple commentators
that the information in the PCEHR is unreliable, un-trustworthy,
incomplete and could potentially do harm.
Professor Enrico Coiera sums it up with this:
“The PCEHR like any healthcare technology may do good or harm. Correct
information at a crucial moment may improve care. Misleading, missing or
incorrect information may lead to mistakes and harm. There is clear
evidence nationally and internationally that health IT can cause such harm.”
He then goes on to detail multiple safety risks in the current PCEHR.
Professor Enrico Coiera’s opinion is supported by others and they all go
to the crux of the problem with the PCEHR – trust and risk, or more
importantly, the lack of them.
The sooner the PCEHR is taken off line the better. Health and NEHTA have
been warned by people far more knowledgeable than they are that there is
a significant safety risk. If harm results from use of the PCEHR, they
had better have a good defence lined up.
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This is a useful way to frame what you read.
Many thanks for sending it along!
David.
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