Tuesday, June 18, 2013

EMR down - again - Swedish Dagbladet

Shortly before nine o’clock in the morning eneded EMR work. Richard Sjoberg on health sjukvårdsförvaltningen the Stockholm County Council says to SvD.se that it is still unclear how many caregivers who are affected.

– With it’s like last time, so it most and the biggest, he says.

According to him, one can not at present say what the error. Last times was the failure of a server that caused the accident.

– We do not know what’s wrong so far. We have staff looking at it right now, said Erik Berglund in health administration press service.

assessment is that it will be some time before the system can be up and running normally again.

– We do not know how long, but a number of hours, we expect, says Erik Berglund.

Richard Sjoberg says that caregivers affected have access to a read-only copy where all the information from the records available. Thus, one can read what is written but not add anything new.

But several doctors SvD been in contact with say that it is not possible to access läskopian.

– We have a high pace of care and you can not wait 20 minutes to get the information. It is not possible to conduct medical care in this way, says one of the doctors.

SvD talking to one of the doctors at lunchtime again, the situation is unchanged.

– It’s a complete halt. A colleague has been able to open läskopian but none of us others have managed to get in, says the doctor, who says that it is “paralyzed”.

– We will not access any information, we do not even know which patients are booked. We can not order lab tests, do not send any referrals, nothing. We have no procedures for paper anymore.

The doctor has been told to prepare for a longer stop in 5-6 hours. It has also gone out a message that läskopian be restarted, which doctor do suggest that there have been problems.

– For us it is just a job, but it’s very, very serious for patient safety. It is the second time within the space of a week that this happens. It’s absolutely deplorable, says the doctor.

A doctor at Karolinska University Hospital told TT that the data breakdown not only means longer waiting times for patients. Moreover, the risks of that information on them is lost, and that referrals do not come in the way.

– This is a patient safety issue that must be taken seriously. The entire health care’re dependent on computer systems work. We do not have procedures for paper records anymore, says doctor who wishes to remain anonymous.

Today’s stop is the third in a short time.

– One wonders what is being done to address this challenge, for this is not acceptable. There are enough problems in the health care anyway, says the doctor.

One of the hospital hit by problems Karolinska, where staff position prevails.

– It affects us in that we have to use manual procedures to take notes on paper, and it is obviously very difficult. A lot of activities can not be implemented, says the hospital’s press officer Klas Östman.

He argues that there has been little “upside down” with the legibility of medical records, but that it now be able to read notes but not bringing in new ones.

Also on Gotland to the computer system to have caused the problem, writes TT. Visby Hospital has today been hit by new problems, after a stop last week, reports the SVT Östnytt. What caused the problems at the hospital is not clear.

The fact that patients and staff twice in a short time suffered a record that does not work must lead to radical action very soon, says press officer Klas Östman said.

– There is urgent. Right immediately will have that meeting with the provider and start working on comprehensive measures so that this does not happen again.

system Take care used in Stockholm, Gotland, in parts of outpatient care in West Bengal as well as in Dalarna.

last for a week then crashed Take Care, who told Svenska Dagbladet on June 11.

Even then claimed health sjukvårdsförvaltningen that the so-called läskopian was available – and even then SvD spoke with doctors who told me that was not the case.

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