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Electronic health record glitch put VA patients at risk

Posted on January 17, 2009 by Dissent

Peter Buxbaum reports in Federal Computer Week:

Glitches in Veterans Affairs Department electronic medical records software led to problems in the treatment of nine patients in three facilities in October and November 2008, drawing the ire of a key congressional overseer.

The software problems came about after VA distributed version 27 of its Computerized Patient Record System (CPRS) to medical facilities in late August. The software was to be installed by Oct. 6.

[…]

Facilities were notified of the problem in a VA memo dated Oct. 10, 2008. The VA issued a patch to fix the software Nov. 6. No problems have been reported since then, Schuda said.

Rep. Bob Filner (D-Calif.), chairman of the House Veterans’ Affairs Committee, released a statement Jan. 15, expressing disappointment over “troubling new revelations…regarding operating problems with the most recent upgrade to the [VA’s] electronic medical records system…. Oversight of this incident will continue.”

[…]

The nine incidents of faulty patient treatment involved continuation of intravenous infusions of a drug, most often heparin, beyond the time specified in doctors’ orders.

“There were no reports of harm to any patients,” Schuda said. “We have followed up by checking adverse events reports and nothing matched up with these incidents.”

Read more in FCW


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