SOFTWARE caused the miscommunication between the nurses and doctors... “In our electronic health records, there are separate physician and nursing workflows. The documentation of the travel history was located in the nursing workflow portion of the EHR, and was designed to provide a high reliability nursing process to allow for the administration of influenza vaccine under a physician-delegated standing order. As designed, the travel history would not automatically appear in the physicians standard workflow.” In other words, the nurse wrote that Duncan had come from Liberia, but the doctors who examined him would not have automatically seen that. “As result of this discovery, Texas Health Dallas has relocated the travel history documentation to a portion of the EHR that is part of both workflows. It also has been modified to specifically reference Ebola-endemic regions in Africa,” the hospital said. “We have made this change to increase the visibility and documentation of the travel question in order to alert all providers. We feel that this change will improve the early identification of patients who may be at risk for communicable diseases, including Ebola.”
Posted on: Fri, 03 Oct 2014 03:34:52 +0000
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