General Discussion

riverwalker

(8,694 posts)

26. It was the EPIC Software

Fri Oct 3, 2014, 11:10 PM

Oct 2014

that nurses have been struggling with and complaining about for years. Hospitals paid billions for it, the design was by people who had no idea what nurses actually do. We spend more time nursing the software than nursing patients. More time at keyboards then the bedside. It takes more time to document a task then it does to actually do it. As a old nurse, I spend twice as much time charting now on EPIC than when we used pen and paper. It's a mess.

Epic Systems feeling heat over interoperability

http://www.modernhealthcare.com/article/20141001/NEWS/310019945

Epic Systems rapped for not sharing records

http://host.madison.com/ct/news/local/writers/mike_ivey/epic-systems-rapped-for-not-sharing-records/article_86d8a74c-48e2-11e4-863b-b3683789be28.html

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Ebola: the communication mishap had to do with information system setup. very informative article. [View all] magical thyme Oct 2014 OP

So the person responsible for hospital workflow system fucked up? Who tested this? valerief Oct 2014 #1

the information flow. everybody is fed the information differently, depending on their job magical thyme Oct 2014 #4

The day before, teh hospital had held a drill on Ebola procedures. dixiegrrrrl Oct 2014 #12

They found an appropriate clean-up crew but that crew was turned away because pnwmom Oct 2014 #2

The problem with EHR's GusBob Oct 2014 #3

It's more than a process issue. Daemonaquila Oct 2014 #5

So it wasn't a nurse or doctor, but admin and programmers alcibiades_mystery Oct 2014 #6

I think the minute he told her that he had been in Afrca, she should have him put in quarantine. Beaverhausen Oct 2014 #7

The hospital in Dallas is now part of an historic case, and their story is of mistakes HereSince1628 Oct 2014 #24

well I certainly hope so Beaverhausen Oct 2014 #25

Regardless of how the omission occurred... Whiskeytide Oct 2014 #8

So the IT staff failed to adequately unit test the software before going live. MohRokTah Oct 2014 #9

This was a design flaw... ljm2002 Oct 2014 #14

I Work RobinA Oct 2014 #22

Just days before the hospital had a drill for possible Ebola cases. herding cats Oct 2014 #10

Somehow, physicians and nurses were able to treat patients before "workflows"... Barack_America Oct 2014 #11

Well, there's this thing call "cost cutting" that's been going on. MH1 Oct 2014 #17

Plus all the busy work involved in satisfying the requirements of tblue37 Oct 2014 #28

Yeah, funny how no one ever noticed this "flaw" before Mariana Oct 2014 #18

Excellent point Mariana suffragette Oct 2014 #29

It's enough to make me wonder if this story is even true. Mariana Oct 2014 #33

Don't nurses and doctors talk to each other? mainer Oct 2014 #13

Not anymore. Texasgal Oct 2014 #20

But but but computers make everything more efficient ! eppur_se_muova Oct 2014 #15

If the nurse took down that information, s/he had an obligation to verbally warn the staff. ecstatic Oct 2014 #16

The infamous FormerOstrich Oct 2014 #19

The kid went to school "despite doctors' recommendations." And quit calling them idiots, seriously. uppityperson Oct 2014 #21

Yeah, I agree. cwydro Oct 2014 #23

It's easier for misunderstandings to happen Mariana Oct 2014 #34

It was the EPIC Software riverwalker Oct 2014 #26

here is where it says they used EPIC in Dallas riverwalker Oct 2014 #27

Well, then, fuck that. I know for a fact EPIC's standard H&P for physicians... Barack_America Oct 2014 #35

What an apt name for it. As in: EPIC FAIL. kestrel91316 Oct 2014 #31

I'm more than a bit peeved that the physicians just didn't happen to notice for HOW MANY kestrel91316 Oct 2014 #30

And they just had a drill on how to handle Ebola. LisaL Oct 2014 #32

Pretty sure it would be fraud for questions a nurse asked... Barack_America Oct 2014 #36

Hmmmm....the doc still had a responsibility to directly ask rainbow4321 Oct 2014 #37