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Barack_America

(28,876 posts)

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

Sat Oct 4, 2014, 02:51 AM

Oct 2014

...includes a full social history, including travel history. Unless this Texas hospital had that removed from theirs, which would be ridiculous because it would bump you to a lower reimbursement level.

Bottom line, any physician who takes a history for a chief complaint of fever and does not ask a travel history, has not done a complete history. I get how busy physicians are, but I cannot condone such vital parts of how a physician comes to a diagnosis to be turfed off to nurses. We need more time with our patients, not better "work flows".

That is, if he even saw a physician, which we don't know he did.

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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