Clockwork- Day Light Saving Time Stumps Hospital Record

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The latest technology has assisted medical experts to perform robot-assisted operations and sequence whole genomes. But hospital software still cannot handle daylight saving time.

Epic Systems, probably the most famous electronic health record software systems utilized by physicians, can delete records or need troublesome workarounds when clocks are put back for one hour.

It is mind-boggling, stated Dr. Mark Friedberg, a senior doctor policy researcher at RAND. In 2018, he stated, we anticipate electronics to deal with something like straightforward as a time change. Nobody is surprised by the daylight saving time. They’ve years to prep. Only, surprise, it has not been fixed.

Dr. Steven Stack, known as the glitches perplexing, and unacceptable, considering hospitals invest Millions of dollars on these systems, and Apple and Google appear to have dealt with seasonal time changes long past.

Carol Hawthorne Johnson, an intensive care unit nurse in California, said her hospital doesn’t shut down the epic system. Throughout the fall time change.

Hospital personnel has learned to deal with it by taking additional chart notes by hand. Nonetheless, it’s nevertheless a burden, particularly if vitals change, or even patient requirements, say, a blood transfusion.

Stack, an emergency doctor in Kentucky, said hospitals frequently avoid the software problems by turning the software off and shifting to paper charts.

When work, it is wonderful, he said. But when the system is turned off, physicians cannot utilize it to access patient records or purchase tests. Whiteboards are a matter of the past, and some personnel are not comfortable with paper records after relying upon electronic records their whole careers.

The one hour pause slows down everything, which may lead to patients to invest more time in an emergency department waiting rooms. Some go home before seeing a healthcare provider. That is dangerous, Stack said.

Not all hospitals turn Epic off. In The Johns Hopkins Hospital in Baltimore, suppliers who have to inspect patients periodically throughout the night time use a workaround: They input vitals at 1 a.m. And after that when the clock drops back an hour later plus they’ve to input new vitals, they list them in 1: 01 a.m.

I do not argue with the sentiment that we’d enjoy health IT systems to be much more sophisticated, stated Dr. Peter Greene, chief medical info officer in Hopkins. But there are lots of other issues he’d like to see fixed first.

Many hospitals use Cerner, another major electronic medical record business. Cerner was unavailable to comment. A spokeswoman for Epic, asked to comment on the problems and workarounds, give a statement.

Daylight saving time is intrinsically nuanced for healthcare organizations, which is the reason we work closely with clients to give advice on the way to most efficiently use their system. Friedberg said hospitals are frequently locked in their electronic medical records systems because they’ve spent so much money in them. It’d cost even more to convert and move the records into a brand new system.

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