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E-Health Hazards: Provider Liability and Electronic Health Record Systems

机译:电子医疗危害:提供商责任和电子健康记录系统

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摘要

In the foreseeable future, electronic health record (EHR) systems are likely to become a fixture in medical settings. The potential benefits of computerization could be substantial, but EHR systems also give rise to new liability risks for health care providers that have received little attention in the legal literature. This Article features a first of its kind, comprehensive analysis of the liability risks associated with use of this complex and important technology. In addition, it develops recommendations to address these liability concerns. Appropriate measures include federal regulations designed to ensure the quality and safety of EHR systems along with agency guidance and well crafted clinical practice guidelines for EHR system users. In formulating its recommendations, the Article proposes a novel, uniform process for developing authoritative clinical practice guidelines and explores how EHR technology itself can enable experts to gather evidence of best practices. The authors argue that without thoughtful interventions and sound guidance from government and medical organizations, this promising technology may encumber rather than support clinicians and may hinder rather than promote health outcome improvements.
机译:在可预见的将来,电子健康记录(EHR)系统可能会成为医疗环境中的固定设备。计算机化的潜在好处可能是巨大的,但电子病历系统也给医疗保健提供者带来了新的责任风险,而法律文献对此却很少关注。本文首先介绍了与使用这种复杂而重要的技术相关的责任风险的综合分析。此外,它还提出了解决这些责任问题的建议。适当的措施包括旨在确保EHR系统的质量和安全的联邦法规,以及针对EHR系统用户的机构指南和精心设计的临床实践指南。在提出建议时,该文章提出了一种新颖,统一的过程来制定权威的临床实践指南,并探讨了EHR技术本身如何使专家能够收集最佳实践的证据。作者认为,如果没有政府和医疗机构的周到干预和合理指导,这项有前途的技术可能会阻碍而不是支持临床医生,并且可能阻碍而不是促进健康结果的改善。

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  • 来源
    《Berkeley technology law journal》 |2009年第4期|P.1523-1581|共59页
  • 作者单位

    Law-Medicine Center, Case Western Reserve University School of Law;

    rnElectrical Engineering and Computer Science, Case Western Reserve University;

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  • 正文语种 eng
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