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David Loshin

Welcome to my BeyeNETWORK Blog. This is going to be the place for us to exchange thoughts, ideas and opinions on all aspects of the information quality and data integration world. I intend this to be a forum for discussing changes in the industry, as well as how external forces influence the way we treat our information asset. The value of the blog will be greatly enhanced by your participation! I intend to introduce controversial topics here, and I fully expect that reader input will "spice it up." Here we will share ideas, vendor and client updates, problems, questions and, most importantly, your reactions. So keep coming back each week to see what is new on our Blog!

About the author >

David is the President of Knowledge Integrity, Inc., a consulting and development company focusing on customized information management solutions including information quality solutions consulting, information quality training and business rules solutions. Loshin is the author of The Practitioner's Guide to Data Quality Improvement, Master Data Management, Enterprise Knowledge Management: The Data Quality Approach and Business Intelligence: The Savvy Manager's Guide. He is a frequent speaker on maximizing the value of information. David can be reached at loshin@knowledge-integrity.com or at (301) 754-6350.

Editor's Note: More articles and resources are available in David's BeyeNETWORK Expert Channel. Be sure to visit today!

According to an analysis done by US Pharmacopeia and reported in the Washington Post , "Medication errors that harm patients are seven times more frequent in the course of radiological services than in other hospital settings."

According to US Pharmacopeia's John Santell, "Many of the errors resulted from communication breakdowns, the researchers found, such as passing on incorrectly the dose or name of the drug being administered, or one worker failing to inform another about other drugs a patient was taking. The most common errors were patients getting the wrong dose or drug, failing to get the drug they should have had or having the drug administered incorrectly."

The existence of communication breakdowns as part of the operational (no pun intended) processes within a health environment raise the question of whether "electonifying" or automating the exchange of patient information might allow for the introduction of validation rules (or workflow requirements for accountability signoffs) into the process to identify potential drug administration errors before they occur. In addition, logging all actions associated with moving a patient through a particular medical process within an automated system might also help in accurately capturing "what really happened" to help with remediation of critical errors if they do slip through.

Anyone familiar with health care workflow automation that could help in this situation?


Posted January 19, 2006 6:22 AM
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