Health documents reveal patient harm linked to Queensland’s new medical record system
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The ieMR network replaces paper-based clinical charts with an online platform and has been deployed across 16 hospitals. (Unsplash.com: Natanael Melchor, CC-0)
Nearly 100 circumstances of affected person hurt have been linked to Queensland’s new digital medical file system in simply over a 12 months, together with situations of sufferers being administered incorrect doses of medicine.
- Documented circumstances embody little one given 10 occasions the quantity of insulin they have been prescribed and a affected person administered morphine in milligrams, not micrograms
- One affected person in extreme ache was unable to be given ache aid due to a ‘pc system failure’
- Queensland Well being says the Built-in Digital Medical Document (ieMR) is working effectively
On one event late final 12 months, a baby at Queensland Kids’s Hospital in Brisbane was mistakenly given 10 occasions the quantity of long-acting insulin they have been prescribed.
In different examples, a baby on the similar hospital was given incorrect morphine over the course of a day, an grownup on the Mackay Hospital was mistakenly given greater than double the required models of insulin and one other affected person on the Sunshine Coast was administered morphine in milligrams as a substitute of micrograms.
These are simply among the 95 circumstances of hurt linked to the brand new Built-in Digital Medical Document (ieMR) system recorded by Queensland Well being from January 2018 to April 2019 and obtained by ABC Information after a Proper to Info request.
One other incident on the Ipswich Hospital in January recorded a affected person in extreme ache who was unable to be given ache aid due to a “pc system failure”.
Well being paperwork state nursing workers have been unwilling to manage any treatment just because the “pc system was down”.
In one other case, a affected person was administered medicine due for one more particular person.
Queensland Health Minister Steven Miles said the ieMR is largely improving patient outcomes. (ABC News: Tim Swanston)
The ieMR community replaces varied paper-based scientific charts with one on-line platform and has been deployed throughout 16 hospitals with an extra 14 to return on-line quickly.
Whereas the ieMR was documented to be a contributing think about every case, Queensland Well being stated 45 situations have been attributable to person error and 32 as a result of the system was discovered to be “troublesome to make use of”.
Different contributing elements included poor communication, lack of coaching, lacking documentation and inattention.
In March, the ABC revealed the Australian Medical Affiliation secretly called on the State Government to halt the ieMR rollout over concerns about patient safety.
Departing Queensland Well being director Michael Walsh was also recently recorded admitting the digital upgrade was “not perfect” but that he was forced to speak positively about it in public.
LNP Opposition spokeswoman Ros Bates has called for an investigation into ieMR. (AAP: Darren England)
Opposition well being spokeswoman Ros Bates has now referred to as for a direct investigation.
“That is worse than the payroll debacle as a result of this time affected person care is in danger,” she stated.
“I actually really feel for the medical doctors, the nurses and — notably now that we all know there may very well be adversarial outcomes — the sufferers who’ve been affected.
“It is clear the digital medical file system is a shambles.”
However Well being Minister Steven Miles stated the improve was largely enhancing affected person outcomes.
“There was a notable discount in treatment errors due to digital hospitals,” he stated.
“It additionally alerts clinicians of doable treatment errors or incorrect dosages, one thing that could not occur utilizing clipboards.”
A ‘new period of security’: Queensland Well being
Queensland Well being didn’t reply to the precise situations of affected person hurt however, in a press release, stated the ieMR was working effectively.
Queensland Health has backed ieMR, saying it improves safety and patient outcomes. (ABC News: Liz Pickering)
“ieMR represents a brand new period of security, accountability and most vital, improved affected person outcomes,” it stated.
“It’s a system that allows us to observe, pinpoint and examine points extra exactly and effectively.
“We carried out ieMR to enhance security and affected person outcomes throughout Queensland, giving medical doctors and nurses real-time data, correct information with which to make one of the best scientific resolution they’ll.
“Due to ieMR, we are able to higher implement options to mitigate the chance of errors occurring once more.”
In September, a number of main hospitals working the system skilled an outage.
Report into Queensland hospital records system, obtained under Right to Information laws