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Errors

There are two types of "Error" events. Errors may be prevented by a HIS or Errors can be Detected by a HIS using Data Mining tools. These are two different processes and require different tools and procedures. While in most cases the two types may have the same results, this is not always the case.

An example of error prevention is the case of a Healthcare Professional writing up an order for either a drug or other substance in which the patient had an recorded allergy and the HIS prevented the processing of that order.

Error Detection as discussed in this section, implies that an "event" that is "unusual" will be flagged. This is a more sophisticated process. While the event itself may be normal, there may be some other factor that is not normal...An unusual number of occurrences of an infection in the clinical sitting is one example of Error Detection. Because, the event may be recorded by different individuals in different locations it is not recognized as an "adverse event." It has been reported that these types of adverse events are reported less than 5% of the time.

Diagnosis Errors

"Expert Systems" can help spot Diagnoses that are not consistent (or suggest a diagnosis) with the symptoms....providing all symptoms are recorded. Each Diagnosis is identified by signs and symptoms with a probability that sign or symptom occurring.  As an example, for Sick-cell.

"The inheritance of sickle cell anemia follows the autosomal recessive pattern when both parents are carriers, (i.e. Sickle cell trait; HbA+S) there is a 25% risk of occurrence of sickle cell anemia (HbSS). The risk of having a carrier child is 50% in each pregnancy. If one parent only is a carrier, the risk of having a carrier child is 50% in each pregnancy. When sickle cell anemia or carrier status has been diagnosed in a relative, especially a first-degree relative, carrier testing is suggested for other family members to identify carrier couples at risk of having affected offspring"

Fraud Prevention

Prevent of Fraud is a very good reason to use a HIS and in many cases the most important, This may also be the reason that many employees refuse to use the system. In studies by InHCc, we found that up to 30-40% of inventory is being stolen and as many as 30-40% of the employees are not working when they are supposed to be in some of our markets.. Back-dating of reports and "making up" data for records in pervasive in a paper based system.

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