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eHIS: 3rd phase postmortem

The hospital decided to held a postmortem today regarding the implementation of all the three phases of the system. I represented my department because my boss was away in Penang attending the psychiatrists’s meeting. And I also had the opportunity to take some time off from the busy clinic. Hehehe!

 

The meeting was also attended by the MOH’s big shots that are involved with eHIS implementation. Some of them were Dr Akmal (Hospital Selayang) and Dr Fazilah (MOH). It started on a low note with a dull presentation about the changes and problems encountered since the beginning of the Go-Live phase, that was given by the SPK project manager. However, the tone picked-up when problems regarding specialist clinics were brought up.

The ‘uproar’ was headed by the O&G and paediatric specialist, mostly about the inadequacy of computers and their IT terminals in the clinic area.

Solution: see patient where ever there is a computer and IT terminal and convert other available rooms into Clinical Examination (CE) rooms. I would like to stress that psychiatry clinic already took that step forward by allocating a MO to see patients in the administration room. Kudos to me!!!

 

I managed to ask about when SPK gonna provide me with a computer, and the project manager has given his assurance that it will be settled by this evening. Unfortunately, nothing had been done till 5 pm when I left. Perhaps they’ll do it tonight? I doubt it. Sorry…..

 

Most of the questions later on were on the usage of the CE rooms by 2 MOs, and it was shot down as MOH is pushing towards the privacy of the patients. Then, the older/veteran specialists and consultants were arguing whether this system should go on, as it slows down the workflows. That also was shot down because by hook or by crook, everybody who works in IT-based hospital will need to run it based on the HIS. I think that is correct because why must the helthcare system still living in a manual and darkaged working system when the police force, for example has already been using and recording their works in the IT system. I can’t really understand why health providers are so slow and stubborn in receiving changes in the was they work. They still want to use and implement the workflows that are already ancient. Some might argue that it is because it is already tried-and-tested. But, my argument is; why don’t we try and test another system, that might produce better results? The new system might be slower with multiple teething problems. We must remember also that some of the initial problems are related to us, eg; not attending the introductory courses thus failing to know how to work with the system, and also due to our illiteteracy of computers. The patient care is still being given the utmost attention even at the beginning of the implementation. It is still up to the heath providers, especially the doctors to notify urgents cases for immediate assessments, and to notify pertinent life threatening signs and symptoms of the patients. Don’t just start blaming the system when you can’t get your desired results/orders. Think back again; did I actually follow the correct procedures? If all fail, kindly call the IT helpdesk at 3131/3132/3133

 

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Tuesday, April 8, 2008 - Posted by | Jobs and Works | ,

2 Comments »

  1. please forgive the ancient medical personnel that bears more experience than you, unwillingly letting go their ancient paperful ways instead of accepting computers.

    first of all, just look around, more ink and more papers are being wasted since the start of e HIS.
    paperless? my ass.
    the world will never see the end of paper, no matter how IT savvy it is.

    the preparatory course is terrible. it is just poorly prepared as the lecturer could really get into the real scenario to get the doctors to work out the system. some of my specialists attended full day course and now, they are functionally slower in PC than I am, of which I partially attend. In the course, they used arbitary example that only exist in their virtual world. they did not go to the ‘field’ for research.

    they save the trouble by applying computer program accepted in other hospital to our hospital. Even selayang going around with PC, they are not rigidly going NON-manual or paperless. Unlike HSAH, no computer authorization, can’t take the drugs, can’t order urgent GXM, or GSH or do FBC or PTaPTT… let the patient die, bleed to death. Blame the mortality rates to the PC. My god.

    If you had known IT people, the writing of program is their final year core projects/thesis, of which requires lots of research including observation, interview, paper collecting, and etc… what have the IT people done so far? before HIS introduced. just start some class – in the class, ask for all medication, illness, investigation pertaining to the department. That is their research. Rubbish research.

    Even types of surgery being done, they are not bright enough to know that we had a national computer system which stores every types of operation done nationally. remember the ‘computer form’that we all had to fill when you finished every appendicectomy.

    program supposed to be made to fulfill the people doing the job, making their life less stressful, more resourceful. Not other way around. This program is just another easy franchise from somewhere else just to get easy bucks out of stupid senior doctors who are less IT-literate.

    even the IT helpdesk is a bunch of mambo jumbo. everyone stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. stuck a bit call. and all the line got engaged. how can you get call through when there is emergency?

    plus we’re paying through our taxes to them for their oncall, daily duties and etc… no wonder you got RM50+/month tax cut, right?

    anyway, i support a good user friendly sistem. not the one that is a total nuisance from the beginning.

    i could further b*tch about how poorly malaysian maintaining a system and in this case, storing up back up information and maintaining security to the system, but enough said, any tom dick and harry who knows ‘live1234’ can go into e-HIS see all confidential information, release a virus and there goes e-HIS… eeeeee hisssssssssssssssss…. blown out light of the candle…

    okay really enough… post call… gotta sleep…

    Comment by pizzaboy | Tuesday, April 15, 2008 | Reply

  2. Thank you pizza boy!

    Glad you have a good rest for your post call. BTW, did you really worked your brain out last night?

    First thing struck my mind: what do you mean by RM50+ tax cut/month? Who get it? IT people? Doctors? Paramedics?

    Secondly: I feel ashame that somebody as young as you (I assume that you are young though) is opposing the implementation of eHIS by using the pretext of life can’t be saved with the eHIS. Nobody is saying that eHIS is fullproof from disadvantages. Even, your clinical skill and high energy to save life, might be beaten by death. We don’t need to blame persons, or machines etc, if something went bad. Maybe, you want to shift human inadequacies that lead to mistakes to a system that’s still in infancy.

    3rdly: I can’t understand where I suggested the senior, more experience people like you to dump their precious skills to adept eHIS. You can count how many doctors ever completed the preparatory course, not one even stay until they really know how to operate it. Then we blame the system, the other staffs, but don’t we blame ourselves first? Well, I can understand it: doctors are busy people, aren’t we?

    Glad to hear from an opposition of the system! Nice!

    Comment by drloysz | Wednesday, April 16, 2008 | Reply


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