Here's a copy (without graphics--to see the version with graphics, please send me an E-mail) of First Do No Harm, the first edition of a publication put out by the Health Professionals Liberation Army (HPLA), both founded by Duane Caylor, M.D. Caylor summarizes HPLA's goals for First Do No Harm:
This is the inaugural issue in a series devoted to the resurrection of prudence and common sense in the utilization of computerized medical delivery systems. First Do No Harm will address philosophical, ethical, economic, sociological, and medical issues as they relate to health information technology (HIT). Today's number offers an annotated list of recommended readings for HPLA partisans. We hope you find it both stimulating and entertaining.
For readers not experienced in large-scale software implementations across educational institutions, corporations, and nonprofit organizations, here's an explanation of the conflict that has led to the founding of HPLA and its publication of First Do No Harm.
We've all known (or known of) physicians impaired by their addiction to alcohol or drugs, but who's heard of physicians impaired by the health information technology their clinic or hospital forces them to use?
Patients beware! The latest threat to life and limb is the move from hospital charts to computers running a class of computer programs called "computerized medical delivery systems." After listening to my friend, Duane Caylor, last night, I'm a believer in old fashioned paper charts--at least if the implementation of industry-leader Cerner's computerized physician order entry system in the Dubuque hospital is typical of this category of software.
Dr. Caylor is a Christian physician in Dubuque, Iowa, who works primarily as a family practice doctor. About 23% of his billing, though, comes from hospital care.
Duane tells me that Dubuque's implementation of Cerner's computerized physician order entery system, Genesis, has proved to be quite unhelpful in the provision of patient care. He's argued with his administrators that their patients ought to be asked to give their informed consent to serving as guinea pigs in the latest wave of technological utopianism in the medical world as this system is implemented, for instance, in Dubuque.
The essential fact is that, until now, doctors could write with a pen on paper medical charts they held in their hands...