The Joint Commission recently authorized use of secure clinical texting to issue patient care orders and subsequently postponed final recommendations until late 2016. Potential sole or exclusive use of clinical texts to transmit care orders/information that could be delayed because of carrier-dependent transmission latency raises concern. Although texting in routine patient care may deliver high value to clinicians, the risk of latency and delayed receipt of clinically urgent or time-sensitive texted patient orders/information in high-acuity care settings can harm patients. We completed a review of 19 secure clinical text vendor websites, finding that 16 of 19 (84 percent) market their products for use specifically in high-acuity and critical patient care.
The concentration of incarcerated individuals with mental health and physical problems in the United States has led to the labeling of jails and prisons as the “hospitals of last resort” for those unable to access healthcare services in the community. As funding for community behavioral health services has dwindled, the number of people with serious psychiatric conditions in the nation’s correctional facilities has grown.
The article, “Risk Factors for Bladder Cancer: Challenges of Conducting a Literature Search using PubMed” published in the Spring 2011 issue of Perspectives in Health Information Management presents an intriguing case study in literature searching using PubMed. Searching PubMed and other databases ourselves daily, we would like to comment on some statements from the article.
The Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010, signed into law on March 30, 2010, are considered to constitute the most extensive changes to the U.S. healthcare system since the passage of Medicare in 1965.