0aba0e57__of_Health_Information_Systems__Name
[Year] January 2009 [Description] Patients at VA health centers were given incorrect doses of drugs, had needed treatments delayed and may have been exposed to other medical errors due to the glitches that showed faulty displays of their electronic health records, according to internal documents obtained by The Associated Press under the Freedom of Information Act. The VA's recent glitches involved medical data -- vital signs, lab results, active meds -- that sometimes popped up under another patient's name on the computer screen. Records also failed to clearly display a doctor's stop order for a treatment, leading to reported cases of unnecessary doses of intravenous drugs such as blood-thinning heparin. According to interviews and the VA's internal memos, the glitches began after the VA distributed its annual software upgrade last August [2008].'' By early October, hospitals began reporting the troubling problems: When doctors pulled up electronic records of different patients within 10 minutes of each other to offer treatment advice, the medical information of the first patient sometimes displayed under the second person's name. In some records, a doctor's stop order for intravenous injections also failed to clearly display." No explanation of what caused the software problem, which was reportedly fixed in December. [References] MSNBC [Name] 
Software glitch causes incorrect medication dosages
Homepage of the EFMI WG Assessment of Health Information Systems
Name