MISUSE OF TECHNOLOGY IN HEALTHCARE

misuses of technology in healthcare

General Studies Activity

Students: Rumaisa Anas Rahat Shuja Rehma Kidwai Manya Jain Aadya Jain

Date: July 2021

"One of the biggest challenges to medicine is the incorporation of information technology in our practices"

Samuel Wilson

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Distracting doctors

What is Expected?

What is distracted Doctoring?

●Expected to proficiently multitask in order to diagnose and treat their patients. ● Technology has assisted in making multitasking easier ● However, they are also leading to medical errors.

The phenomenon of electronic diversions is now being deemed "distracted doctoring" "Devices have a great capacity to reduce risk, but the last thing we want to see, and what is happening in some cases now, is the computer coming between the patient and his doctor." ~Dr. Charles G. Prober

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What is the problem?

●new statistics reveale that doctors, nurses and technicians may be distracted ● increasingly interacting with their devices but aren't always for professional reasons ● it poses a unique challenge to health care.

Problems caused by it:●Smartphones in the hands of doctors and nurses endanger their patients ● can lead to distraction and medical errors ● Students sincerely believe that they can multitask which leads to errors or poor recall of material presented. ● An example of this point is a recent event reported through the Stanford Alerts for Events (SAFE) reporting system (cause of this error was the physician's momentary distraction)

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Who is resposible for this?

• Not one of the physicians or the staff involved in it woke up that morning thinking, "I am going to do harm to my patients." The Hippocratic Oath they all took clearly states that position. However, bad things happen to good patients and they all have to take a moment, especially when multi-tasking, to do a quick double check. Therefore this is due to:
• Trying to multiple things at the same time
• Which is another example of misuse of technology

Conclusion:

medical educators, using available “free” time to check email on our smart-phones? Is this multitasking? Or is it distracted doctoring? Through all this we can only conclude anything that causes problem to health care via technology is distracted doctoring.

What do we learn from this?

Students and residents need to see through, when it is appropriate to answer a call, send a text or check email. Many of us are going to be future doctors some day and therefore hoping the best for them we just want to put out this message of how too much usage of electronics can become distracted doctoring and hence becoming misuse of technology.

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Disadvantages of electronics in healthcare:

Increased Cost of the Treatment for the Patients:

The increased cost of treatment is also one of the disadvantages of medical technology. Mostly all the treatments and surgeries through technology are very costly, like robotic surgery, and other kinds of technological machinery surgeries are very costly. And most of the patients are belong to rural areas and they are poor. For poor patients, it’s impossible to pay for costly surgeries.

Patients Online Treatment Through Technology:

Nowadays the doctors do online treatments. The patients contact them online and suggest the diagnosis to take. The patients have not to go to the clinic of the doctors. They can easily get the treatment at home. Without any checkup and analysis of the patient’s the doctor gives them the diagnosis. Which can be wrong and can be dangerous for the patient’s health.

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Frustration with poor implementation:

Cybersecurity risks:

(1)Clinicians spend more time struggling with technology rather than patient care (2)Too much reliance on technology – specifically on poor AI implementation that don’t produce good outcomes.

(1)Risk related to breach of protected health information(2)Risk related to alteration of data that may be used to make wrong healthcare decisions (3)Risk related to alteration of device functionality that results in adverse events

Impersonating pateint Doctor Inetraction/patient isolation:

(1)Patients interact with technology instead of a live care provider.(2)Lack of empathy (3)Risk of miscommunication

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Use of technology for self treatment:

People tend to rely on information collected from internet without consulting a doctor which often leads to taking wrong information about a particular disease. People usually take up medicines advices by internet irrespective of whether it is a wrong medicine or not, what side effects it may show. Sometimes some medicines contain ingredients which you may be allergic to and consuming such medicine only makes your heath worse.

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Misuse of technology for genetics and cloning:

(1)Hailed as the source of potential cures for a wide range of human ills and feared as a violation of nature and an abuse of human beings – cloning has been the subject of news reporting in the UK, the USA, and South Korea, as well as in many other parts of the world. (2) In the ten years since the production of Dolly, nuclear transfer has been successfully applied to a range of mammalian species for the production of agricultural animals, pets, endangered species, and even transgenic “pharm” (3) Wilmut and Highfield furnish a useful, albeit incomplete, account of these scientific achievements. ”

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(4)The development and use of technologies such as robotics, nano-technology, genetic engineering, neurotechnology and synthetic biology in combination is expected to become a lethal force in the hands of governments and non-governmental agents in the future if not regulated by civil and legal institutions around the world.(5)Therefore, an effective oversight and control at both national and international levels are needed. Although some countries have adopted comprehensive national policies regarding the use of genetic technologies, most have not adopted any policies and are still debating the issues.

(3)This progress is not immune to malicious actions leading to overt and covert destruction and disruption of modern societies.

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Doctor patient related problems

All patients hope they will have a good relationship with their physician. Unfortunately, problems can sometimes come up in a doctor-patient relationship. ● A doctor ignoring patient input in their decision making. ● Disorganization at a doctor’s office. ● A doctor withholding relevant information. ● A doctor giving off the impression of not respecting a patient. ● Poor communication between a doctor and patient. ● A doctor discouraging second opinions.

Why is the doctor-patient relationship so important?

The doctor-patient relationship has been defined as “a consensual relationship in which the patient knowingly seeks the physician’s assistance and in which the physician knowingly accepts the person as a patient.”1 At its core, the doctor-patient relationship represents a fiduciary relationship in which, by entering into the relationship, the physician agrees to respect the patient’s autonomy, maintain confidentiality, explain treatment options, obtain informed consent, provide the highest standard of care, and commit not to abandon the patient without giving him or her adequate time to find a new doctor. However, such a contractual definition fails to portray the immense and profound nature of the doctor-patient relationship. Patients sometimes reveal secrets, worries, and fears to physicians that they have not yet disclosed to friends or family members. Placing trust in a doctor helps them maintain or regain their health and well-being.

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How does the nature and quality of the realtionship affect health outcomes?

Gordon and Beresin asserted that poor outcomes (objective measures or standardized subjective metrics that are assessed after an encounter) flow from an impaired doctor-patient relationship (Eg , when patients feel unheard, disrespected, or otherwise out of partnership with their physicians). Thus, there are many different outcome measures.However, these measures can be divided into 3 main domains: 1. Physiologic/objective measures 2. Behavioural measures 3. Subjective measures

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Thanks for your attention

Any questions?