Glowa-Kollisch Sarah, Andrade Kelly, Stazesky Richard, Teixeira Paul, Kaba Fatos, Macdonald Ross, Rosner Zachary, Selling Daniel, Parsons Amanda, Venters Homer
Director of Policy and Evaluation in the Bureau of Correctional Health Services at the New York City Department of Health and Mental Hygiene.
Development Specialist in the Bureau of HCAI Information Technology and Initiatives at the New York City Department of Health and Mental Hygiene.
Health Hum Rights. 2014 Jun 14;16(1):157-65.
The electronic health record (EHR) is a commonplace innovation designed to promote efficiency, quality, and continuity of health services. In the New York City jail system, we implemented an EHR across 12 jails between 2008 and 2011. During the same time, our work increasingly focused on the importance of human rights as an essential element to the provision of medical and mental health care for our patients. Consequently, we made major modifications to the EHR to allow for better surveillance of vulnerable populations and enable reporting and analysis of patterns of abuse, neglect, and other patient concerns related to human rights. These modifications have improved our ability to find and care for patients injured in jail and those with mental health exacerbations. More work is needed, however, to optimize the potential of the EHR as a tool to promote human rights among patients in jail.
电子健康记录（EHR）是一项旨在提高医疗服务效率、质量和连续性的常见创新举措。在纽约市监狱系统中，我们于2008年至2011年间在12所监狱实施了电子健康记录系统。与此同时，我们的工作越来越注重人权的重要性，将其视为为患者提供医疗和心理健康护理的关键要素。因此，我们对电子健康记录系统进行了重大修改，以便更好地监测弱势群体，并能够报告和分析虐待、忽视及其他与患者人权相关问题的模式。这些修改提高了我们查找和护理在监狱中受伤的患者以及心理健康状况恶化患者的能力。然而，仍需开展更多工作，以充分发挥电子健康记录系统作为促进监狱患者人权工具的潜力。
