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BMJ 2006;332:127 (14 January), doi:10.1136/bmj.332.7533.127
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I am a consultant in a busy hospital department known for its team work and for being an innovator in IT. We do more than the average number of clinics per week, and we have a commitment to communication, audit, and other things you need IT for. So why have I recently been reported to my trust's lead clinician for IT as being "intemperate"? Maybe because I know how the technology ought to work and am expressing my frustration.
In the late 1990s my colleaguethen as new and enthusiastic as I had been until recentlydeveloped, together with computing science students, a database for recording letters to outpatients and for discharge summaries. This system worked, and it proved its worth when minocycline and then rofecoxib became issues: we were one of the few departments that could identify which patients had been treated. The system has also been invaluable for audit and
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