Correctional institutions
XX
A financial incentive is required in particular to attract medical experts to work in
prisons.
XX
The vacant positions in the medical area shall be filled as soon as possible.
2.5.3.4 Electronic Patient Record Module needs optimisation
Outdated software
All of the detainees’ medically relevant data (examinations, diagnoses,
treatments, appointments etc.) are stored in the Electronic Patient Record
Module of the Integrated Prison Administration system.
It was evident last year that this module cannot be expanded due to system
limitations. It was thus not possible to install a programme for examining the
interaction of medications. It is also not possible to automatically schedule
a (mandatory) follow-up appointment to discuss the results with the patient
after a blood test. Furthermore, the doctors reported repeatedly that learning
to use the Electronic Patient Record Module is very time-consuming and the
application is not user-friendly.
Replacement should be
installed soon
The NPM considers the speedy replacement of the Electronic Patient Record
Module in its current form urgently necessary. Regrettably, the Federal
Ministry of Constitutional Affairs, Reforms, Deregulation and Justice is unable
to provide a timeframe for the installation of a successor system. In addition,
the NPM recommends the installation of computer systems for examining
the interaction of medications as soon as possible. Such systems are used as
standard medical practice outside of the prison service. Currently, only the
office of the medical superintendent in the Federal Ministry of Constitutional
Affairs, Reforms, Deregulation and Justice has such software.
XX
The Electronic Patient Record Module shall be replaced quickly.
XX
A mandatory automatic follow-up appointment with the patient to discuss the results
shall be scheduled after a blood test.
XX
Computer programmes for examining the interaction of medications shall be installed
in all correctional institutions.
2.5.3.5 Hepatitis C virus (HCV) therapy
The NPM already focussed on the therapy programmes for detainees with
chronic hepatitis C on its monitoring visits last year. It was examined whether
detainees are offered a therapy with Direct Acting Antivirals (DAA) medication
(see NPM Report 2018, pp. 112 et seq.). Regrettably, the NPM found this year
once again that detainees who are infected with hepatitis C do not receive
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