Besides the importance of physician happiness when using an EHR, using design principles that maximize user intuition and presentation of relevant information, there is one aspect of health care information systems that should never be overlooked: patient safety. Scot Silverstein, MD, blogging at Health Care Renewal as InformaticsMD, frequently brings to light issues surrounding health care IT implementations that compromise patient safety.  Reading his posts should be sobering and concerning to ...

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I was talking to a colleague recently about his practice, and remarked that he was still keeping a paper medical record. Without hesitation, he made it clear that he not only liked the paper record, but he positively dreaded switching to an electronic record. He said sadly that he thought it was inevitable that he would be forced to switch, but hoped that the day would be far into the ...

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Video games evoke several connotations. They are regarded as childish, escapist, and time wasters that prompt isolation and bad habits. Video games are even blamed for violence and other ills of society. In actuality, many serious scientists have convincingly argued that video games not only have acquired an undeserved reputation, but they are actually potent and effective tools for science education. Features of video games inherently support scientific learning While it may ...

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Let me concede from the outset that I lean toward the negative -- dire predictions, worst-case scenarios, a bit of doom and gloom, etc. But I ask you, oh gentle, patient reader, how could I not? Let’s go to the satellite. You can see warm air from a low-pressure system (meaningful use stage 2, not changed dramatically by the one-year extension) collide with cool, dry air from a high-pressure area (the turmoil ...

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On November 22, the FDA sent Silicon Valley’s leading personalized genetics company 23andMe a warning letter after six months of radio silence and recent increased efforts in marketing. Excerpts from the chastising letter read: "As part of our interactions with you, including more than 14 face-to-face and teleconference meetings, hundreds of email exchanges, and dozens of written communications, we provided you with specific feedback on study protocols and clinical and analytical ...

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Technology and baby monitors: Why this pediatrician worries It’s scary being a parent, especially a first-time parent. I mean, talk about the responsibility: an actual human being is relying on you for survival. And basically, you have no idea what you are doing. Sometimes, it seems amazing that our species has made it this far. So why not turn to technology? Why not wire your ...

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A couple of weeks ago I took my car in for its regular servicing. I’ve always had excellent service at this dealership and have gotten used to some pretty high standards. But on this particular visit, I was about to receive a dose of new technology as well. After I pulled my car into the garage, I was immediately greeted by a welcoming and friendly customer service agent. She had ...

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As I look back all those years ago to when I chose medicine as a career, I suspect that my motives were similar to most people who enter this wonderful profession. I wanted to become a doctor because I had a genuine and sincere desire to help people. I also liked the idea of a busy and energetic job, one where I was comfortably as far away as possible from ...

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I know what you're thinking, punk. You're thinking "did he fire six shots or only five?" Now to tell you the truth I forgot myself in all this excitement. But being this is a .44 Magnum, the most powerful handgun in the world and will blow you head clean off, you've gotta ask yourself a question: "Do I feel lucky?" Well, do ya, punk? - Harry Callahan (played by Clint ...

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Watson and Siri: The David and Goliath in health care delivery In every strength lies a weakness and in every weakness a strength. This maxim has held true throughout history -- from biblical days to the battles of modern times. And it holds just as true in the information technology (IT) “arms race” that’s playing out in American health care today. In Malcolm Gladwell’s newest work David and Goliath, he suggests that when we fail to ...

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