Speech recognition errors occurred in 71 percent of emergency department notes, and 21.1 percent of notes with errors were judged as critical with potential implications for patient care says a recent study in the International Journal of Medical Informatics. Investigators looked at a random sample of 100 dictated notes and found 128 errors or 1.3 errors per note. More than half of the errors were ascribed to speaker mispronunciation. Although ...

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From the mid- to late-2000s, lots of pundits got into the business of shoving electronic medical records (EMRs) down doctors’ throats. There were a few incentives from the feds to help with the upfront costs, but it was a pittance of what it really costed hospitals and physician practices. And there was no consideration made for the ongoing costs of EMRs, except for cuts in already skimpy Medicare and Medicaid ...

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I enjoy being a physician. I really enjoy being a physician. Although much of my blog is focused on areas where we need to improve health care, with a particular recent focus on the burdens of information technology, that does not take away from the fact that I do really love my job as a doctor. I’ve received a lot of supportive correspondence regarding my views on how electronic medical records ...

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Ah, EMTALA! The revered Emergency Medical Treatment and Active Labor Act! It’s one of those things which is like a nursery rhyme to emergency medicine folks like me. We’ve heard about it from the infancy of our training.  "And then the bad doctor sent the poor lady to another hospital because she couldn’t pay!  And the King came and crucified him for doing it!"  The end. EMTALA, for the uninitiated, is ...

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Patients seem to be increasingly comfortable managing their health care through digital media. Last summer, our private practice of eight retinal specialists decided to find out exactly how comfortable. From July to August, 2015, we conducted a survey of 200 of our patients during their office visit and asked them what health-care related tasks they were already doing online. Using this data, we’re starting to look at how our medical practice might ...

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In 2009 the Health Information Technology for Economic and Clinical Health Act (HITECH) was signed into law by President Obama and this law quickly changed the way medicine in the United Sates is practiced. The law was a first step in requiring all physicians to utilize electronic records. The president promised that creating and electronic record mandate for physicians would result in a national, universal electronic medical record system and ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. This September, I reached a milestone, the tenth anniversary of my electronic health record (EHR) “go live.” Note that I did not write “I celebrated my tenth anniversary,” because while the event was the most disruptive change in over 25 years of practice, the word ...

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When you are looking for a physician, what kind of criteria do you use?  Location is probably a priority as is whether or not the physician accepts your insurance.  You might review your state's medical board, make sure there are no issues with licensure.  Reviewing a physicians medical school and residency training is important.  Some people even like to go in for an appointment just to meet a physician.  As ...

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Think keeping your life organized is hard? Try keeping your doctors organized. In this era of fragmented health care, patients find themselves in the impossible position of having to coordinate their care themselves -- a task that many can’t meet. Having multiple chronic medical conditions often means being subjected to a dizzying assortment of specialists, medical terminology, and tests that can quickly overwhelm patients. How many times have you found yourself in ...

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Give me technology which improves my life and that of my patients, or give me death. Medical records must be informative, efficient, and flexible; like the physicians they serve. For me, a medical record does not contain just a collection of problem lists, prescribed medications, and immunizations; it is a noteworthy account of the health care provided to another human being over a lifetime. Recently, I attended a baby shower of ...

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