Information overload for doctors increases malpractice risk I have used the electronic medical record (specifically EPIC) since 2004.  I have grown accustomed to its nuances, benefits and quirks.  There are parts about it I really like.  There are parts of it I'd like to do without but accept that they are necessary evils in our current health care climate.  I know that there will always be parts of any modified ...

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Explaining the epic failure of EMRs It is no news a lot of doctors like to stick up a rather snotty nose to EMR. The defenders of the EMR tend to label such doctors as archetypal Luddites, sticking to their archaic ways and unbecoming of change and the new times. But as is usually the case with any two heated but opposite arguments, the truth likely lies ...

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This series is brought to you by MedPage Today. 1. EHRs May Turn Small Errors Into Big Ones. As electronic health record systems become more interconnected, errors may propagate much farther than under old paper-based systems. 2. Aging Doctors Come Under Greater Scrutiny. A distinguished vascular specialist in his 80s performs surgery, then goes on vacation, forgetting he has patients in the hospital; one ...

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Mobile health technology adoption depends on insurers Insurers will also play a pivotal role in the development and adoption of patient-focused mobile health (mHealth) technology adoption for wellness as well as for the management of chronic diseases. 1. Payers hold the purse strings.  Insurers will be the ones paying for the use of mHealth for chronic disease management for the vast majority of patients.  They have a vested interest ...

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This series is brought to you by MedPage Today. 1. Patients' Health IT Savvy Judged Lacking. As hospitals and physicians move to wider use of electronic health records (EHRs), patients need to become more engaged and be made aware that their records are accessible. 2. People Living Longer but Not Healthier Lives. Americans are living longer thanks to advances in medical care, but have ...

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Why IT is the core of the healthcare renaissance Warning!  I am a practicing doctor who sees real patients using an electronic medical record (EMR).  My sole agenda is to provide the best patient care.  I have no financial stake in information technology (IT).  However, unlike the editorial board at the Wall Street Journal, Mr. Stephen Soumerai of Harvard or Mr. Ross Koppel of the University of Pennsylvania, I have actually ...

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Why the iPad Mini is the tablet physicians have been waiting for I was skeptical about the iPad Mini.  I’ve used my Retina display iPad (3rd generation) for the past six months and been satisfied with the experience. I’ve used it in the hospital setting during rounds, and even while talking to patients in the ER.  I’m able to easily pull up Epic’s EMR using the Citrix app, and I can easily store the iPad ...

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My experience with a scribe in the emergency department I have a lovely pen. It's a Mont Blanc Meisterstück fountain pen. My group bought it for me on my tenth anniversary as a partner in our emergency medicine practice. It's a luxury I would never have paid for myself, though I have loved and used fountain pens since I was in college. Ironically, about the time I got it, the window ...

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I can’t stop thinking about a drive-thru. Not the one for burgers and shakes but the one for ear checks, sports forms, quick med refill visits or a lingering rash. For those things you just want to know fast or need done now, but don’t want to spend 2 hours resolving. For those things that really make you worry as a parent. Instead of the millisecond-mall-type clinic, we all want ...

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Every time someone publishes an article or a paper or a blog post that has anything remotely to do with electronic health records (EHR), there is usually a flurry of reactions in the comments section, now available in most publications, and these always include at least half a dozen anonymous statements, usually from clinicians, decrying the current state of EHR software, best summed up by a commenter on
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