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Posts Tagged ‘ EMRs ’

EMRs and Medication Errors

November 26, 2017

A study from the Pennsylvania Patient Safety Authority found that in half of the medication errors in healthcare facilities, the leading factor was the computerized physician order entry (CPOE) function of the EMR and how it interacted with the pharmacy system. A majority (69%) of the errors reached the patient, though few...
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The AAFP and Payment Reform — They’re Screwing It Up, Again, Part 1- Background and a Brief History

January 16, 2017

Over my career, the American Academy of Family Physicians, my primary professional society, has made some colossal mistakes in what it has chosen to advocate for. It has learned from its past mistakes, but only a little. They’re about to screw it up again with their call for payment reform, but...
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The Cost of Health Information Technology

September 11, 2016

From the mid- to late-2000s, lots of pundits got into the business of shoving electronic medial 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...
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An Early Demented Example of Big-Data Silliness

August 21, 2015

According to an article in Health Data Management, the Center for Brain Health at NorthShore University Health System in the Chicago area will use the organization’s electronic health records (Epic) and “advanced analytics” to “get ahead” of the onset of Alzheimer’s Disease. Many of the typical health scare tactics are in play...
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Loss of Professional Joy

April 10, 2013

Larry Bauer, who is a leader in family medicine education in the northeast U.S., sent out a link to a piece written by teacher who complained about the over-emphasis on standardized tests in secondary education. He felt so bad about it, he quit teaching.  Here is the link: http://www.washingtonpost.com/blogs/answer-sheet/wp/2013/04/06/teachers-resignation-letter-my-profession-no-longer-exists/ Larry asked...
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How the National Quality Foundation Dumbs Down Family Medicine

November 6, 2011

The National Quality Foundation is a non-profit founded in 1999 as a collaborative effort between representatives of many healthcare entities. Its description of itself from its website reads: NQF’smore than 375 members represent virtually every sector of the healthcare system: consumers, purchasers, health plans, providers, healthcare professionals, suppliers, community health organizations,...
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How Electronic Medical Records Have Hurt Primary Care

February 5, 2011

Two more recent studies I didn’t mention last week documented how little influence electronic medical records (EMRs) had on outpatient care. One study measured 20 markers of quality between practices with and without EMRs over 255,402 national ambulatory patient visits. 19 of the 20 quality indicators were no different between the...
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