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	<title>Comments on: Monday Morning Update 8/24/09</title>
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		<title>By: S Silverstein</title>
		<link>http://histalk2.com/2009/08/22/monday-morning-update-82409/comment-page-1/#comment-5324</link>
		<dc:creator>S Silverstein</dc:creator>
		<pubDate>Thu, 27 Aug 2009 05:15:00 +0000</pubDate>
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		<description>Re:  Talk of the Town:

I should add that amid the implementation of a brand new EHR and its distractions, added clinician clerical tasks and work flow changes for clinicians, any defects are indeed distractions that can impact patient care.

Here are other perhaps more obvious examples of distractions that can impact care:

http://tinyurl.com/b28s74</description>
		<content:encoded><![CDATA[<p>Re:  Talk of the Town:</p>
<p>I should add that amid the implementation of a brand new EHR and its distractions, added clinician clerical tasks and work flow changes for clinicians, any defects are indeed distractions that can impact patient care.</p>
<p>Here are other perhaps more obvious examples of distractions that can impact care:</p>
<p><a href="http://tinyurl.com/b28s74" rel="nofollow">http://tinyurl.com/b28s74</a></p>
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		<title>By: S Silverstein</title>
		<link>http://histalk2.com/2009/08/22/monday-morning-update-82409/comment-page-1/#comment-5321</link>
		<dc:creator>S Silverstein</dc:creator>
		<pubDate>Thu, 27 Aug 2009 03:53:52 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/08/22/monday-morning-update-82409/#comment-5321</guid>
		<description>Talk of the town,

Do you recognize the arrogance in IT personnel telling physicians what does and does not distract them?

It seems plaintiff&#039;s attorneys will make short work of IT personnel when such attitudes are exhibited and profiled.</description>
		<content:encoded><![CDATA[<p>Talk of the town,</p>
<p>Do you recognize the arrogance in IT personnel telling physicians what does and does not distract them?</p>
<p>It seems plaintiff&#8217;s attorneys will make short work of IT personnel when such attitudes are exhibited and profiled.</p>
]]></content:encoded>
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		<title>By: Talk of the Town</title>
		<link>http://histalk2.com/2009/08/22/monday-morning-update-82409/comment-page-1/#comment-5298</link>
		<dc:creator>Talk of the Town</dc:creator>
		<pubDate>Wed, 26 Aug 2009 13:56:33 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/08/22/monday-morning-update-82409/#comment-5298</guid>
		<description>&quot;non functional system that distracted doctors and could likely have led to adverse outcomes:&quot;

If you actually read the complaint - the good doctor&#039;s adverse outcome refers to the fact that he isn&#039;t getting paid at the higher E&amp;M code.  The issue in the complaint is that the E&amp;M coder was not working in the Touchworks application - a breach of trust and contract but certainly not impacting patient care.

Non-functional system - I can buy, but please don&#039;t cloak your outrage as impacting patient care which close to 100% of the people on this site think when you refer to &quot;adverse outcomes&quot;.</description>
		<content:encoded><![CDATA[<p>&#8220;non functional system that distracted doctors and could likely have led to adverse outcomes:&#8221;</p>
<p>If you actually read the complaint &#8211; the good doctor&#8217;s adverse outcome refers to the fact that he isn&#8217;t getting paid at the higher E&amp;M code.  The issue in the complaint is that the E&amp;M coder was not working in the Touchworks application &#8211; a breach of trust and contract but certainly not impacting patient care.</p>
<p>Non-functional system &#8211; I can buy, but please don&#8217;t cloak your outrage as impacting patient care which close to 100% of the people on this site think when you refer to &#8220;adverse outcomes&#8221;.</p>
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		<title>By: Dr. Zhivago</title>
		<link>http://histalk2.com/2009/08/22/monday-morning-update-82409/comment-page-1/#comment-5270</link>
		<dc:creator>Dr. Zhivago</dc:creator>
		<pubDate>Tue, 25 Aug 2009 05:04:55 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/08/22/monday-morning-update-82409/#comment-5270</guid>
		<description>Does  the HIT vendor executive criticizing Doc Silverstein above understand the dangers of the HIT things he defends?</description>
		<content:encoded><![CDATA[<p>Does  the HIT vendor executive criticizing Doc Silverstein above understand the dangers of the HIT things he defends?</p>
]]></content:encoded>
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		<title>By: S Silverstein</title>
		<link>http://histalk2.com/2009/08/22/monday-morning-update-82409/comment-page-1/#comment-5264</link>
		<dc:creator>S Silverstein</dc:creator>
		<pubDate>Mon, 24 Aug 2009 19:27:31 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/08/22/monday-morning-update-82409/#comment-5264</guid>
		<description>Anon writes: 

&quot;Hey Doc Silverstein, you should lay off the coffee before someone sues you for your “potentially distracting” HIStalk posting habit that “could likely lead to adverse outcomes”

Dear Anon,

Your comment is stupid.</description>
		<content:encoded><![CDATA[<p>Anon writes: </p>
<p>&#8220;Hey Doc Silverstein, you should lay off the coffee before someone sues you for your “potentially distracting” HIStalk posting habit that “could likely lead to adverse outcomes”</p>
<p>Dear Anon,</p>
<p>Your comment is stupid.</p>
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