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	<title>Comments on: News 10/16/09</title>
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	<link>http://histalk2.com/2009/10/15/news-101609/</link>
	<description>Healthcare IT News and Opinion</description>
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		<title>By: Programmer</title>
		<link>http://histalk2.com/2009/10/15/news-101609/comment-page-1/#comment-6196</link>
		<dc:creator>Programmer</dc:creator>
		<pubDate>Sun, 18 Oct 2009 22:54:46 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/10/15/news-101609/#comment-6196</guid>
		<description>&lt;i&gt;Wonderful logic there, programmer.&lt;/i&gt;

I didn&#039;t post that comment.  

In any case, PezMan&#039;s logic makes a lot more sense than the gibberish you just posted.</description>
		<content:encoded><![CDATA[<p><i>Wonderful logic there, programmer.</i></p>
<p>I didn&#8217;t post that comment.  </p>
<p>In any case, PezMan&#8217;s logic makes a lot more sense than the gibberish you just posted.</p>
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		<title>By: Anon</title>
		<link>http://histalk2.com/2009/10/15/news-101609/comment-page-1/#comment-6194</link>
		<dc:creator>Anon</dc:creator>
		<pubDate>Sun, 18 Oct 2009 20:25:09 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/10/15/news-101609/#comment-6194</guid>
		<description>&quot;Anyone else find it ironic that there is someone so adamantly against IT and automation in the healthcare industry and she uses a PC to keep up with a blog daily&quot;

Wonderful logic there, programmer.

And paying $100 for a toaster is a good deal compared to buying a Ferrari.</description>
		<content:encoded><![CDATA[<p>&#8220;Anyone else find it ironic that there is someone so adamantly against IT and automation in the healthcare industry and she uses a PC to keep up with a blog daily&#8221;</p>
<p>Wonderful logic there, programmer.</p>
<p>And paying $100 for a toaster is a good deal compared to buying a Ferrari.</p>
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		<title>By: Programmer</title>
		<link>http://histalk2.com/2009/10/15/news-101609/comment-page-1/#comment-6191</link>
		<dc:creator>Programmer</dc:creator>
		<pubDate>Sat, 17 Oct 2009 22:00:51 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/10/15/news-101609/#comment-6191</guid>
		<description>&lt;i&gt;There are not any skeptics on the panel. &lt;/i&gt;

What kind of skeptics?  People who think that computers have no place in hospitals?  That&#039;s like putting witch doctors on a panel discussing medical standards.</description>
		<content:encoded><![CDATA[<p><i>There are not any skeptics on the panel. </i></p>
<p>What kind of skeptics?  People who think that computers have no place in hospitals?  That&#8217;s like putting witch doctors on a panel discussing medical standards.</p>
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		<title>By: Lazlo Hollyfeld</title>
		<link>http://histalk2.com/2009/10/15/news-101609/comment-page-1/#comment-6190</link>
		<dc:creator>Lazlo Hollyfeld</dc:creator>
		<pubDate>Sat, 17 Oct 2009 18:52:56 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/10/15/news-101609/#comment-6190</guid>
		<description>That LA Times article (which usually is one of the better major newspapers on health care issues) was pretty poor for several reasons.  

“time pressures, mandatory multitasking, and real-time attention demands (including EMRs) are burning out doctors who no longer have any contemplative time.&quot;

In comparison to what exactly?  How is &quot;burning out&quot; doctors and &quot;contemplative time&quot; conceptualized and defined?  How do you measure these things to show even a basic change over time?  

I hate when anecdotal junk like this makes it into a newspaper article but I generally find it is par standard for the course.  Not looking for anything &quot;academic&quot; but there should be a little more than just people complaining about their jobs and earning for the &quot;good olde days.&quot;  

&quot;citing “the blind trust of medical machinery” as a key cause since the incorrect dose came up on the screen every time and nobody noticed for 18 months.”

This is a notable design flaw in the software but it is still a process error in the end.  Should be a redundancy in the program that clearly highlights incorrect ranges that are out of the norm.   

I am sure that there were and are errors that occur for prolonged periods of time on paper too.  Drug delivery instructions on paper come immediately to mind.  

You are still going to have plenty of process errors with HIT (including whole new classes of errors) but taking isolated incidents and using them as a representative of HIT in general is a pretty flawed way to go about proving it.</description>
		<content:encoded><![CDATA[<p>That LA Times article (which usually is one of the better major newspapers on health care issues) was pretty poor for several reasons.  </p>
<p>“time pressures, mandatory multitasking, and real-time attention demands (including EMRs) are burning out doctors who no longer have any contemplative time.&#8221;</p>
<p>In comparison to what exactly?  How is &#8220;burning out&#8221; doctors and &#8220;contemplative time&#8221; conceptualized and defined?  How do you measure these things to show even a basic change over time?  </p>
<p>I hate when anecdotal junk like this makes it into a newspaper article but I generally find it is par standard for the course.  Not looking for anything &#8220;academic&#8221; but there should be a little more than just people complaining about their jobs and earning for the &#8220;good olde days.&#8221;  </p>
<p>&#8220;citing “the blind trust of medical machinery” as a key cause since the incorrect dose came up on the screen every time and nobody noticed for 18 months.”</p>
<p>This is a notable design flaw in the software but it is still a process error in the end.  Should be a redundancy in the program that clearly highlights incorrect ranges that are out of the norm.   </p>
<p>I am sure that there were and are errors that occur for prolonged periods of time on paper too.  Drug delivery instructions on paper come immediately to mind.  </p>
<p>You are still going to have plenty of process errors with HIT (including whole new classes of errors) but taking isolated incidents and using them as a representative of HIT in general is a pretty flawed way to go about proving it.</p>
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		<title>By: corpuscle</title>
		<link>http://histalk2.com/2009/10/15/news-101609/comment-page-1/#comment-6189</link>
		<dc:creator>corpuscle</dc:creator>
		<pubDate>Sat, 17 Oct 2009 17:01:19 +0000</pubDate>
		<guid isPermaLink="false">http://histalk2.com/2009/10/15/news-101609/#comment-6189</guid>
		<description>Compliments to Mr. HIStalk for excellent coverage

&quot;The Health IT Standards Committee will assemble a panel later this month to share best information management practices, bringing in experts from other industries. &quot;

The problem is that these experts are all yes men and women.  There are not any skeptics on the panel.  Any who may be skepttics are intimidated by the likes pf programmes and pisman.</description>
		<content:encoded><![CDATA[<p>Compliments to Mr. HIStalk for excellent coverage</p>
<p>&#8220;The Health IT Standards Committee will assemble a panel later this month to share best information management practices, bringing in experts from other industries. &#8221;</p>
<p>The problem is that these experts are all yes men and women.  There are not any skeptics on the panel.  Any who may be skepttics are intimidated by the likes pf programmes and pisman.</p>
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