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April 21, 2014 Headlines 6 Comments

Heading off the alarms at Boston Children’s Hospital

Boston Children’s Hospital is piloting a predictive analytics tool in its cardiac ICU that it hopes will help combat alarm fatigue by predicting changes in patient condition before alarms sound, and then creating a real-time "heat map" of the unit that tells staff where resources should be directed next.

Scribes Are Back, Helping Doctors Tackle Electronic Medical Records

NPR reports on the medical scribe industry in the US, which is booming in parallel with EHRs.

Wikipedia Usage Estimates Prevalence of Influenza-Like Illness in the United States in Near Real-Time

Researchers at Harvard Medical School find that flu outbreaks can be predicted by monitoring spikes in traffic to Wikipedia pages about the flu and flu-like symptoms. The resulting annual figures were in line with CDC reports, and far outperformed Google Flu Trends, which predicts outbreak numbers based on Google search terms.

Obamacare enrollees urged to change passwords over Heartbleed bug

Healthcare.gov posted a message on Saturday informing users that all passwords had been automatically reset in response to the Heartbleed computer virus.

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Currently there are "6 comments" on this Article:

  1. I don’t like this increasing prevalence of scribes in the ED and other locations because of the game of telephone that occurs, plus the need to cosign everything, but I recognize that this is driven by the need for speed. Sure, physicians need to get used to EMRs, but then EMRs also need to turn their focus to usability. (I don’t see how one can have CPOE with a scribe, but I don’t think the departments who hire scribes are worried about whether they have pure CPOE. Will future regulations in favor of CPOE kill/prune these scribes?)

  2. Here’s an interesting article from last October courageously contrasting Epic/Cerner with VA Vista.

    Any guidance / feedback from the readers on VA Vista EHR installed in NON-VA organizations ? in NON-governmental organizations ?

    VA Vista – Good, bad, ugly ?

  3. Are not the scribes defeating the original purpose of CPOE and EHR, which was to avoid non physicians from performing the critical functions to avoid errors?

    Thus, why not simply have the patient care unit secretaries do the work, as they had for decades?

    I do not get it.

  4. It’s not a courageous article. It’s a biased article in the “Open Health News”.

    That’s like taking a comparison document from Cerner’s web site and saying it is unbiased.

  5. @Keith McItkin, PhD. — yes! Exactly! These health systems just swap one kind of non-MD, non-credentialed user entering data (created by the MD) for another.







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