Archive for the ‘hospitals’ Category

Health Care: Computerized Records Just Won’t Lead to Better “Care” or Cost Savings

March 5, 2009

If the cheerleaders – including the one in the Oval Office – are right, computerized medical records will save us all: save jobs, save money, reduce errors, and transform health care as we know it. In a January speech, President Obama evoked the promise of new technology: This will cut waste, eliminate red tape and reduce the need to repeat expensive medical tests,” he said, and he has proposed investing $50 billion over the next five years to help make it happen.

By Scot Haig
Time Magazine

 

Any doctor will tell you the advantages of having lots of patient data on computers: it helps us avoid redundant tests, gather huge amounts of data for research, screen automatically for drug interactions, all with no problems with our famously illegible handwriting. I would be happy if every patient could hand me a digital file of everything about him; it could really save time on first visits. But against our government’s push to get all patients’ records computerized we must keep in mind there will be a cost to this – far beyond the billions to be spent setting it up. Many of us in medicine are concerned that the greatest cost will be in the quality of medicine that we practice. (Read “The Year in Medicine 2008: From A to Z”)

 

American doctors have not been enemies of the digital revolution. Looking up lab results and x-rays on our computer screens beat out carbon copies and sheet film in an instant. We like e-mail; we shop, take tests and read our journals on line. But the romance, for most of us, began to sour with Computerized Physician Order Entry [CPOE]: entering patients’ hospital orders on the computer. This is when we first confronted the downside to uploading our every medical judgment.

 

The majority of us are forced to use computerized orders or risk losing our hospital privileges. But most of us have found that CPOE is a lot harder than writing out orders on paper, takes far more time and in too many ways is just not as good. We’re never quite sure that what we’ve typed is going to be seen by a real, live, analog nurse, that it isn’t just going to disappear. (It does.) We can’t order certain things with those buttons and pull-down menus that we could in writing – things like “patient may wear her own flannel nightgown and underwear” or “please, please get the x-ray I ordered for yesterday”, or “prop up patient’s legs with pillows like this” followed by a little stick-figure drawing. (See pictures from an X-Ray studio.)

Read the rest:
http://news.yahoo.com/s/time/200903
05/hl_time/08599188300200

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America’s Future? Grim Reality Unless Major Changes Are Adopted

December 10, 2008

In the future, America will be more diverse, more open to gays and more ploitically correct.

Americans will be even more caring for the human rights of their fellow man.

But Americans will generally be less wealthy, more stupid, more drug addicted and mezmerized by the future of the Internet and “Dancing With The Stars.”

Can another conclusion be reached?

America has lost or given away its industrial prowess.  Even the “Big 3” auto companies are on the public dole.

VysokePece1.jpg

Drug and alcohol abuse and addiction are up.  And if you go to any hospital for “care,” you’ll end up loaded with drugs.

Americans are working harder, playing less and earning less for more than ever before.

And our schools are failing miserably.

America still has massive military might: but many lawmakers want to give this away and spend the money on “other priorities.”

The USS Ronald Reagan
Above: Symbol of American greatness or a big bill payer?

In the future America, food security may be an issue, we could run out of water, and our health care system may collapse.

I didn’t make all this up: I am just good at reading the tea leaves (and the headlines).

Barack Obama has a full plate.  And so do parents, lawmakers, teachers and business executives: if we want to see a brighter future for our grandchildren.

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