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Comment: Re:shit (Score 1) 173

Somewhat disturbingly, no. As a general rule, you can only sue the government if it lets you do so. If you get railroaded by a prosecutor, your only recourse in most instances is to convince the legislature to grant you a sum of money. The state doesn't even have to give you a cab ride into town from the prison.

Comment: Re:No new treatments? (Score 1) 23

by demonlapin (#49482015) Attached to: How Brain Pacemakers Treat Parkinson's Disease
That's improving delivery, not improving the drug. It's still an ugly hack of a drug - one that I'm glad we have, but an ugly hack. Pyridostigmine for myasthenia gravis falls in the same category. If you want to see a synaptic-effect drug that is a real advance, look at sugammadex for reversal of aminosteroid paralytics.

Comment: Re:Usability metrics, anyone? (Score 1) 184

"I would love an EMR that makes my job easy."

Well, no kidding. Isn't that the whole point of automation - making our jobs easier? What would be the state of the automotive industry if cars were slower than walking?

This is usually heard from doctors who are upset they have to actually take five minutes to put in what they mean

Look, you want to take potshots at doctors, feel free. God complex/prima donna? Yeah, sure, it happens. I've done it myself, though I'm not proud of it. But is lazy really the right word for people who spend seven to twelve years after college just laying the groundwork for a career?

It is beyond idiotic that physicians are expected to work as data entry clerks. Thirty years ago, a doctor could grab a couple of nurses on the floor and make rounds with them, dictating orders as they went. The nurses had the opportunity to ask questions about orders that seem strange right then and there, and the doctor could clarify them so that everyone knew what was going on. If a family member came by later in the day, the nurse already knew the doctor's reasoning for a treatment plan and could tell them without having to make a phone call requesting that I speak to Mr. So-and-So's brother. Even better, the nurses could save up all their less-important questions for that once-a-day interaction, saving everyone a lot of time. Now, the doctors are expected to enter all of those orders themselves, in a clunky system that takes upwards of a minute of dedicated time to enter a set of standing orders with no options changed from default. Multiply by sixty patients a day...

Of course, not only do they not want to spend time to figure out and plan a new workflow, they often don't want to actually spend time and figure out their current workflow. They just hand everything off to the computer people who don't know why they do anything, but are just told to duplicate it.

Well, the computer people are paid to do that sort of thing. I'm not. I mean, sure, if you want to pay me a consultant's fee, I'll sit down and really analyze my workflow and tell you what I think is going on, and how I think it could be improved, but I'm not a systems analyst, a programmer, or an IT guy, so there's no real reason to think that my input is particularly valuable in itself. Paying someone to follow me around and watch me work would make a lot more sense.

Comment: Re:Usability metrics, anyone? (Score 1) 184

A hybrid system in which paper charts are scanned in at discharge and available for review in a computer system offer something like 95+% of the value of a full EMR from a clinician's point of view. Not necessarily from a data miner's, but since I get paid to be a clinician and don't get paid for the mined data, I don't have a lot of interest in increasing my own workload so the hospital can make more money. Especially as I'm not a hospital employee.

"Consequences, Schmonsequences, as long as I'm rich." -- Looney Tunes, Ali Baba Bunny (1957, Chuck Jones)

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