Usemed, Arild Faxvaags weblog on healthcare computing

April 1, 2010

Clinicians need to take back ownership of the medical record

Filed under: Uncategorized — arildf @ 2:34 am

On the us of electronic medical records to reduce diagnostic errors: Schiff and Bates.

July 27, 2009

More on Clinical Departmental systems vs. the EPR

Filed under: Uncategorized — arildf @ 4:18 am

Just to announce a new publication in BMC Medical Informatics and decision-making: Beyond the EPR: Complementary roles of the hospital-wide electronic health record and clinical departmental systems (link). Clinical departmental systems (CDSs) are small EPR like systems that typically are tailored to the clinical needs of one or a few clinical departments. In many hospitals, the management believe that such systems will become superfluous when an institution-wide Electronic patient record (EPR) system is in place. In this project, we explored the many uses of Clinical departmental systems as well as of clinical data resulting from their use. A key to the value of CDSs lies in that they support the generation, storage and re-use of structured clinical data. With such functionality, such systems were superior to the state-of the-art hospital-wide EPR system w.r.t. supporting clinical tasks as well as quality control and research activities at the departments.

March 3, 2009

Problems with the Veterans Affairs EMR system

Filed under: Uncategorized — arildf @ 10:56 pm

A hospital that implements an IT-system to reduce the occurrence of medical errors might see the opposite effect. More in JAMA.

March 2, 2009

The wild west of medical imaging

Filed under: Uncategorized — arildf @ 3:23 am

An interesting read in the New York Times:”More than 95 million high-tech scans are done each year, and medical imaging, including CT, M.R.I. and PET scans, has ballooned into a $100-billion-a-year industry”.

February 28, 2008

The Open eHealth foundation is not so open after all?

Filed under: Open source in healthcare,Uncategorized — arildf @ 2:32 am

I do not understand why an organization that purports to contribute to open source sofware for healthcare need to establish a member-only closed community.

September 19, 2005

ECSCW 2005

Filed under: Uncategorized — arildf @ 10:19 pm
Tags: ,

Title: ECSCW 2005


Abstract: I have arrived in Paris to attend the ECSCW conference. We are presenting a paper at a workshop tomorrow: “Reconfiguring healthcare:Issues in Computer Supporter Collaborative Work in Healthcare Environments “.


Body: More info will follow after the workshop.

September 2, 2005

Quality Aims for the 21st Century Health System

Filed under: Uncategorized — arildf @ 10:36 pm

Rod points  to a new report from the US National academy of sciences. Recommendation 5-1a. The federal government, in partnership with the private sector, universities, federal laboratories, and state governments, should establish multi-disciplinary centers at institutions of higher learning throughout the country capable of bringing together researchers, practitioners, educators and students from appropriate fields of engineering, health sciences, management, social and behavioral sciences to address the quality and productivity challenges facing the nation’s health care delivery system.   

August 28, 2005

Privacy vs usability.

Filed under: Uncategorized — arildf @ 10:55 pm

This publication (Pubmed) is based on analysis of interviews with patients using a web-based system for sending messages to their primary care physician. In Norway every patient has been assigned a primary care physician whose role is to provide primary care and to coordinate speciality care, physiotherapy etc.

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