tag:blogger.com,1999:blog-9551150.post2280064351900982528..comments2024-03-28T01:27:23.408-04:00Comments on Health Care Renewal: Healthcare IT Failure and The Arrogance of the IT IndustryRoy M. Poses MDhttp://www.blogger.com/profile/00497209843184497847noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-9551150.post-27301098911130316392010-01-11T14:05:46.483-05:002010-01-11T14:05:46.483-05:00Michael,
Arrogance towards whom?
Thanks for the ...Michael,<br /><br />Arrogance towards whom?<br /><br />Thanks for the comments and interesting observations about how IT achieved a higher level in healthcare organizations than their limited-to-no medical experience justify to any sensible person.<br /><br />This perhaps explains how I could inform IT personnel that their hanging standard business class computers on the ceilings above the beds InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-36088490429014796332010-01-09T07:50:54.433-05:002010-01-09T07:50:54.433-05:00At risk of arrogance, an outsider suggests that se...At risk of arrogance, an outsider suggests that several issues exist.<br /><br />The easiest is the arrogance of IT. This stems from the fact that computers were, for a number of years, the largest and most resource-intensive assets that many computer-using entities owned. As a result, IT personnel attached at an organizational level far higher than would have been the case had those peoples'CaseyJhttps://www.blogger.com/profile/00766989282372017083noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-35553610866479525812009-12-03T23:16:12.009-05:002009-12-03T23:16:12.009-05:00Very well stated, Scot; and JP, you are an HIT fol...Very well stated, Scot; and JP, you are an HIT folk hero for getting your report out there.<br /><br />HIT systems are unlikely to provide meaningful efficiencies in care as long as they remain unsafe due to a myriad of the problems known to exist.<br /><br />JP, it would be helpful to organize a user friendly program to get users to establish the magnitude of the near misses and adverse events Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-35905207990142593552009-12-03T16:09:51.606-05:002009-12-03T16:09:51.606-05:00jon patrick wrote:
These three axioms imply that ...jon patrick wrote:<br /><br /><i>These three axioms imply that we have to firstly reproduce the existing methods of work in the hospital and then gradually and by negotiation introduce changes to those methods that can be enhanced by IT.</i><br /><br />Agreed. Key terms: gradually, by negotiation, enhance (not "revolutionize.")<br /><br />-- SSInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-72167734434608529172009-12-03T15:53:49.522-05:002009-12-03T15:53:49.522-05:00These comments present contrastive positions of on...These comments present contrastive positions of on the one hand saying the design of the paper chart has a 100 years experience in it and is efficient versus the other argument that says lets use the computer to change things.<br /><br />We have to recognise the value of both these views. We can't totally disrupt existing ways of working in places like hospitals because the risk of something jon patrickhttp://www.it.usyd.edu.au/~hitrunoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-5536131140989471662009-12-03T15:42:10.022-05:002009-12-03T15:42:10.022-05:00"Given the cognitive and technical inefficien...<i>"Given the cognitive and technical inefficiencies of computers, if we are just going to recreate the paper chart why bother with EHRs at all?"</i><br /><br />For many of the reasons commonly stated about EHR's, which are, I believe, achievable. Improved availability of information, improved research capabilities, possibilities enabled by decision support tools, etc.<br /><br />&InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-85988953366750291522009-12-03T14:42:00.418-05:002009-12-03T14:42:00.418-05:00As neither a clinician nor an IT expert but one of...As neither a clinician nor an IT expert but one of the many who has been put in the middle in recent years, I have a question. Given the cognitive and technical inefficiencies of computers, if we are just going to recreate the paper chart why bother with EHRs at all?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9551150.post-45051294441110291202009-12-03T14:08:33.939-05:002009-12-03T14:08:33.939-05:00"The user is unimportant" was oft repeat...<i>"The user is unimportant" was oft repeated in the introductory programming class I took earlier this decade. I think the idea was that we should not let "business" taint the process of programming.</i><br /><br />I am going to be unequivocal about this.<br /><br />Anyone proffering such advice is a fool. Computer programs are not sacred text deserving of purity unaffected InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-9551150.post-27561528053690333822009-12-03T13:17:52.029-05:002009-12-03T13:17:52.029-05:00"The user is unimportant" was oft repeat..."The user is unimportant" was oft repeated in the introductory programming class I took earlier this decade. I think the idea was that we should not let "business" taint the process of programming.<br /><br />Perhaps one of the reasons there are problems is that the process does not start with health caregivers, but instead in administration and IT departments who determine DayOwlnoreply@blogger.com