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The use of speech as an integral tool to clinical documentation and the capture of clinical knowledge continues to expand. In this piece from Healthcare IT News (Busy physicians want to leverage power of dictation) Dr Levine an OBGYN resident reports his experiences and states speech recognition software allows me to "interpret out loud" and […]

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Hidden in an article that reviewed nursing opinions on computerized records: (AFT: Nurses Express Mixed Opinions on Computerized Records) was a striking data point While 73 percent said implementation of the systems went smoothly, many problems were identified, including 52 percent who said physicians are refusing to use the new systems. Yikes – that alone […]

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Imaging Economics ran a piece on Speech Recognition in use at Greensboro and Mount Sinai http://www.imagingeconomics.com/issues/articles/2010-05_02.asp Speech and voice recognition systems have come a long way, and while no technology translates everything perfectly, expanding capabilities have increased both usefulness and effectiveness. As for its use in the EMR Yet, the integration of speech recognition for […]

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In an article in the April 29 issue of the New England Journal of Medicine titled What’s Keeping Us So Busy in Primary Care? A Snapshot from One Practice (pdf) Richard Baron analyzes his practices activities. What is surprising is the extent to which non-reimbursed activities are part of the general work.The breakdown of services […]

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Finally some sanity in what has become a ridiculous storm of challenging and sometimes impossible hurdles. Microsoft Research has validated what I am betting the vast majority of users know already that Many of these irritating security measures are a waste of time This was featured in an article by Mark Pothier from the Boston […]

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Pauline Chen wrote a piece in the NY Times on April 22, 2010 titled: An Unforeseen Complication of Electronic Medical Records which in many respects is an understatement. There are many untended consequences big and small and while the appreciation of the benefits: fewer missing charts streamlined information and efficient work-flow patterns It was with […]

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In an interesting article in HealthAffairs this month “Mixed Results In The Safety Performance Of Computerized Physician Order Entry” (abstract only – subscription required for full article) the authors carried out a simulation of Computerized Physician Order Entry (CPOE) effectiveness. It is a unique study with a relatively small sample size (62 facilities) that was […]

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Everyone agrees we need codified structured data for problem lists, medication, allergies and labs…….or do they? John Halmka wrote a piece for HealthcareIT News earlier this month titled “Rethinking Clinical Documentation” in which he asks what is the role of unstructured clinical documentation text In many instances there has been an attempt to drive unstructured […]

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