UnChartA recent study hits too close to home: “Deskilling and adaptation among primary care physicians using two work innovations” says, essentially, that as primary care docs try to use innovation like EHRs and clinical guidelines, we become less trustworthy to our patients, less confident. Or as I’ve put it elsewhere here: I don’t want to [...]
Archive for September, 2011
Diabetes for MS3, 2011
Here are my slides about Diabetes for Lecture for PNWU. Diabetes for MS3s View more presentations from Jonathan Ploudre
Security and HITECH Tools
Thanks to Andy Helm and Georgia HITREC for security-related info for Meaningful Use. (And Thanks to Samuel Church, MD/MPH, for hooking this up for sharing.) This includes two major tools: a spreadsheet tool for conducting a security audit and a document with principles of security and checklists for applying them in a small practice. Good [...]
Opioid Treatment Agreement
Treatment Agreement I am being prescribed “controlled medications”. These may relieve pain but could cause overdose or become habit forming. It is my doctor’s duty to make sure these medications are being used as safely as possible and as intended. I will ask for refills only from my primary doctor. I will use only one [...]
Ambulatory Blood Pressure Monitor Patient Handout
Here’s my info handout for patients getting Ambulatory Blood Pressure Monitoring. It’s got some nice specifics: About 90 seconds to read, 8th Grade reading level. But it covers the key points I’ve learned with my first ~15 patients who’ve done ABPM. Your doctor has recommended you get “Ambulatory Blood Pressure Monitoring”. This is a portable [...]
ROS and Fast Forms: A Simple Work Flow
A guest post by Christine Hunter, PAC. Fastforms by Christine Hunter When we started eMDs two years ago, we tried to use the Fast Forms that eMDs had with the system. We were not very successful. We could never get a scanner that would read the form correctly, and drop it into the note. We [...]
Unfocus: The mouseless plan
It’s difficult to get a visit summary done in real-time without tradeoffs. (Sarcasm alert.) I’m awesome at tech can totally get them done. Why can’t everyone just click quickly? Seriously, though, I end up having one of these options: Ignore the patient and what they are saying while I click away Dead Airspace while the [...]
