How Technology Will Create A Safer Healthcare System

It’s one of those great conundrums. Despite medicine being a highly intellectual field often at the cutting edge of science, we all too often remain near the bottom in terms of our information technology use. Maybe it’s the culture of medicine, a view that one should master everything and do everything despite knowing that this is an impossible goal? Maybe it’s lagging on the part of administration who may not understand the potential role of technology in the daily workflow of their physicians? Or maybe it’s just that we as a profession have never sat down and tried to understand what we’re missing, what we can do, and where we should go with the incorporation of informatics technology?

I choose to believe it is largely the last of these: that we as a profession have not yet began to put proper thought and action to purpose in terms of intelligently using technology to augment our abilities as clinicians. Continue reading

The Electronic Health Record – Where We Are, Where We’re Going

No situation is more devastating to an industry than to be data rich and information poor. Unless we can effectively use our data to get information, then we may as well not even have the data.

There are a variety of EHRs on the market right now – PowerChart, Quadramed, Amazing Charts, SOAPware, to name but a few – and they all do pretty much the same thing – display data about a patient. Essentially, they’ve become a digital version of the paper charts. Sure, they look nicer, are easier to use, and let you quickly find information, but for most purposes, they really don’t do much more than a traditional paper chart does.

So what’s wrong with this picture? Continue reading

Health Informatics

These slides go along with a presentation I put together on health informatics. Included are current concepts of health informatics, applications of the field, prior concepts, mathematics and probability-based systems and emerging concepts.

This presentation is available for download via Slideshare should you wish to reuse materials contained within.

Introductory Statistics

These are the slides that go along with a talk I gave on introductory statistics. Included is a discussion of basic concepts, confidence intervals and other key concepts of statistical analysis. This talk is geared toward analysts or researchers that already have some understanding of analysis.

This presentation is available for download via Slideshare should you wish to reuse materials contained within.

Pediatric Radiology

These are the slides that go along with a talk I gave recently on pediatric radiology. Included are some statistics on imaging, revision of guidelines for pediatric patients, a dosing table for procedures in mGy and six clinical cases including aortic coarctation, copper beaten skull, osteogenesis imperfecta, cystic fibrosis, Tetralogy of Fallot and Aicardi syndrome.

This presentation is available for download via Slideshare should you wish to reuse materials contained within.

Psychiatric Neuroimaging

These are the slides that go along with a talk I gave recently on psychiatric neuroimaging. It will probably be most interesting to medicine people since it requires some understanding of the brain’s function and neuroanatomy but I think it’s at the level where most anyone could get something out of it.

This presentation talks about why neuroimaging is important, diagnosis of mental illness, DSM-V v. DSM-IV TR and applications of neuroimaging to schizotypal personality disorder, schizophrenia, PTSD and bipolar disorder.

Anyway, if this is your thing – enjoy!

CT Imaging in Pregnancy

These are the slides that go along with a talk I gave recently on CT imaging in pregnancy. Specifically, the agenda for the talk is:

  • Provide a background on radiation and the effects of radiation exposure
  • Discuss the appropriate use of CT imaging in pregnancy
  • Clinical scenarios

In this presentation, a background on radiation is given and indications for CT and clinical scenarios are discussed. Each slide provides journal references and helps weave the topic into a story that is both interesting and informative.

Presentation material taken from journals with overall theme based on lecture by Elliot K. Fishman, MD.

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