Wholelottarob.com - Glaucoma/EMR

Monday

15Mar2010

Response to EHR Guy posting on Contextual Usability in EMRs

Monday, March 15, 2010 at 6:00AM

The EHR Guy posted an interesting topic for discussion at the EHRNET called “Why is Contextual Usability so Important for EMR Implementation Success?” I encourage readers to visit that forum to add to the discussion if this topic is of interest to you. Below is The EHR Guy’s topic posting and my response to get an idea of whether this might be worth discussing further.

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Mini neuropatties for mitomycin Trabeculectomy to avoid retained foreign body (video)

Thursday, March 11, 2010 at 4:00AM

Robert M Schertzer, MD, MEd, FRCSC

After having never ‘lost’ a mitomycin soaked sponge behind an eye in 16 years of performing this procedure, I recently had this happen twice. The first time, I thought that I should find a better way to prevent this and sought suggestions from colleagues and also reassurance that this has happened to them. The second time this happened, just a couple of weeks later, I implemented a change that two O.R. nurses thought of…the mini-neuropatties. This article shows video footage of losing a sponge along with the solution of using mini-neuropatties instead of pieces of instrument wipes. I also discuss why this is more likely to happen now than in earlier years.

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Setting education back 20 years through humiliation

Monday, March 8, 2010 at 5:00AM

Robert M Schertzer, MD, MEd, FRCSC

I was shocked to find teaching by public humiliation was still being practiced. Not where it happened to me, in medicine, but rather in the kindergarten - grade 12 (K-12) environment in one of my kids’ schools. Worse still is that the teacher was really proud of herself thinking she found the best way to help my child succeed.

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BC-wide Electronic Health Record (EHR) still a pipe dream

Thursday, February 25, 2010 at 2:11PM

Robert M Schertzer, MD, MEd, FRCSC

The BC-wide EHR initiative to date is failing interoperability, costs are beyond original planned federal matching funds, no strategic plan started until 4 yrs & $150 million spent, and doctors only consulted in past year. They are finally ready to assess physician adoption but are at least three years away from having an interoperable system in place. Perhaps this helps explain why still only about 5% of physicians have actually fully adopted an Electronic Medical Record system.

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