West Coast Glaucoma Centre
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Glaucoma, Health IT, and EMR Look for regular postings here related to glaucoma, health information technology, and Electronic Medical Records. Also take note on the sidebar of my most recent brief postings on Twitter that are usually also related to these topics. Your comments are always welcome and can be posted as discussion points under any article below.

Thursday
11Mar2010

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

DateThursday, March 11, 2010 at 4:00AM AuthorRobert 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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Monday
08Mar2010

Setting education back 20 years through humiliation

DateMonday, March 8, 2010 at 5:00AM AuthorRobert 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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Thursday
25Feb2010

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

DateThursday, February 25, 2010 at 2:11PM AuthorRobert 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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Tuesday
23Feb2010

Keynote talk on the optic nerve in glaucoma

DateTuesday, February 23, 2010 at 11:40AM AuthorRobert M Schertzer, MD, MEd, FRCSC

Here is a video of the slides used from the 19Feb2010 discussion with our residents at UBC on the optic nerve in glaucoma. To read all the presenter notes that accompany these slides, visit the Photo Gallery version of this talk.

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