What to do? Have your endoscopy

If you're unfa­mil­iar with the time period, the Lud­dites in Eng­land of the early nine­teenth cen­tury dis­ap­proved of the indus­trial rev­o­lu­tion, and wrecked fac­to­ries by means of indus­trial sab­o­tage to protest the replace­ment in their skilled hard work jobs with the aid of machin­ery. Their attempted social de-evolution led Lud­dites to exe­cu­tion or trans­porta­tion to Aus­tralia. Many today, wish­ing for return to a qui­eter, calmer, slower exis­tence, believe that the Lud­dites might also have been directly to something.

If you lean closer to the neo-Luddite, you might decide on to avoid EMR like the plague (In fact, you won't discover a good deal dis­pute in med­i­cine that the plague is in reality a good element to avoid, so per­haps the anal­ogy isn't always a wonderful one). We all understand peo­ple who don't have an electronic mail address (gasp!), which in our generation is like no longer being sure the way to use a tele­phone or play a CD (Although come to think about it, this anal­ogy may additionally have holes as properly. I'm now not always cer­tain how to use the mul­ti­func­tional "Swiss-Army-Knifish" cell phone that I own... Genuinely, why could I desire to shoot domestic movies on my smartphone, or study books on that itsy bitsy display screen. It's just no longer nat­ural. And day by day, I acci­den­tally close the telephone off at the same time as talk­ing the brush of an earring... Often sev­eral instances per con­ver­sa­tion if I'm par­tic­u­larly bejew­eled in a par­tic­u­larly styl­ish pair.). Oh my gosh, consistent with­haps I'm a neo-Luddite too!

My brother Robert is what I call a selec­tive Lud­dite. Although he works as a high stage com­puter pro­gram­mer for a multi­na­tional cor­po­ra­tion, he car­ries a pocket watch, and doesn't even personal a mobile smartphone. He is con­fused by con­ver­sa­tions approximately whether he can join your 'cir­cle', as he lim­its his tele­vi­sion view­ing as properly. Given the fre­quent inter­rup­tions of my existence through my personal in line with­sonal tor­ment device AKA cellular telephone, I can see his valid Lud­dit­ian factor.

Regard­much less of my sta­tus as a neo-Luddite wannabe, I am an EMR cheer­chief. I designed my personal one per­son prac­tice to be more suitable via use of recent EMR tech­nol­ogy- a tech­nol­ogy which permits the prac­tice to extra eas­ily serve our sufferers, in preference to buffer them away. In an workplace set­ting, when a affected person calls, we all may additionally have has get right of entry to to their chart on the touch of a/several however­lots. Imme­di­ate, real time care may be given, in place of the 'take a mes­sage and some­one may additionally call you again... Even­tu­best friend'. In addi­tion to bet­ter cus­tomer ser­vice and bet­ter affected person care, our prac­tice expenses loads much less- much less tran­scrip­tion, much less chart pulling by way of workforce, and much less postage as maximum cor­re­spon­dence is sent out via fax. Refer­ring physi­cians like our faxed reviews as their velocity in get­ting results whilst a patient waits of their workplace is near-immediately... And they want simplest request facts within the rare instance that statistics are not faxed out on the very day that the affected person is seen.

Beyond the workplace guy­age­ment and cus­tomer ser­vice logis­tics, we experience way of life logis­tics. I can check my lab outcomes and write notes wherein I am proper now, sit­ting on my back porch with a cord­less con­nec­tion. My workforce can join up from domestic to pro­vide clin­i­cal sup­port. My nurse Deb often­times takes patient infor­ma­tion sheets domestic to do information entry inside the night or past due at night time for our direct get admission to colonoscopy patients; she will get right of entry to the office thru secured server and a vir­tual desk­top. I myself have stored in touch from the Incan tem­ples of Pe­ruto my rural lake­facet retreat. My EMR buys my team of workers time and flexibility.

My free­dom, in a bun­dle that weighs much less than five pounds.

But what approximately endoscopy? Is the strength of EMR being har­nessed accurately on your suite? Per­haps now not.

From the doc­tor point of view to your unit, EMR is groovy. We use tender­ware like EndoSoft, permit­ing us to speedy gen­er­ate a report with complete colour pho­tos based on our personal in line with­son­al­ized tem­plates, after which ship that report by fax to our refer­ring medical doctors and hand a spare reproduction to patients. Quick grat­i­fi­ca­tion. Great cus­tomer ser­vice. Exclude the middleman/lady of med­ical records and tran­scrip­tion. What's now not to love? Oh, and our hos­pi­tal loves our endoEMR too, esti­mat­ing that we is probably sav­ing as a good deal as $a hundred,000 per year in tran­scrip­tion costs (of route, the sys­tem prices cash, however once it is up and run­ning, the pay­again duration is rel­a­tively quick).

But then I observe my cir­cu­lat­ing nurses paintings sta­tion and roll my eyes. IMHO, endoscopy nurses and EMR have not prop­erly inter­faced. Anna's cart fea­tures a com­puter display and key­board for the sur­gi­cal sched­ul­ing com­puter, any other com­puter screen for the hos­pi­tal sys­tem (to go into pathol­ogy his­tory information), and yet any other display of kinds for the mon­i­tor, the critical signs and symptoms dis­performed then entered guy­u­best friend into papers wedged on the remain­ing sliver of area remain­ing on top of the table. Yesh. Adding every other non inter­fac­ing com­puter does no longer con­sti­tute a use­ful affected person care tool; the prob­lem in our suite seems to be a com­mit­ment with the aid of the Hos­pi­tal Infor­ma­tion Sys­tems (HIS) oldsters on mak­ing the inter­face of those mul­ti­ple machines paintings. Just look­ing at the mul­ti­ple sys­tems, I'm tin­gling with an indus­trial sab­o­tage Luddite-ish urge.

My ques­tion: Do your nurses, par­tic­u­larly the spe­cialty nurses like those in GI, have a seat at your sanatorium's HIS con­fer­ence table when new tech­nol­ogy is cho­sen and imple­mented? I can­now not imag­ine it's so, with the dearth of coher­ence I see on that cart throughout the stretcher from me each day.

What to do? Have your endoscopy unit guy­ager con­tact HIS and hos­pi­tal admin­is­tra­tion, and ensure that inter­ested and tech savvy nurses are appointed to pur­chase and imple­guys­ta­tion com­mit­tees for new tender­ware instal­l.  A.­tions at your hos­pi­tal or endoscopy cen­ter. Or employ a techno savvy endo nurse to inter­face with HIS geeks to work on the endo sys­tem you already have, until a clean and seam­less inter­face between the mul­ti­ple mon­i­tors is realized.

EMR holds a brilliant deal of promise in med­i­cine. The promise to allow us more qual­ity time with our patients, much less redun­dant labor, bet­ter com­mu­ni­ca­tion. But only you can dare to include, and inter­face with, your tech­nol­ogy. It's either that or face trans­porta­tion as a Luddite.

Humor­ous med­ical moti­va­tional speaker Patri­cia Ray­mond MD resus­ci­tates the pleasure in med­i­cine and publications physi­cians and nurses to discover ways to play nicely in our shared med­ical sand­field. Author of Don't Jet­ti­son Med­i­cine: Resus­ci­tate Your Pas­sion for the Career You Loved, Dr. Ray­mond is the right rem­edy to make your hos­pi­tal healthful. Book Dr. Ray­mond for your subsequent hos­pi­tal occasion or med­ical con­ven­tion;


References:

http://commentcamarche.forumcrea.com/viewtopic.php?pid=35875#p35875

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