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	<title>Comments for Titin.net</title>
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	<link>http://titin.net</link>
	<description>My thoughts on Family Medicine and Health Informatics</description>
	<lastBuildDate>Thu, 31 May 2012 19:04:04 +0000</lastBuildDate>
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		<title>Comment on Clinician&#8217;s Computerized Documentation Adds More Problems by titindotnet</title>
		<link>http://titin.net/2009/04/26/clinicians-computerized-documentation-adds-more-problems/#comment-2861</link>
		<dc:creator><![CDATA[titindotnet]]></dc:creator>
		<pubDate>Thu, 31 May 2012 19:04:04 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/2009/04/26/clinicians-computerized-documentation-adds-more-problems/#comment-2861</guid>
		<description><![CDATA[Thank you for your comment.
I am against over automation. There are parts of Electronic Heath Records that lend themselves to full automation, as drug checks (your example). However, other parts as clinicians narratives ( as progress notes) do not lend themselves to automation. In the quoted study automating this part produces unwanted effects.]]></description>
		<content:encoded><![CDATA[<p>Thank you for your comment.<br />
I am against over automation. There are parts of Electronic Heath Records that lend themselves to full automation, as drug checks (your example). However, other parts as clinicians narratives ( as progress notes) do not lend themselves to automation. In the quoted study automating this part produces unwanted effects.</p>
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		<title>Comment on Clinician&#8217;s Computerized Documentation Adds More Problems by Marlene</title>
		<link>http://titin.net/2009/04/26/clinicians-computerized-documentation-adds-more-problems/#comment-2859</link>
		<dc:creator><![CDATA[Marlene]]></dc:creator>
		<pubDate>Thu, 31 May 2012 14:43:02 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/2009/04/26/clinicians-computerized-documentation-adds-more-problems/#comment-2859</guid>
		<description><![CDATA[It seems to me that you argue against the worth of CDS in a busy ocffie practice. Actually you made the case at  Relevance . The other points were just window dressing. For CDS to work effectively in a busy clinical practice, one would need vary fast (expensive) processors with ability to frequently upgrade equipment. The only piece that seems useful (drug interaction check) usually becomes very slow in patients with poly-pharmacy (10-15 drugs). These are the patients that we really need to run these checks, but a lot of time elapse while a system cross-checks 15 drugs. The answer to your question, unfortunately is  no . CDS can perhaps help one avoid major mistakes, if used appropriately, but that does not define a good clinician.]]></description>
		<content:encoded><![CDATA[<p>It seems to me that you argue against the worth of CDS in a busy ocffie practice. Actually you made the case at  Relevance . The other points were just window dressing. For CDS to work effectively in a busy clinical practice, one would need vary fast (expensive) processors with ability to frequently upgrade equipment. The only piece that seems useful (drug interaction check) usually becomes very slow in patients with poly-pharmacy (10-15 drugs). These are the patients that we really need to run these checks, but a lot of time elapse while a system cross-checks 15 drugs. The answer to your question, unfortunately is  no . CDS can perhaps help one avoid major mistakes, if used appropriately, but that does not define a good clinician.</p>
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		<title>Comment on True Goals Of Electronic Medical Records by ICMCC Website - Articles &#187; Blog Archive &#187; True Goals Of Electronic Medical Records</title>
		<link>http://titin.net/2009/06/22/true-goals-of-electronic-medical-records/#comment-2803</link>
		<dc:creator><![CDATA[ICMCC Website - Articles &#187; Blog Archive &#187; True Goals Of Electronic Medical Records]]></dc:creator>
		<pubDate>Mon, 22 Jun 2009 16:33:33 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/2009/06/22/true-goals-of-electronic-medical-records/#comment-2803</guid>
		<description><![CDATA[[...] Article Khalid Al-Maghaslah, Titin.net, 22 June 2009 SHARETHIS.addEntry({ title: &quot;True Goals Of Electronic Medical Records&quot;, url: &quot;http://articles.icmcc.org/2009/06/22/true-goals-of-electronic-medical-records/&quot; }); [...]]]></description>
		<content:encoded><![CDATA[<p>[...] Article Khalid Al-Maghaslah, Titin.net, 22 June 2009 SHARETHIS.addEntry({ title: &quot;True Goals Of Electronic Medical Records&quot;, url: &quot;<a href="http://articles.icmcc.org/2009/06/22/true-goals-of-electronic-medical-records/&#038;quot" rel="nofollow">http://articles.icmcc.org/2009/06/22/true-goals-of-electronic-medical-records/&#038;quot</a>; }); [...]</p>
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		<title>Comment on Focus on the Performance of EMRs Instead of Their Content by ICMCC Website - Articles &#187; Blog Archive &#187; Focus on the Performance of EMRs Instead of Their Content</title>
		<link>http://titin.net/2009/06/21/focus-on-the-performance-of-emrs-instead-of-their-content/#comment-2800</link>
		<dc:creator><![CDATA[ICMCC Website - Articles &#187; Blog Archive &#187; Focus on the Performance of EMRs Instead of Their Content]]></dc:creator>
		<pubDate>Mon, 22 Jun 2009 06:17:31 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/2009/06/21/focus-on-the-performance-of-emrs-instead-of-their-content/#comment-2800</guid>
		<description><![CDATA[[...] Article Khalid Al-Maghaslah, Titin.net, 21 June 2009 SHARETHIS.addEntry({ title: &quot;Focus on the Performance of EMRs Instead of Their Content&quot;, url: &quot;http://articles.icmcc.org/2009/06/22/focus-on-the-performance-of-emrs-instead-of-their-content/&quot; }); [...]]]></description>
		<content:encoded><![CDATA[<p>[...] Article Khalid Al-Maghaslah, Titin.net, 21 June 2009 SHARETHIS.addEntry({ title: &quot;Focus on the Performance of EMRs Instead of Their Content&quot;, url: &quot;<a href="http://articles.icmcc.org/2009/06/22/focus-on-the-performance-of-emrs-instead-of-their-content/&#038;quot" rel="nofollow">http://articles.icmcc.org/2009/06/22/focus-on-the-performance-of-emrs-instead-of-their-content/&#038;quot</a>; }); [...]</p>
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		<title>Comment on Data contained within Electronic Medical Records by ICMCC Newspage &#187; Blog Archive &#187; Data contained within Electronic Medical Records</title>
		<link>http://titin.net/2008/12/26/data-contained-within-electronic-medical-records/#comment-168</link>
		<dc:creator><![CDATA[ICMCC Newspage &#187; Blog Archive &#187; Data contained within Electronic Medical Records]]></dc:creator>
		<pubDate>Sat, 27 Dec 2008 07:19:47 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/2008/12/26/data-contained-within-electronic-medical-records/#comment-168</guid>
		<description><![CDATA[[...] in their excellent article titled: how to limit clinical errors in interpretation of data.&#8221; Article Khalid Al-Maghaslah, Titan.net, 26 December [...]]]></description>
		<content:encoded><![CDATA[<p>[...] in their excellent article titled: how to limit clinical errors in interpretation of data.&#8221; Article Khalid Al-Maghaslah, Titan.net, 26 December [...]</p>
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		<title>Comment on Achieving interface consistency in EMRs by Data contained within Electronic Medical Records &#171; Titin.net</title>
		<link>http://titin.net/2008/12/22/achieving-interface-consistency-in-emrs/#comment-51</link>
		<dc:creator><![CDATA[Data contained within Electronic Medical Records &#171; Titin.net]]></dc:creator>
		<pubDate>Fri, 26 Dec 2008 05:45:28 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/?p=90#comment-51</guid>
		<description><![CDATA[[...]    Posted December 26, 2008 Filed under: Health Informatics &#124;   In my previous post: achieving interface consistency in EMRs, I presented Nygren, Wyatt and Wright (1998) view of EMR interfaces components. These are [...]]]></description>
		<content:encoded><![CDATA[<p>[...]    Posted December 26, 2008 Filed under: Health Informatics |   In my previous post: achieving interface consistency in EMRs, I presented Nygren, Wyatt and Wright (1998) view of EMR interfaces components. These are [...]</p>
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		<title>Comment on Electronic Medical Records&#8217; use cases by ICMCC Newspage &#187; Blog Archive &#187; Electronic Medical Records’ use cases</title>
		<link>http://titin.net/2008/12/22/electronic-medical-records-use-cases/#comment-23</link>
		<dc:creator><![CDATA[ICMCC Newspage &#187; Blog Archive &#187; Electronic Medical Records’ use cases]]></dc:creator>
		<pubDate>Mon, 22 Dec 2008 06:55:25 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/2008/12/22/electronic-medical-records-use-cases/#comment-23</guid>
		<description><![CDATA[[...] informaticians overly focus on data entry, I will only present data retrieval use cases.&#8221; Article Titin.net, 22 December [...]]]></description>
		<content:encoded><![CDATA[<p>[...] informaticians overly focus on data entry, I will only present data retrieval use cases.&#8221; Article Titin.net, 22 December [...]</p>
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		<title>Comment on What should be stored in Electronic Medical Records? by ICMCC Newspage &#187; Blog Archive &#187; What should be stored in Electronic Medical Records?</title>
		<link>http://titin.net/2008/12/22/what-should-be-stored-in-electronic-medical-records/#comment-22</link>
		<dc:creator><![CDATA[ICMCC Newspage &#187; Blog Archive &#187; What should be stored in Electronic Medical Records?]]></dc:creator>
		<pubDate>Mon, 22 Dec 2008 06:53:37 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/?p=89#comment-22</guid>
		<description><![CDATA[[...] for EMRs. In the this post I will present Wyatt (1994) view of what data constitute an EMR.&#8221; Article Titian.net, 22 December [...]]]></description>
		<content:encoded><![CDATA[<p>[...] for EMRs. In the this post I will present Wyatt (1994) view of what data constitute an EMR.&#8221; Article Titian.net, 22 December [...]</p>
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		<title>Comment on How should we define Electronic Medical Records? by ICMCC Newspage &#187; Blog Archive &#187; How should we define Electronic Medical Records?</title>
		<link>http://titin.net/2008/12/22/how-should-we-define-electronic-medical-records/#comment-21</link>
		<dc:creator><![CDATA[ICMCC Newspage &#187; Blog Archive &#187; How should we define Electronic Medical Records?]]></dc:creator>
		<pubDate>Mon, 22 Dec 2008 06:49:59 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/2008/12/22/how-should-we-define-electronic-medical-records/#comment-21</guid>
		<description><![CDATA[[...] and Crispin 1994) The following three points describe how can this definition be deducted.&#8221; Article Titin.net, 22 December [...]]]></description>
		<content:encoded><![CDATA[<p>[...] and Crispin 1994) The following three points describe how can this definition be deducted.&#8221; Article Titin.net, 22 December [...]</p>
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		<title>Comment on Fitts&#8217;s Law Application in Health Informatics by Bookmarks about Helath</title>
		<link>http://titin.net/2008/03/18/fittss-law-application-in-helath-informatics/#comment-18</link>
		<dc:creator><![CDATA[Bookmarks about Helath]]></dc:creator>
		<pubDate>Tue, 16 Sep 2008 08:15:24 +0000</pubDate>
		<guid isPermaLink="false">http://titindotnet.wordpress.com/?p=29#comment-18</guid>
		<description><![CDATA[[...] - bookmarked by 1 members originally found by mtk100 on 2008-08-21  Fitts’s law Application in Helath Informatics  http://titin.net/2008/03/18/fittss-law-application-in-helath-informatics/ - bookmarked by 6 [...]]]></description>
		<content:encoded><![CDATA[<p>[...] &#8211; bookmarked by 1 members originally found by mtk100 on 2008-08-21  Fitts’s law Application in Helath Informatics  <a href="http://titin.net/2008/03/18/fittss-law-application-in-helath-informatics/" rel="nofollow">http://titin.net/2008/03/18/fittss-law-application-in-helath-informatics/</a> &#8211; bookmarked by 6 [...]</p>
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