Robert Wachter
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age
Robert Wachter
The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age
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Why were doctors no longer making eye contact with their patients? How could one of America's leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?
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Why were doctors no longer making eye contact with their patients? How could one of America's leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?
Produktdetails
- Produktdetails
- Verlag: McGraw-Hill Education - Europe
- Seitenzahl: 352
- Erscheinungstermin: 16. Mai 2015
- Englisch
- Abmessung: 236mm x 156mm x 38mm
- Gewicht: 582g
- ISBN-13: 9780071849463
- ISBN-10: 0071849467
- Artikelnr.: 42025806
- Verlag: McGraw-Hill Education - Europe
- Seitenzahl: 352
- Erscheinungstermin: 16. Mai 2015
- Englisch
- Abmessung: 236mm x 156mm x 38mm
- Gewicht: 582g
- ISBN-13: 9780071849463
- ISBN-10: 0071849467
- Artikelnr.: 42025806
Robert Wachter, MD Professor of Medicine Associate Chair, Department of Medicine UCSF School of Medicine Dr. Wachter is one of the worlds true leaders in patient safety and health quality, and first author of Internal Bleeding, a trade book about patient safety that spent several weeks on the best seller lists. He is Associate Chair of one of the worlds best Internal Medicine programs. He is one of the founders and chief operators of the great health quality and safety web site, www.webmm.ahrq.gov.
Preface xi
Chapter 1: On Call 1
Chapter 2: Shovel Ready 9
Part One - The Note
Chapter 3: The iPatient 23
Chapter 4: The Note 29
Chapter 5: Strangers at the Bedside 35
Chapter 6: Radiology Rounds 47
Chapter 7: Go Live 65
Chapter 8: Unanticipated Consequences 71
Part Two - Decisions and Data
Chapter 9: Can Computers Replace the Physician's Brain? 93
Chapter 10: David and Goliath 105
Chapter 11: Big Data 115
Part Three - The Overdose
Chapter 12: The Error 127
Chapter 13: The System 131
Chapter 14: The Doctor 135
Chapter 15: The Pharmacist 139
Chapter 16: The Alerts 143
Chapter 17: The Robot 155
Chapter 18: The Nurse 159
Chapter 19: The Patient 165
Part Four - The Connected Patient
Chapter 20: OpenNotes 171
Chapter 21: Personal Health Records and Patient Portals 183
Chapter 22: A Community of Patients 195
Part Five - The Players and the Policies
Chapter 23: Meaningful Use 205
Chapter 24: Epic and athena 219
Chapter 25: Silicon Valley Meets Healthcare 235
Chapter 26: The Productivity Paradox 243
Part Six - Toward a Brighter Future
Chapter 27: A Vision for Health Information Technology 257
Chapter 28: The Nontechnological Side of Making Health IT Work 267
Chapter 29: Art and Science 271
Acknowledgments 281
Notes 285
National Coordinators for Health Information Technology 309
People Interviewed 311
Bibliography 319
Illustration Credits 321
Index 323
Chapter 1: On Call 1
Chapter 2: Shovel Ready 9
Part One - The Note
Chapter 3: The iPatient 23
Chapter 4: The Note 29
Chapter 5: Strangers at the Bedside 35
Chapter 6: Radiology Rounds 47
Chapter 7: Go Live 65
Chapter 8: Unanticipated Consequences 71
Part Two - Decisions and Data
Chapter 9: Can Computers Replace the Physician's Brain? 93
Chapter 10: David and Goliath 105
Chapter 11: Big Data 115
Part Three - The Overdose
Chapter 12: The Error 127
Chapter 13: The System 131
Chapter 14: The Doctor 135
Chapter 15: The Pharmacist 139
Chapter 16: The Alerts 143
Chapter 17: The Robot 155
Chapter 18: The Nurse 159
Chapter 19: The Patient 165
Part Four - The Connected Patient
Chapter 20: OpenNotes 171
Chapter 21: Personal Health Records and Patient Portals 183
Chapter 22: A Community of Patients 195
Part Five - The Players and the Policies
Chapter 23: Meaningful Use 205
Chapter 24: Epic and athena 219
Chapter 25: Silicon Valley Meets Healthcare 235
Chapter 26: The Productivity Paradox 243
Part Six - Toward a Brighter Future
Chapter 27: A Vision for Health Information Technology 257
Chapter 28: The Nontechnological Side of Making Health IT Work 267
Chapter 29: Art and Science 271
Acknowledgments 281
Notes 285
National Coordinators for Health Information Technology 309
People Interviewed 311
Bibliography 319
Illustration Credits 321
Index 323
Preface xi
Chapter 1: On Call 1
Chapter 2: Shovel Ready 9
Part One - The Note
Chapter 3: The iPatient 23
Chapter 4: The Note 29
Chapter 5: Strangers at the Bedside 35
Chapter 6: Radiology Rounds 47
Chapter 7: Go Live 65
Chapter 8: Unanticipated Consequences 71
Part Two - Decisions and Data
Chapter 9: Can Computers Replace the Physician's Brain? 93
Chapter 10: David and Goliath 105
Chapter 11: Big Data 115
Part Three - The Overdose
Chapter 12: The Error 127
Chapter 13: The System 131
Chapter 14: The Doctor 135
Chapter 15: The Pharmacist 139
Chapter 16: The Alerts 143
Chapter 17: The Robot 155
Chapter 18: The Nurse 159
Chapter 19: The Patient 165
Part Four - The Connected Patient
Chapter 20: OpenNotes 171
Chapter 21: Personal Health Records and Patient Portals 183
Chapter 22: A Community of Patients 195
Part Five - The Players and the Policies
Chapter 23: Meaningful Use 205
Chapter 24: Epic and athena 219
Chapter 25: Silicon Valley Meets Healthcare 235
Chapter 26: The Productivity Paradox 243
Part Six - Toward a Brighter Future
Chapter 27: A Vision for Health Information Technology 257
Chapter 28: The Nontechnological Side of Making Health IT Work 267
Chapter 29: Art and Science 271
Acknowledgments 281
Notes 285
National Coordinators for Health Information Technology 309
People Interviewed 311
Bibliography 319
Illustration Credits 321
Index 323
Chapter 1: On Call 1
Chapter 2: Shovel Ready 9
Part One - The Note
Chapter 3: The iPatient 23
Chapter 4: The Note 29
Chapter 5: Strangers at the Bedside 35
Chapter 6: Radiology Rounds 47
Chapter 7: Go Live 65
Chapter 8: Unanticipated Consequences 71
Part Two - Decisions and Data
Chapter 9: Can Computers Replace the Physician's Brain? 93
Chapter 10: David and Goliath 105
Chapter 11: Big Data 115
Part Three - The Overdose
Chapter 12: The Error 127
Chapter 13: The System 131
Chapter 14: The Doctor 135
Chapter 15: The Pharmacist 139
Chapter 16: The Alerts 143
Chapter 17: The Robot 155
Chapter 18: The Nurse 159
Chapter 19: The Patient 165
Part Four - The Connected Patient
Chapter 20: OpenNotes 171
Chapter 21: Personal Health Records and Patient Portals 183
Chapter 22: A Community of Patients 195
Part Five - The Players and the Policies
Chapter 23: Meaningful Use 205
Chapter 24: Epic and athena 219
Chapter 25: Silicon Valley Meets Healthcare 235
Chapter 26: The Productivity Paradox 243
Part Six - Toward a Brighter Future
Chapter 27: A Vision for Health Information Technology 257
Chapter 28: The Nontechnological Side of Making Health IT Work 267
Chapter 29: Art and Science 271
Acknowledgments 281
Notes 285
National Coordinators for Health Information Technology 309
People Interviewed 311
Bibliography 319
Illustration Credits 321
Index 323