EHR

It’s time to disrupt pharmacist order verification

Several years ago there was a debate over the long-time practice of having pharmacists review all medication orders prior to administration; referred to as nearly universal prospective order review (NUPOR).(1) At the heart of the debate was whether or not such a process was still relevant in the changing face of healthcare, i.e. do pharmacist […]

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Saturday morning coffee [September 16 2017]

“Why do you look at the speck of sawdust in your brother’s eye and pay no attention to the plank in your own eye?” — Matthew 7:3 (NIV) So much happens each and every week, and it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this […]

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EHRs are an untapped, but almost impossible to use, health resource

We’re all familiar with the promise of “big data” in healthcare. Crud, I’m a huge fan of using data. I think the amount of information inside an EHR has the potential to do a lot of wonderful things, not only for healthcare in general but specifically for a pharmacist. How many kinetic consults have been […]

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Allergies and Electronic Health Records, we’re doing it wrong

ACP Hospitalist: “About 10% of patients in the United States report a penicillin allergy, but most of these patients are not currently allergic, meaning that they could safely take drugs in the beta-lactam class. “The vast majority of patients who think they have penicillin allergies actually don’t when they undergo penicillin allergy skin testing,” said […]

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Electronic alert overload

The Washington Post: “Something similar is happening to doctors, nurses and pharmacists. And when they’re hit with too much information, the result can be a health hazard… It’s called alert fatigue… Electronic health records increasingly include automated alert systems pegged to patients’ health information… The number of these pop-up messages has become unmanageable, doctors and […]

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Using data to build proactive drug error prevention models

“Data is variously described as the oxygen of the digital economy or the new raw material of the 21st century.“-Nigel Shadbolt There are more than a few issues with today’s medication order entry systems. However, in this post I want to focus on only two. First, alert fatigue. As a pharmacist that has entered his […]

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Saturday morning coffee [August 1 2015]

“True humility is not thinking less of yourself; it is thinking of yourself less.” ― C.S. Lewis, So much happens each and every week, and it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts…

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Do patients in the U.S. really own their healthcare data?

Yesterday I was reading through my Twitter stream when I came across a brief exchange between Eric Topol (@EricTopol)  and Farzad Mostashari (@Farzad_MD). Both are big names in the digital healthcare space. @erictopol what do you mean? what laws needed? we already have the right. now we need to demand them. @leonardkish — Farzad Mostashari […]

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Saturday morning coffee [March 14 2015]

“There is nothing in which people more betray their character than in what they laugh at.” – Goethe So much happens each and every week, and it’s hard to keep up sometimes. Here are some of the tabs that are open in my browser this morning along with some random thoughts…. The mug below comes […]

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Saturday morning coffee [March 7 2015]

“Your reputation is in the hands of others. That’s what a reputation is. You can’t control that. The only thing you can control is your character.” – Dr. Wayne W. Dyer So much happens each and every week, and it’s hard to keep up sometimes. Here are some of the tabs that are open in […]

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