John Poikonen's blog
An iPad should be mandatory in medical school?
First, I am not a Apple iPad fan boy (yet). That said, I am getting
infatuated with the device.
An iPad should be mandatory in medical school
http://www.kevinmd.com/blog/2010/04/ipad-mandatory-medical-school.html
infatuated with the device.
At least two medical schools are requiring iPads for incoming students
(Stanford and UCI). To my knowledge and a Google search has revealed
that no pharmacy school requires an iPad (yet).
Now this interesting post by KevinMD, a noted physician blogger, with
this editorial with lots of comments. The comments are the best part, btw.
An iPad should be mandatory in medical school
http://www.kevinmd.com/blog/2010/04/ipad-mandatory-medical-school.html
Roche Social Media Code of Conduct: Pharma 2.0 Just Begins! « ScienceRoll
The summary of their code of conduct:
Sabine is actively collecting the feedbacks and responses about the code of conduct.
What do you think?
via scienceroll.com
Wondering if these rules also make sense for conduct on online activities when speaking "about" your employer in general? Reposted from http://scienceroll.com/2010/08/18/roche-social-media-code-of-conduct-pharma-2...
The Science Behind Engaging Students in Class
via slideshare.net
Another gem from Kevin! Great use of pictures and ARS! Death by Powerpoint is up next for review.
Health IT to Be Part of Specialist Certification
Just curious if HIT is part of the new Ambulatory Pharmacy Certification? The concepts talked about in this article would apply to any of the clinical specialty BCPS's. Anyone know these concepts are addressed in the certification?
Health IT to Be Part of Specialist Certification
Privacy, professionalism and Facebook: a dilemma for young doctors
Yet another study that prompts the notion "what are they thinking?"
Privacy, professionalism and Facebook: a dilemma for young doctors
1365-2923/asset/cover.gif?v=1&s=2d16fd6dd08600b22b3f7040f57234b7629e2324)
Medical Education 2010: 44: 805–813
Objectives This study aimed to examine the nature and extent of use of the social networking service Facebook by young medical graduates, and their utilisation of privacy options.
Methods We carried out a cross-sectional survey of the use of Facebook by recent medical graduates, accessing material potentially available to a wider public. Data were then categorised and analysed. Survey subjects were 338 doctors who had graduated from the University of Otago in 2006 and 2007 and were registered with the Medical Council of New Zealand. Main outcome measures were Facebook membership, utilisation of privacy options, and the nature and extent of the material revealed.
Results A total of 220 (65%) graduates had Facebook accounts; 138 (63%) of these had activated their privacy options, restricting their information to ‘Friends’. Of the remaining 82 accounts that were more publicly available, 30 (37%) revealed users’ sexual orientation, 13 (16%) revealed their religious views, 35 (43%) indicated their relationship status, 38 (46%) showed photographs of the users drinking alcohol, eight (10%) showed images of the users intoxicated and 37 (45%) showed photographs of the users engaged in healthy behaviours. A total of 54 (66%) members had used their accounts within the last week, indicating active use.
ASHP Election thoughts for 2010
August 18th is the deadline for voting in the Am Society of Health System Pharmacists (ASHP) elections. Please vote. Some have asked me who I am voting for. I have given this more thought than normal this year. This is partly because of my disagreements with my professional association and belief that a significant change is needed. Here are my recommendations for the General and Section for Pharmacy Informatics and Technology.
General Election
As a way to gear each candidates thinking and views, I emailed each candidate their thoughts on the following:
As a way to gear each candidates thinking and views, I emailed each candidate their thoughts on the following:
Allergy Fun Fact
I have been drowning in drug allergy data and analysis lately. Here is an interesting tidbit from 3 years of data -- Women reported >2/3 (69%) of the allergies and Men only ~1/3 (31%). Draw your own conclusions....
A quick Google search reveals: "Females were also 2.6 times more likely than males to report multiple drug allergies," There have also been previous reports of studies that found female sex to be a risk factor for adverse drug reactions in general." SOURCE: Annals of Allergy, Asthma, and Immunology, July 2007. [I am leaving this one alone]
CCHIT Crazy Criteria
In discussing the CCHIT criteria with a vendor friend of mind some real “head scratchers” came up. These examples point out the problem with certification or perhaps the lack of clinical skills at CCHIT.
The first was Inpatient script # 1.47 “in order entry, “Search for drug by therapeutic class catecholamines.”
- First who orders by therapeutic class? Dah. Second who would search for catecholamines? Double Dah. Thirdly, catecholomines is a chemical class not a therapeutic class.
- How about searching for an antibiotic class that have sensitivity to the patient’s infection, is on the formulary and is recommended for antibiotic rotation? Opps that is way too hard for most EMRs.
Second, Inpatient script # 1.39 “System identifies that multiple medications from the same therapeutic class (ibuprofen and acetaminophen) have been ordered and informs the user”
Cliff Note Version of Meaningful Use
Here is a great version of the essence of Meaningful Use. Thanks to John D. Halamka's Blog. BTW -- It is a good blog to follow.
Meaningful Use Final Rule with Core Set 15 projects and their metrics for achieving stimulus funding followed by the 10 Menu Set projects, of which 5 must be chosen by eligible providers and hospitals
Set of Standards, Implementation Specifications, and Certification Criteria
Download now or preview on posterous
HIT Standards-Implementation Specs-Certification for EHR.PDF (669 KB)
Just in case you where getting a bit bored with the previous 850 pager, this one might have some more items of interest in Meaningful Use.
Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology
In a quick review of the documents, I must congratulate the ONC for their careful review of the comments submitted. I was involved with a ASHP, AMIA and HIMSS submissions and even sent a few of my own personal comments. While you may not always agree with the ONC answers, it is clear from spot reading that they really did read and carefully review the responses. Nice Job.
Final (final) Meaningful Use Released
The Office of the National Coordinator for Health Information Technology (ONC) release the final version of meaningful use today. I suspect that this will generate lots of blog posts and discussion.
Here is a link to a summary in the NEJM and the 850 page Final rule. Happy reading. We will look forward to more discussion from a pharmacy point of view
Report Urges Hospitals To Test Error Detection in CPOE Tools - iHealthBeat
Study Findings
The simulations found that the hospitals' CPOE systems on average failed to detect half of the routine medication orders and one-third of potentially fatal orders.
via ihealthbeat.org
http://www.leapfroggroup.org/media/file/CPOEEvaluationToolResultsReport.pdf
Houston, we have a problem...
TEDMED2010
Created by Marc Hodosh and Richard Saul Wurman, TEDMED celebrates conversations that demonstrate the intersection and connections between all things medical and healthcare related: from personal health to public health, devices to design and Hollywood to the hospital. Together, this encompasses more than twenty percent of our GNP in America while touching everyone's life around the globe.
Anyone going to this? Check out the fantastic videos from TEDMED2009. Wonderful stuff. http://scienceroll.com/2009/11/15/tedmed-2009-summary/
The depth and breath of these speakers makes Connie Chung (Keynote at ASHP 2010 meeting) look like, well.... Connie Chung and the organizers of this pharmacy conference seem a bit dim.
Pharmcoinformatics or Pharmacy Informatics?
A comment was posted on an old blog site calling for participation in a new book, fyi.
Handbook of Research on Pharmacoinformatics: Technologies, Theories and Applications
This brought up the issue of name definitions between Pharmacoinformatics versus Pharmacy Informatics. This is a repost of some thoughts.
Here are some graphical representations. First is informatics defined by Ted Shortliffe.
This is an adaptation for pharmacy
Twitter In Medical Education
via slideshare.net
Decent Twitter 101 slide deck.
Posted via web from RxDoc.Org
More BCMA Junk Science, this time from ASHP
I happen to see this link on the ASHP web site, on an ROI of bar code scanning for administration. The ROI is a real piece of junk science.
Seems to me that evidence based practice should be a goal of ASHP. [Of course supporting hospital pharmacists from not going to jail for doing their job should be one of their goals, but that is ignored as well.]
Some examples of the bogus nature of this ROI:
- 87% administration error avoidance? What reference has this? Complete fantasy.
- 1995 data? (although I have used this study at times).
- Applying the Poon data to this might be better. Although fully half of the Potential Adverse Drug Events in the Poon study are 'documentation errors', which baffles me how that harms patients, outside of a few stretch cases.
Genomic Medicine — An Updated Primer in NEJM
Pharmacy informatics will be one of the sectors that will be profoundly affected by genomics. So I really like this quote:
"As genomics metastasizes, every business model for every health care sector will be affected, some profoundly". -- Rick Carlson Journal of Health Politics, Policy and Law. Pg 43. 2008
So an updated Genomic Medicine Primer in yesterdays NEJM that is free should be a nice read.
Genomic Medicine — An Updated Primer W.G. Feero and Others Free Full Text
Top 200 Drugs Podcast
A student at Auburn school of pharmacy is podcasting drug information for the top 200 drugs. This is a great idea. Putting these 4 minute pearls on shuffle between Frank Zappa and Jeff Beck might offer up a nice refresher for the most common drugs. Might have a wider use as well... See http://thestudentpharmacist.com/ and in iTunes soon!
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- Cool Technology for Pharmacy – Baxa Repeater Pump
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- Imprivata OneSign Secure Walk-Away Technology
- The iPad vs. The Tablet PCs in Healthcare - Power of Data Visualization
- Unforeseen barrier to tech-check-tech endeavor
- An iPad should be mandatory in medical school?
- Cool Technology for Pharmacy – Spiroscout Inhaler
- Roche Social Media Code of Conduct: Pharma 2.0 Just Begins! « ScienceRoll
- The Science Behind Engaging Students in Class
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Definitely not a source graduate students should be citing
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Thanks for the BERCI on Twitter
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Wikipedia a reliable source?
