Sorry guys, I am not greatly interested in
generating the most data from the least
mouseclicks or keystrokes, even though that might
keep the powers that be happy. (Medicare and Dr
Edelsten have a large legacy.)
I am intensely interested in having useful (brain
processed) information that I can readily
assimilate into the wetware for the purpose of
making sound clinical decisions.
The more the computer generates, the lower the signal/noise ratio.
And the trickier diagnoses are made in the
conversation that happens before the diagnostic
decision is made.
And there are some people out there who have been
misdiagnosed for decades because they have sought
a (or more than one) professional opinion and
been given "an answer" which they figure they
have to live with.
Ian.
At 8:23 am +1100 22/12/05, Dr John Van Dyck wrote:
I wouldnt be so sure....I dont have to type anything to achieve those
progress notes, just one mouse click on "pharyngitis" will do (if I have set
up the shortcut like you in advance) etc etc
Hopefully then you can whip up a TCA or GPMP or medication review while you
are talking with the patient etc etc
We both see similar numbers at the surgery dont forget.
But look, I agree it would not be a contest between software as much as
between how efficiently the users of that software have adapted their
workflow and practices to suit in a real situation. I wasnt envisaging a
showdown apart from real practice.
Give you and I 15 minutes in which to produce the desired paper output as
well as actually seeing he patient and getting the job done and I might just
win :-)
I know one thing you would not beat me on and that is if we swapped software
and tried it. Then we would both lose :-)
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Horst Herb
Sent: Wednesday, 21 December 2005 10:09 PM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] Picking another package other than MD2
On Wed, 21 Dec 2005 19:31, Dr John Van Dyck wrote:
It was more a fun thing than a serious challenge. I firmly believe MD3
would win hands down (or in my hands anyway :-))
Believe me - you don't stand a chance at all against me and my own program -
but the point I was trying before is that different people have different
workflows. I suppose nobody else would cope with my program for example as
it
is now, but I myself thrive.
Imagine typing "dx phar<tab>" and a list selection appears with diagnoses
starting with "pharyngitis" - within your progress notes!, without changing
focus to a different place of your screen!
Hit enter, and write "rx pnc<tab>" and it autocompletes to "Prescribed:
Phenoxymethylpenicillin potassium 500mg 1 tablet 4 times daily for 7-10
days"
Hit enter and write mc+3d<tab><enter> and it creates a medical certificate
for
the next three days.
Now hit Ctrl+P and it prints both all accumulated scripts, the medical
certificate, and whatever else has accumulated in the print queue for that
patient. It prints immediately, no delay, no dialog boxes etc. because the
print options are all pre-configured of course
Two assumptions:
1.) it would be very, very hard to make anything more efficient. Maybe even
impossible?
2.) most people won't like it at all, and never would remember most commands
let alone bother learning them in the first place
It follows again that different people with different preferences need
different software. I don't believe there ever will be a single "suits all
and everybody" software product for general practice unless it is so
configurable that it will appear as dozens of different products to the end
users after customization - but taking into account that probably a majority
(?51%) will be reasonably happy with a standard configuration because they
don't know better and can't be bothered to learn better either.
Horst
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Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Elected Member, GPCG Management Committee
Internet: [EMAIL PROTECTED]
(for urgent matters, please send a copy to my
practice email as well:
[EMAIL PROTECTED])
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