Re: Attitudes of hospital workers towards electronic medical records

[Franklin Valier]

In science this type of study only has value as to its scientifically agreed 
upon use.  Its ability to be relied upon to make reliable conclusions from 
the methodology has to be taken into perspective when reading the study.  It 
has value, but in science you don't take it too seriously.  We rely on 
empirical studies for serious evaluation of a phenomena.  If they haven't 
been done, all you can say is this is all have and this is all we know right 
now.  Not much.  I wouldn't get too upset about this.

----- Original Message ----- 
From: "Nandalal Gunaratne" <[EMAIL PROTECTED]>
To: <openhealth-list@minoru-development.com>
Sent: Friday, May 20, 2005 12:18 PM
Subject: Re: Attitudes of hospital workers towards electronic medical 
records


--- Franklin Valier <[EMAIL PROTECTED]> wrote:
A case study is usually viewed in
research circles as
just that.  Not nearly as valuable as empirical
controlled studies.
This is generally true. However doing a study of this
nature is not so simple and the planning of a
controlled study will make things pretty complicated.
The lack of similar studies makes it even more
difficult.
Several simple studies on this nature may give us
sufficient information to plan out an empirical
controlled study, as you yourself point out.
 Sometime they lead investigators into areas
of further exploration.
Nandalal
Frank Valier
----- Original Message ----- 
From: "J. Antas" <[EMAIL PROTECTED]>
To: <openhealth-list@minoru-development.com>
Sent: Friday, May 20, 2005 8:52 AM
Subject: Re: Attitudes of hospital workers towards
electronic medical
records

>
> Joseph Dal Molin wrote:
>> This is another example of garbage in = garbage
out. I can't understand
>> how studies like this with a sample size of one,
are allowed to be
>> published in what appears to be a "scholarly
journal".
>
> I am sure that if you provide a better study with
a lot more samples they
> will be glad to publish it.
> > I have often questioned the quality of peer
review in academic
> medical informatics
>> because of articles like this one...
>
> I wonder, were they simply praising and/or
glorifying a new EHR/CPOE,
> would you be so critical?
>
> The aeronautical industry only started to get
really safe and reliable
> after they started to exhaustively study all their
accidents and/or
> non-expected events.
>
>> This combined with the software industry's legacy
business model and
>> marketing are the greatest enemies for innovation
in health care IT....
>
> I would rather say that the worst enemy is failing
to see the human factor
> and the social issues as the main causes for
Clinical IT failure.
>
> In healthcare I tend to agree with the Nicholas G.
Carr's "IT Doesn't
> Matter" principle.
> Seen at that light a Clinical IT system is not
really different from using
> a stethoscope or an ultrasonagraph. They are all
limited means to reach a
> common end: to better help other human beings.
>
> > feel free to add more to the list.
>
> Fear not, I guess that my freedom has not being
menaced yet.
>
> Best regards,
>
> J. Antas
>
>
>


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