banner
You are not using a standards compliant browser. Because of this you may notice minor glitches in the rendering of this page. Please upgrade to a compliant browser for optimal viewing:
Firefox
Internet Explorer 7
Safari (Mac and PC)
Post Archive
2018 (0)2012 (8)
August (1)

Happy Birthday, Julia!
Wednesday, August 15, 2012
May (1)

EMR - Electronic Medical Records
Wednesday, May 9, 2012
April (1)

Step 1 - Shoot myself
Thursday, April 5, 2012
March (1)

Dinner Dare, pt 1
Monday, March 19, 2012
January (4)

Who's Got It Better Than Us?
Saturday, January 14, 2012

Tasting Menu - January 11, 2012
Wednesday, January 11, 2012

Food Labeling
Friday, January 6, 2012

Filtering - That Alfredo Guy...
Wednesday, January 4, 2012
2011 (28)
December (1)

So Unbelievably Mad Right Now.
Tuesday, December 6, 2011
November (2)

33 Years of Destroying Closet Doors
Monday, November 28, 2011

Filtering - Sous Vide
Wednesday, November 9, 2011
September (3)

DADT & An awesome video.
Tuesday, September 20, 2011

Hungry
Friday, September 16, 2011

Defending Serena
Monday, September 12, 2011
August (3)

Fair Compensation
Wednesday, August 17, 2011

Tasting Menu - August 10, 2011
Wednesday, August 10, 2011

Tasting Menu - August 3, 2011
Wednesday, August 3, 2011
July (5)

Tasting Menu - July 27, 2011
Wednesday, July 27, 2011

A Thrill, A Rush, A Change of Plans
Thursday, July 21, 2011

Tasting Menu - July 20, 2011
Wednesday, July 20, 2011

Feeding Controversy
Sunday, July 10, 2011

Avoiding Taxes
Tuesday, July 5, 2011
June (1)

Drunk Tennis
Monday, June 20, 2011
May (2)

I Want An Empty Waiting Room
Tuesday, May 31, 2011

About time!
Tuesday, May 24, 2011
April (2)

The Things I've Learned (so far)...
Thursday, April 21, 2011

Love Sucks, Play Hard.
Thursday, April 7, 2011
March (5)

School Lunches
Thursday, March 17, 2011

We Interrupt Your Regularly Scheduled Food Science Blog For...
Friday, March 11, 2011

But You're A Med Student!
Tuesday, March 8, 2011

Filtering - Equipment
Friday, March 4, 2011

Blurring The Lines - Part I
Thursday, March 3, 2011
February (2)

The Future of Food...?
Thursday, February 3, 2011

My Biggest Mistake - Oenology Edition
Tuesday, February 1, 2011
January (2)

Filtering - Maillard, Water & Errata
Tuesday, January 25, 2011

Filtering - Saucing It Up
Tuesday, January 11, 2011
2010 (4)
Rate This Post
Total votes: 2
Blogger Profile

JaySeeDub
School of Medicine
Dub C Med School CA USA

A med & grad student who used to work the line in LA, NYC, SF and Napa talking about the science of cooking and cooking with science. Harold McGee's On Food And Cooking - The Science and Lore of the Kitchen never satisfied my kitchen curiosity and more than one Chef grew exasperated with my asking "Why?" I'll try to stay on topic, but you may see a kvetch or two about the school & hospital.

My posts are presented as opinion and commentary and do not represent the views of LabSpaces Productions, LLC, my employer, or my educational institution.

Blog RSS Feed
RSS Add to My Yahoo Add to Google
Recent Comments
Comment by BeckonsAttore in EMR - Electronic Medical Records

Well, so emr software has it's problems, not like making them public wouldn't cause them any more trouble as it normally would in a paranoid mind, as this yannisguerra's perspective here. I've delv. . .Read More
Aug 08, 2013, 9:35am
Comment by Brian Krueger, PhD in Happy Birthday, Julia!

I'd gladly take on that burden if you were my roomie ;) . . .Read More
Aug 15, 2012, 4:25pm
Comment by JaySeeDub in Happy Birthday, Julia!

If it makes you feel any better, it could be worse. My roommates complain about expanding waistlines. . . .Read More
Aug 15, 2012, 2:33pm
Comment by Brian Krueger, PhD in Happy Birthday, Julia!

Your posts always make me so hungry and its 9am! I saw that amazon now has reruns of "The French Chef" available for streaming.  It made me want to go back and check some of them out.  I remember. . .Read More
Aug 15, 2012, 8:15am
Comment by yannisguerra in EMR - Electronic Medical Records

I feel your pain. It is really bad. Even worse when half of those pages are non important informations (like 5 copies of the same lab, including who ordered it, when, where, etc) So wastefu. . .Read More
May 10, 2012, 6:56pm
Wednesday, May 9, 2012

I hate seeing thick patient charts. They're unweildy, and if you're carrying a stack of them they tend to slide around. Sometimes crap pops ut of them. The pages are held together by brass fasteners, and constantly flipping through pages eventually tears pages. Then you have to use tape to fix the tears. And punch them back through those brass fasteners.

And the absolute worst part is that thick charts are still common. Especially with new patients. Why? Because when a patient moves from one office/hospital to another, and if the new office doesn't use the same exact EMR system as the previous place the digital records can't get transferred over. Not as a digital record anyway. Do you know what happens in that instance? Those records are printed. They don't always get printed at the new office or old office. Sometimes, they're printed at a "Health Information Exchange" which is basically a third party office that prints up digital records. These companies exist solely because they have multiple EMRs and will print all the electronic information to paper. And then mail off stacks of paper. Sometimes giant stacks of paper.

Now, I know what you're thinking. If you can install multiple instances of EMR software on a given system, why can't you just convert files over? Because the systems don't talk to each other! Each system uses its own file system. Its very own proprietary system. Now, I'm betting almost all of you use Word. Some of you may use OpenOffice or Google Docs to make .doc files, if not Word. Years ago there used to be this thing called "WordPerfect." It's actually still around. WordPerfect was the word processing software for a long time. It was incredibly popular for one reason - it was available for every operating system. Didn't matter if you were running Windows/DOS, Apple IIe/MacOS, *nix, AmigaOS. You could find a copy of WordPerfect. And it stored its files as .wp. The problem with WordPerfect was that it was part of a closed system. Something that Microsoft capitalized on. They allowed Word to open .wp files. Not only that, but they allowed Word to open up all sorts of non-MS word processing files. It's why Microsoft Office is the dominant Office suite, and will probably continue to be for a long time. Everything can open a .doc/.xls/.ppt/etc. Now .doc files weren't proprietary to Microsoft. Even WordPerfect made .doc files, but the formats were not the same. By making .doc a standard, Microsoft put itself ahead of its competitors. Not by making a more stable product, but by making a better product.

And that's what really ticks me off about EMRs. Not one vendor, not one company is standing up and going, "Hey. I'm gonna make this file system completely open." I have no idea why! It's not a security thing. Anyone with a text editor can open up any EMR file and read the contents. In between all the funky characters is going to be the patient information. It's not an ease of use thing. None of this is easy to use, all the systems are clunky. It's like we're back in the 80s when Apple decided they were going to take over the computing world with their broken, closed system.

So really, any developers for EMRs out there? I have a bone to pick with you. It'll probably be your own humerus bone, too. Because I will be beating you, your officers, your board, my board and my PI if I don't get satisfactory answers.

This post has been viewed: 7004 time(s)

Tags:   

Blog Comments

yannisguerra
Rate Post:

Like 0 Dislike

I feel your pain. It is really bad. Even worse when half of those pages are non important informations (like 5 copies of the same lab, including who ordered it, when, where, etc)

So wasteful

BeckonsAttore

Guest Comment

Well, so emr software has it's problems, not like making them public wouldn't cause them any more trouble as it normally would in a paranoid mind, as this yannisguerra's perspective here. I've delved into computer security and know full well that it in fact makes it more "secure" while making it open source. People learn from mistakes, catch errors andm any actually report the flaws so that they can be corrected. Where's the harm in that? I just don't get it. But I do agree, emr software could be greatly improved, I just don't see it happening without countless dollars being poured into something like that.

Add Comment?
Comments are closed 2 weeks after initial post.
Friends