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Why Doctors Hate Their Computers
Digitization promises to make medical care easier and more efficient. But are screens coming between doctors and patients?
healthcare  digital-health  digital-culture  doctor  computer-aversion 
3 days ago by PieroRivizzigno
atul-gawande
Atul, is a surgeon, writer, and public health researcher. Used to run Ariadne Labs and has moved on to be CEO of Amazon-Berkshire-JPMorgan nonprofit health venture. Have enjoyed most of his writings
doctor 
4 days ago by cldwalker
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Sport  Doctor 
5 days ago by chihchung
Why doctors hate their computers • The New Yorker
Atul Gawande:
<p>My hospital had, over the years, computerized many records and processes, but the new system would give us one platform for doing almost everything health professionals needed—recording and communicating our medical observations, sending prescriptions to a patient’s pharmacy, ordering tests and scans, viewing results, scheduling surgery, sending insurance bills. With Epic [the software used in about half of American hospitals], paper lab-order slips, vital-signs charts, and hospital-ward records would disappear. We’d be greener, faster, better.

But three years later I’ve come to feel that a system that promised to increase my mastery over my work has, instead, increased my work’s mastery over me. I’m not the only one. A 2016 study found that physicians spent about two hours doing computer work for every hour spent face to face with a patient—whatever the brand of medical software. In the examination room, physicians devoted half of their patient time facing the screen to do electronic tasks. And these tasks were spilling over after hours. The University of Wisconsin found that the average workday for its family physicians had grown to eleven and a half hours. The result has been epidemic levels of burnout among clinicians. Forty per cent screen positive for depression, and seven per cent report suicidal thinking—almost double the rate of the general working population.

Something’s gone terribly wrong. Doctors are among the most technology-avid people in society; computerization has simplified tasks in many industries. Yet somehow we’ve reached a point where people in the medical profession actively, viscerally, volubly hate their computers.</p>


Turns out it's because staff, not doctors, made the calls on how Epic would work - but doctors are important users too.
doctor  computer 
8 days ago by charlesarthur
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sleep  clinic  doctor  apnea  arizona 
15 days ago by LocalBusiness
AIs trained to help with sepsis treatment, fracture diagnosis • Ars Technica
John Timmer:
<p>The new research isn't intended to create an AI that replaces these doctors; rather, it's intended to help them out.

The team recruited 18 orthopedic surgeons to diagnose over 135,0000 images of potential wrist fractures, and then it used that data to train their algorithm, a deep-learning convolutional neural network. The algorithm was used to highlight areas of interest to doctors who don't specialize in orthopedics. In essence, it was helping them focus on areas that are mostly likely to contain a break.

In the past, trials like this have resulted in over-diagnosis, where doctors would recommend further tests for something that's harmless. But in this case, the accuracy went up as false positives went down. The sensitivity (or ability) to identify fractures went from 81% up to 92%, while the specificity (or ability to make the right diagnosis) rose from 88% to 94%. Combined, these results mean that ER docs would have seen their misdiagnosis rate drop by nearly half.

Neither of these involved using the software in a context that fully reflects medically relevant circumstances. Both ER doctors and those treating sepsis (who may be one and the same) will normally have a lot of additional concerns and distractions, so it may be a challenge to integrate AI use into their process. </p>


That is the point, isn't it: it's great when you're not trying to figure out which of 15 different possible wrong things is wrong with the patient.
ai  sepsis  fracture  doctor 
16 days ago by charlesarthur
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doctor  health 
4 weeks ago by lohsingyee

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