NFL Claims the Fleur-De-Lis, They Guarantee
Since I submitted this, nola.com came out with a more in depth article. The NFL is claiming "who dat" too, which has also been around for years and years, AND the roman numerals XLIV, which have been around, since... well, the Romans. The article goes more in depth about the history of "who dat" which is pretty interesting.
Facebook ID Probe Shows Things Getting Worse
What are these people going to find out... my hometown? My college? My favorite tv shows? Who cares?
Sounds like those questions the bank website asks me to prove I'm me...
Should You Be Paid For Being On Call?
Resident physicians are FLSA exempt not because of their salary, but because they're a "learned profession." So we get $40K to work up to 80 hours a week and take call up to every 3rd night, during which you are expected to go without sleep for up to 30 hours, for which there is no additional compensation. Sucks. And many of the calls are probably the IT equivalent of "I forgot my password." Things like "this medication that the patient isn't asking for because it's 3AM and they're asleep, it's about to expire, do you want to renew it?"
Afterwards, however, there are models where you get paid for call. We have a backup call system in our ER where a physician is a paid a set amount to carry the pager, then gets paid by the hour if they get called in. And I know another guy who gets paid a set amount to carry a pager for an inpatient psych unit here, then he gets paid per admission he sees the next day. As for me, I hate being on call, even if it's home/pager call, so I gravitate towards shift work.
iPhone App Store Rejects Find a New Home
Toyotas Suddenly Accelerate; Owners Up In Arms
and it really was the floor mat. Now I'm OCD about making sure it's in the right spot before I get in the car...
After 8 Years of Work, Be-Alike Haiku Releases Official Alpha
Be OS was a very good OS so we should see good things from Haiku, too. The niche it filled will be different today for Haiku, but still highly relevant. Netbooks are all the rage now. I expect it will be tried there first.
I absolutely loved BeOS! I mean, I love the MacBook I have now, but BeOS was my first love :-)
I don't own a netbook currently, but I would very likely buy one just to run BeOS/Haiku on it when it's ready. Basically, for me the OS would be the killer app that would entice me to buy the hardware.
Poor Passwords A Worse Problem Than Poor Antivirus
At the VA, they require us to have a ridiculous number of strong passwords.
When you first start, you get a piece of paper that says:
Then at the bottom it says "Remember within 48 hours." Yeah right.
Then the system forces you to change all of these passwords at varying intervals. So even if you start off by having all of the passwords the same, within a few months they're all different.
And they wonder why people write stuff down.
Apple Working On Tech To Detect Purchasers' "Abuse"
I wonder what will be the limit on the thermal sensors. I live in Texas and it would suck if I voided my warranty every time I walked outside with my laptop between the months of June and August. Or got into my 150-degree car after it's been sitting in the sun all day...
Can We Abandon Confidentiality For Google Apps?
Confidentiality is very, very important to businesses and individuals, even more so in the Internet age. One of the reasons to continue to operate your own infrastructure, no matter what the current hype is.
IAAD and I agree that confidentiality is extremely important, and health care professionals have a responsibility to safeguard PHI. However, I also think that IT admins have a responsibility to create an infrastructure that doesn't suck and that takes into account the needs of the people that actually need to use it. Because if it sucks bad enough, people will find a way to circumvent some of the safeguards in order to get their work done. Because it's human nature that getting one's work done is a more immediate need than theoretical concerns about privacy and confidentiality. So if you're going to develop an internal system, looking at what makes "the current hype" so popular might not be a bad idea.
For example, I work at a large county hospital/university system that has adopted groupwise. We are told that PHI is secure if sent through groupwise. However, besides the fact that groupwise is inherently sucky, they've made it extremely inconvenient for residents to use it. We cannot run the real client because we aren't allowed to have VPN access, so we have to use the web client, which has a horrible interface. It has a tiny storage allotment. They will not install the software that will allow it to work on the iphone. So, most people forward their groupwise email to their personal gmail or yahoo mail or whatever. Thus defeating the purpose of having the secure system.
Yes, it's wrong for the doctors to circumvent the security. However, I think it's just as wrong for the IT people to implement a system so crappy that people are driven to do this. Most doctors are thinking along the lines of "I have patients to take care of, I don't have all this time to spend fiddling with this crappy groupwise thing" not "let me violate HIPAA because I'm lazy."
IBM Uses Call-Detail Records To Identify "Friends"
That guy from Numbers does this almost every week.
Security Certificate Warnings Don't Work
If you think this is bad, consider that most electronic medical records pop up pointless warnings even more frequently. Sometimes they catch a legitimate error, but it's hard to not get conditioned to ignore those without really reading them.
I think I read some story many years ago about a boy who cried wolf... Same principle. Warnings cease to be effective if they pop up all the freakin' time for no good reason.
Main Toilet On ISS Craps Out
It's all Howard Wolowitz's fault.
Why Digital Medical Records Are No Panacea
Don't get me wrong. There are tons of doctors that are computer and gadget freaks, but there are tons more that rarely touch a computer except for basic Internet and MS Office services and have to be guided through the intricacies of an electronic records system and how to use it.
Another explanation is that it's a failure in UI design on the part of the EMR. One should not have to be a computer geek/gadget freak in order to use an EMR. The same skills that lets someone type a word document or use a web browser should suffice. Most of the EMRs have horrible UIs and are not intuitive at all. I myself AM one of those gadget freak physicians, even wrote some of the templates in use at one of our hospitals, yet I still have difficulty figuring out how to do certain things.
But then, I'm a mac user. Perhaps my expectations are too high ;-)
Why Digital Medical Records Are No Panacea
I'm a resident physician, and so I've used various EMRs in different hospital and clinic settings, and they pretty much all suck in different ways. EPIC, which is based in Internet Explorer of all things, is the worst, but seems to the the one that's being adopted at the most hospitals.
The UI design is just horrible, but beyond that I had a hard time putting my concerns into words until I read an article somewhere that talked about something called "cognitive support to the physician." That is what most EMRs lack.
As a physician, I want an EMR that lets me rapidly get at important clinical information and give me targeted alerts that I need to make a decision. Instead, the systems are centered around billing and cover-your-ass medicolegal documentation. In the paper chart word, these issues had already diluted the meaningfulness of the chart. (Ever see a hospital chart - maybe 10-20% of it has meaningful clinical data in it, the rest is full of useless legal/billing/redundant crap.) Many EMRs just translate the same troubled paper chart system into electronic format, but then the ease of electronic data entry means that even more useless information is included/required, making it that much harder to find the info you really need to make a clinical decision.
I have to say that the best EMR I have used is still good ol' CRPS at the VA. It's not as slick looking as the newer ones, but the data is easily accessible and I have never had to waste my time looking up a billing code. It's been chugging along for over a decade, sharing data between hundreds of sites across the country. (And the issue in the first article about the EMR causing more deaths because you can't put in orders while the patient is en route - not an issue in CPRS, we do this all the time at our VA.)
My understanding is that the code for CPRS is open and free to anyone who wants it. I would gladly choose CRPS over the ability to type my notes with colored fonts in EPIC. They were considering adapting it for the large county hospital system where I work now, but in the end went with EPIC because... wait for it... it was easier for billing.
US Declares Public Health Emergency Over Swine Flu
It's worse among doctors. It doesn't surprise me that the BBC article contains reports about residents and interns dying. I wonder how many patients get infected via sick doctors?
Large teaching hospitals are dependent on residents who work 80 hours a week to barely cover the workload. If someone calls in sick, then it means your already overworked and fatigued colleagues will have to cover for your "weakness." Oftentimes the onus is on you to find your replacement. And so the culture discourages it - either through active hostility or feelings of guilt and/or machismo on the part of the sick person. This culture is learned in med school and residency then gets carried forward.
I'm a resident physician and every year I have to do some online training for all hospital employees that says to stay home if you're sick, and we residents just laugh. The idea of calling in sick for a low grade temp and a cough is so out of the realm of possibility, it's absurd. I'm not saying this is a good or noble thing - there's a lot of things about the culture of medicine and residency (such as work hours) that are fucked up and end up adversely affecting patient care.
A Cyber-Attack On an American City
I guess this kinda puts a damper on all the cloud computing hype of late...
Obama Proposes High-Speed Rail System For the US
Totally agree, but they should be wary of the airlines that make their bread and butter from regional travel.
A while back a bunch of businesses in Texas formed a consortium to build a high speed rail network linking the major Texas cities. Southwest Airlines effectively lobbied against and killed it.
Which really sucks, because I'd much rather take a train from Dallas to Austin than deal the hassle of air travel. If you factor all of the airport BS, it takes nearly the same time as driving.
Windows and Linux Not Well Prepared For Multicore Chips
I loved BeOS and was so sad when it went away.
The Haiku page says that it's "inspired by" BeOS. So what's that mean exactly - that they're trying to reverse engineer it? What happened to the old Be source code? Seems silly to have to reinvent the wheel if the code is already written and not being used for anything.
My longest stretch without sleep (catnaps count) ...
3rd year psychiatry resident, so currently my schedule is nothing to complain about :-)
But it just boggles my mind how "evidence based medicine" is the new mantra... except when it comes to the body of evidence re the reduction of medical errors/poor outcomes with reduced hours. Not to mention the entire field of sleep medicine. Selectively evidenced based would be more accurate I guess :-/
My longest stretch without sleep (catnaps count) ...
Yeah it is. The current rules say no more than 30 hours in a row, 80 hours in a week, with 10 hours between shifts. Even if those rules are followed, that's still fucked up.
The above rules don't apply to home call. When I was an intern we'd have home call for days in a row with little or no sleep. Last year they changed it to straight q4 overnight call, which was an improvement, which is fucked up.
But that's what you get when your educational model is based on the 100 yr old sleep habits of a cocaine addict (Sir William Halstead). It's shameful that this profession - which knows damn well that the brain was not meant to function this way - allow this to continue out of some romanticized idea of tradition.
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