tag:blogger.com,1999:blog-23447705.post6291209591271106965..comments2024-03-29T09:18:22.495+11:00Comments on Australian Health Information Technology: Professor Jon Patrick Refines And Expands Publication On Cerner FirstNet Based on ED Director Interviews.Dr David G More MB PhDhttp://www.blogger.com/profile/06902724829795199526noreply@blogger.comBlogger13125tag:blogger.com,1999:blog-23447705.post-79832793119038084522011-03-26T12:47:52.633+11:002011-03-26T12:47:52.633+11:00> If you put something like this out for public...> If you put something like this out for public comment, you've got to expect some comments to be critical, particularly when the report fails to present evidence to backup it's conclusions.<br /><br />Most of the "critique" I've seen is just ad hominem in one form or another, and spends considerable ink on attacking the author and not the issues.<br /><br />> The InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-73656469183156595672011-03-24T08:47:36.530+11:002011-03-24T08:47:36.530+11:00"To those who keep finding reasons to attack ..."To those who keep finding reasons to attack the report"<br /><br />If you put something like this out for public comment, you've got to expect some comments to be critical, particularly when the report fails to present evidence to backup it's conclusions.<br /><br />The report lacks rigor and a clear analysis that links the long list of concerns to the conclusions.<br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-35163715378940098472011-03-24T07:24:48.178+11:002011-03-24T07:24:48.178+11:00To those who keep finding reasons to attack the re...To those who keep finding reasons to attack the report rather than consider its observations and findings, I offer this:<br /><br />How Academic and Government Eggheads Kill People<br /><br />http://hcrenewal.blogspot.com/2011/03/how-academic-boneheads-kill-people.htmlInformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-80646314698400731772011-03-23T09:17:37.934+11:002011-03-23T09:17:37.934+11:00"Any more that three clicks and they walk awa..."Any more that three clicks and they walk away".<br /><br />Bit like search browsers and page loading really. If it takes more than 5 to 10 secs at the outside to load I cancel and move on. the rationale being that if the site developers knew what it was doing, or had anything really useful to offer me, it would ensure a speedy load to lock-in my eyeballs.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-33618102248451833912011-03-22T23:12:15.746+11:002011-03-22T23:12:15.746+11:00This is a crucial point:"There are a great nu...This is a crucial point:"There are a great number of non-relevant content screens, that have to be clicked through to progress the work." <br /><br />Usability is a key determinant of clinician user acceptance.<br /><br />Any more that three clicks and they walk away, and I don't blame them.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-21355312789256967082011-03-22T19:48:58.220+11:002011-03-22T19:48:58.220+11:00Part 5: Lost count at 30 the number of times the p...Part 5: Lost count at 30 the number of times the paper uses the phrases "seems", "may", "might", "appears", "could", "potentially", "might", "believe", "can" are used. Can this paper really be claimed a “systematic review”?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-11176492994594256652011-03-22T13:57:34.395+11:002011-03-22T13:57:34.395+11:00Browsing the list, there seems to be a large numbe...Browsing the list, there seems to be a large number of configuration issues, such as holding times for medical imaging orders, alert structures, etc.<br />It would be interesting to know how these "incorrect" configurations had been arrived at, who designed them, who reviewed them, and who signed off on them. These could be a failure of the project, rather than the software itself.<br /Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-1560765646372773562011-03-22T11:31:19.250+11:002011-03-22T11:31:19.250+11:00The brand is irrelevant.
The software is only the...The brand is irrelevant. <br />The software is only the enabler for clinical transformation – if steps were not taken to map and redesign the processes before choosing and implementing a solution, don’t be surprised that no transformation has been achieved.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-68539118370487116432011-03-22T10:06:43.201+11:002011-03-22T10:06:43.201+11:00Can I ask again, if not Cerner, then what should h...Can I ask again, if not Cerner, then what should have been selected?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-23718636733815671652011-03-22T07:22:57.704+11:002011-03-22T07:22:57.704+11:00One might start asking the questions I raised in m...One might start asking the questions I raised in my post at http://hcrenewal.blogspot.com/2011/03/real-medical-informatics-what-does.html :<br /><br /> * How did a government for an entire state of a major country come to allow themselves to believe an EHR system such as this would improve conditions in the most mission critical section of their hospitals, the ED's?<br /><br /> * What InformaticsMDhttps://www.blogger.com/profile/03994321680366572701noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-42770528951696184162011-03-21T20:57:30.714+11:002011-03-21T20:57:30.714+11:00On the basis of what we see in NSW looks like the ...On the basis of what we see in NSW looks like the system differences really matter - that just may be the reason, among others.<br /><br />Anonymous comments citing Cerner publicity pieces will not be published in this thread from now on. Use your name or don't get published!<br /><br />David.Dr David G More MB PhDhttps://www.blogger.com/profile/06902724829795199526noreply@blogger.comtag:blogger.com,1999:blog-23447705.post-33524342287133815812011-03-21T20:38:02.876+11:002011-03-21T20:38:02.876+11:00Hmmm...I guess Methodist Le Bonheur Healthcare are...Hmmm...I guess Methodist Le Bonheur Healthcare are wrong...<br />http://bit.ly/gK6QITAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23447705.post-66047898168333187972011-03-21T12:21:02.699+11:002011-03-21T12:21:02.699+11:00Sadly I have to disagree - the status quo is an op...Sadly I have to disagree - the status quo is an option simply because Cerner is now so widespread in NSW health that regardless of whatever problems exist if nothing is done to fix them it will still remain entrenched for a very long time. So NSW, by dent of its circumstances is locked-in regardless. <br /><br />In Victoria however, where Cerner is being implemented under HealthSmart, the option Anonymousnoreply@blogger.com