Journal Entry 7: Knowledge Discovery

                                                                                                    Alanna M Schauer

                                                                                                Journal Entry 7: Knowledge

                                                                                                Discovery and Management

     

                                Written Assignment 12: Journal Entry 7

Chavis, S. (2013). CPOE anytime, anywhere. For the Record, 25(10), Retrieved from

            http://www.fortherecordmag.com/archives/0713p10.shtml

            This article was chosen because it covered the educational objectives of smart devices, remote access and control, and personalized medicine through devices that can handle massive data management and analysis. It looks at the proposed plan for electronic health records (EHR) and the actual frustration that is felt by physicians due to loss of productivity. It introduces the voice activated programs that will allow physicians to dictate as they assess a patient therefore decreasing time and improving efficiency.

            This article is an opinion and a product review from a journalist who specializes in writing about trade and consumer publications placed in an on-line journal.  

            The problem addressed in this article is the statistics that are being reported as to the decreased productivity and workflow of physicians utilizing EHR and how this can be corrected. "The survey results indicated that nearly 40% would not recommend EHRs to a colleague because of productivity challenges, difficult software interfaces, and a lack of improvement in patient care," (Chavis, 2013, para. 4). This is contrary to what was anticipated and they are not happy with the progress of EHR.

            The solution is the introduction of the speech recognition programs of M*Modal (a mobile application) and Nuance (the Dragon program). These two products have advanced the premise of speech-enabled computerized physician order entry (CPOE) so the physicians do not have to be data entry personnel. The current M*Modal prototype Apple iOS app allows physicians to speak orders into an iPhone or iPad. The orders are sent to the clod server of M*Modal and the voice is translated into text and sent back to the clinician on their phone or iPad for their approval or editing. Nuance, would be embedded into the hospitals electronic medical record system. "As doctors input a patient's information via voice, it can highlight and validate medical facts, spot inconsistencies and ask follow-up questions," (Roger, 2012, para. 4).

            The implications to healthcare are that the physician would be able to dictate as they see their patients and review the data and orders in real time for accuracy and efficiency. Since EHR's are a requirement of meaningful use there needs to be continuous improvements to ensure the criteria is met.

            I learned there are great advances being made in voice technology and that this can be useful for physicians and can be applied to nursing as well.

                                                     Reference

Roger, Y. (2012). Doctors can chart their patients verbally. USA Today