The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicines Computer Age (häftad)
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McGraw-Hill Education
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The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicines Computer Age (häftad)

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicines Computer Age

Hope, Hype, and Harm at the Dawn of Medicine's Computer Age

Häftad Engelska, 2017-04-16
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the new york times Science Bestseller from Robert Wachter, modern healthcares #1 Most Influential Physician-Executive in the US

while modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. for the past few decades, technology has been touted as the cure for all of healthcares ills.

but medicine stubbornly resisted computerization until now. over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital.

yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. why were doctors no longer making eye contact with their patients? how could one of americas leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? how could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?

logically enough, weve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. it was all of those things, but it was also something far more complicated. and far more interesting . . .

written with a rare combination of compelling stories and hard-hitting analysis by one of the nations most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story.

"we need to recognize that computers in healthcare dont simply replace my doctors scrawl with helvetica 12," writes the author dr. robert wachter. "instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . sure, we should have thought of this sooner. but its not too late to get it right."

this riveting book offers the prescription for getting it right, making it essential reading for everyone patient and provider alike who cares about our healthcare system.
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Övrig information

Robert Wachter, MD
Professor of Medicine
Associate Chair, Department of Medicine
UCSF School of Medicine

Dr. Wachter is one of the worlds true leaders in patient safety and health quality, and first author of Internal Bleeding, a trade book about patient safety that spent several weeks on the best seller lists. He is Associate Chair of one of the worlds best Internal Medicine programs. He is one of the founders and chief operators of the great health quality and safety web site,



chapter 1: on call

chapter 2: shovel ready

part one: the note

chapter 3: the ipatient

chapter 4: the note

chapter 5: strangers at the bedside

chapter 6: radiology rounds

chapter 7: go live

chapter 8: unanticipated consequences

part two: decisions and data

chapter 9: can computers replace the physician's brain?

chapter 10: david and goliath

chapter 11: big data

part three: the overdose

chapter 12: the error

chapter 13: the system

chapter 14: the doctor

chapter 15: the pharmacist

chapter 16: the alerts

chapter 17: the robot

chapter 18: the nurse

chapter 19: the patient

part four: the connected patient

chapter 20: opennotes

chapter 21: personal health records and patient portals

chapter 22: a community of patients

part five: the players and the policies

chapter 23: meaningful use

chapter 24: epic and athena

chapter 25: silicon valley meets healthcare

chapter 26: the productivity paradox

part six: toward a brighter future

chapter 27: a vision for health information technology

chapter 28: the nontechnological side of makin heath it work

chapter 29: art and science



national coordinators for heath information technology

people interviewed


illustration credits