231–240 of 274 posts
So there is AI making up doctors notes ? That’s extremely contentious.
In Ontario doctors are paid per patient per year and then also per visit / procedure. This doctor is just outsourcing her doctor work that taxpayers are footing the bill for - to AI. This is wrong in so many ways. What a lazy practitioner!
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Were they slow? There's actually plenty of people who can do that at a reasonable or even fast pace. Of course lots of people type reasonably quickly with two thumbs too (or in the case of this comment, a left thumb and right pointer finger).
It’s always slower than typing properly.
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Were they slow? There's actually plenty of people who can do that at a reasonable or even fast pace. Of course lots of people type reasonably quickly with two thumbs too (or in the case of this comment, a left thumb and right pointer finger).
It’s always slower than typing properly.
Earlier quoted context omitted.
Seems unlikely since at it's absolute best it's merely synthesizing a mashup of the same information that feeds Google search, and that's assuming it doesn't start seeing shit. Better to go directly to the source so you can at least make an attempt at vetting the credentials/expertise level that went into the information you're viewing instead of guessing how many mommy blogs, spam mills, and reddit comments got suck…
Going directly to the source did not provide a favourable answer. Did you somehow miss reading the thread before you replied?
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Seems unlikely since at it's absolute best it's merely synthesizing a mashup of the same information that feeds Google search, and that's assuming it doesn't start seeing shit. Better to go directly to the source so you can at least make an attempt at vetting the credentials/expertise level that went into the information you're viewing instead of guessing how many mommy blogs, spam mills, and reddit comments got suck…
Going directly to the source did not provide a favourable answer. Did you somehow miss reading the thread before you replied?
Earlier quoted context omitted.
Having worked in computing around medical facilities and providers, unfortunately, I believe this is just a pipe dream. Companies that charge a lot for the software will buy up the smaller companies providing services until only a few are left. They'll bundle it up with an expensive price tag. Even more so, providers tend to have protection when they buy a piece of software used by a large number of other providers.…
They can only buy up companies that are willing to sell. Principles still matter to some people.
The almighty dollar influences a lot of people.
“ mimic doctor’s notes and reduce the amount of paperwork a physician would have to manually compile.” So there is AI making up doctors notes ? That’s extremely contentious. In Ontario doctors are paid per patient per year and then also per visit / procedure. This doctor is just outsourcing her doctor work that taxpayers are footing the bill for - to AI. This is wrong in so many ways. What a lazy practitioner!
I’m not saying it’s a good thing and I’m not saying I’m happy about it. Just that it is so, not just for the medical profession.
So what’s the fuss?
I just hope someone is double checking whatever notes are taken. My experience with LLM tells me they're fantastically bad at remembering and even worse at producing factual stuff that can be used without context.
To ber very frank, a lot of these logging and note taking requirements have already led to many mistakes, and we already have many case studies of how the system does not care to remedy such things. I can easily see how AI will be adopted here and its mistakes will be glossed over the same way we already glossed over the same mistakes before.
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Do EMRs improve the standard of care?
Big time. In some cases where hospitals do paper charting, it can be mis charted. or, there can be issues with not recording medication as being given or not, and the patient can miss their dose because a nurse thinks it was given. There is some cases where such confusion is tolerated depending on the patient.
Partially true. First, there's no need to record anything in any EMR, this is a big misunderstanding. The act of sending the script is recording it itself. There's no need to do data entry in EMR.
You can test this by simply attempting to send eScripts outside of the EMR. PBM systems like surescripts will alert the provider as he's prescribing in any other 3rd party system of any problems (multiple scripts of same meds, reactions, etc).
Even a paper script needs to be adjudicated via PBM by the pharmacy, which means there's a PBM record already the moment that script is created and picked up. That's how most doctors and pharmacies know whether pts are picking up their meds.
Now if a doctor is fully on paper based then you do have a problem because there's no feedback to a paper record IF the doctor is failing to log into the PBM system to check for drugs dispensed. In this case, the EMR may appear superior on this front, but it also introduces its own set of problems, such as a very common one - patients missing their scripts because the pharmacy is out of meds, causing multiple scripts being sent and back and forths with busy doctors. This is never a problem with a paper script.
Perhaps one of the very few value adds is turning the MD scribble into something legible, but that's something that can easily be solved without any click, or an EMR in the middle .