Archive for 2010


This entry is part 7 of 43 in the series Words

It is said, usually by vendors, that installing an EDIS (Emergency Department Information System) will negatively impact ED efficiency for a short time, and then efficiency will increase to levels higher than before, thus: But ED Information Technology pundit Dr. Todd Taylor (emergency physician, past Speaker of the national Council of the American College of […]


Meaningful Use

This entry is part 6 of 43 in the series Words

  Meaningful Use has become a less-meaningful phrase in the USA over the past year or so, at least to those of us who work in the ED. Intentionally or no, politicians twist and deform the English language like no others. Their latest target, at least as far as Emergency Department computer systems are concerned, […]


Natural Mapping, Search and Affordance

This entry is part 7 of 7 in the series Tracking Systems

Make things visible: bridge the gulfs of execution and evaluation. Use technology to make visible what would otherwise be invisible, thus improving feedback and the ability to keep control. –Donald A. Norman, The Design of Everyday Things Norman states: Mapping is a technical term meaning the relationship between two things, in this case between the […]



This entry is part 5 of 43 in the series Words

“Downtime.” What an ugly word. Wiktionary defines it as The amount of time lost due to forces beyond one’s control, as with a computer crash. Just the thought makes one down, makes one depressed. Most “niche” (best-of-breed) Emergency Department Information Systems (EDISs) are justly proud that they don’t go down. That is, unless there is […]



The Pennsylvania Chapter of the American College of Emergency Physicians (ACEP) held an international symposium on ED computer systems, November 12-15 in Miami. This was the fifteenth year for the conference. The focus was on how to effectively and efficiently use computer technology for ED process improvement. There were attendees from the 6000-bed Chang Gung […]