Contact

As of 2012, a new metric for ED throughput is physician contact time – with the caveat that assigning a physician name on a tracking system, or the time of the first orders, is not adequate to measure this. Surprised? Some docs put their name on the patient as soon as the patient arrives in […]

Speech Recognition

In the Beginning: VoiceEM Back in 1988, Ray Kurzweil came out with speech-recognition software, including something called VoiceEM. It was an emergency medicine physician charting application; there was also VoiceRAD for radiology. These were DOS programs that ran with that typical DOS 80 character x 25 character text screen. In addition to having a medical-specific vocabulary, VoiceEM had […]

Layers

When using a point-and-click medical charting application (of which there are a zillion, and I think I’ve used maybe a half-zillion) there are many designs, but I’ve recently realized there is a way to divide them into two types. There are one-layer charting apps and two-layer charting apps. I’m not talking about computer layers, I’m […]

What’s in a word?

What’s in a word? That which we call a rose By any other name would smell as sweet. Romeo and Juliet (II, ii, 1-2) OK, I cheated. I changed “name” to “word.” It sounded better for the purposes of this essay, which is about the need to choose words carefully. Yes, I changed a word […]

Cognitive Friction

The Whorf-Sapir hypothesis says that our language shapes how we think. It’s been moderately debunked in recent decades, but it’s likely true, at least in small part. And one of those small parts is when someone coins a new word that encapsulates a new idea. There has been a debate within philosophy since Plato’s time […]