MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'erp'. Sat, 03 Sep 2011 02:54:00 +0100 http://www.medworm.com/index.php?rid=4975983&cid=t_292298_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FGtKVYCOyv1U%2F I know I’ve written about ERP and EMR before, but the more I think about the EMR selection and implementation process, the more I see the same issues that are experienced with an ERP implementation. The one issue that is a bit different about EMR versus ERP is that there are only a small handful of ERP vendors to choose from. However, we have 300-600 to choose from in the EMR world. That’s an important and challenging difference. However, the similarities to ERP are many. One of the most striking is how the EMR like the ERP is something that’s going to be used and have an effect on the entire organization. As such, the need to manage the participation of multiple stakeholders is so key. The key to a successful ERP implementation is to have a great project leader.  Some... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4975983 Tue, 28 Jun 2011 19:00:50 +0100 4975983 http://www.medworm.com/index.php?rid=4322514&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2011%2F01%2Fdo-they-have-gastroenteritis-or-antimony-poisoning%2F Hey all, it’s ERP from erstories.net. Haven’t done a guest post in a while but here ya go. Recently there has been a huge uptick of visitors to my ER violently ill with vomiting and diarrhoea.  They (the CDC) thinks it is Norovirus, but that got me thinking.   We see episodes of this sort of thing so often that we almost turn off our brains as clinicians.  We say “you have a virus” before the patient has finished telling us the full story.  We blindly order Zofran, IV fluids and check some electrolytes.  If they feel better after a bolus of fluids and they tolerate some liquids, they go home.  Quick and easy.  Anyway, I got to thinking, what if something else is going on?  Something weird or random (I know I am a geek like that). Something sinister?   Dur... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=4322514 Fri, 07 Jan 2011 07:01:29 +0100 4322514 http://www.medworm.com/index.php?rid=3740603&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2010%2F07%2Flate-night-entertainment%2F Hey All, it’s ERP from ER stories doing a quick guest post. The myriad of ways that the staff entertains themselves late at night when there is a lull in the action is boundless. In fact, White Coat has blogged about this. There is the “Obituary Game” made famous on Nurse Jackie but widely known to have been stolen from Nurse K.  (reading the Obits and taking bets on who the deceased was and what the cause of death was based on their name) There was “Cane Ball” which we used to play in the ambulance bay in residency (basically stick ball using a cane and a ball of tape). Saline battles with pre-filled non-sterile flush syringes. (They squirt pretty damn far!) Recently, we had a sort of “What would it take” game between some docs and PA’s. ... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=3740603 Sat, 10 Jul 2010 06:14:36 +0100 3740603 http://www.medworm.com/index.php?rid=3644773&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2010%2F06%2Fmurphys-law-of-the-er%2F Hey, it’s ERP from ERstories.net doing a guest post. The other day during a shift I said to myself “Dang it, it’s Murphy’s Law again” when something went all FUBAR. That made me decide to compile a little list of how that law applies to my job. 1. The GYN cart will only be stocked with the extra large and “virgin” sized speculums when you have a normal-sized patient to examine. 2. The GYN speculum light will not work and you will need to have your chaperon use the odoscope. 3. You will have three or four pages out to various doctors for an hour and no one calls back. The moment one finally does, so do all the others. They get annoyed being on hold and hang up. 4. There is guaranteed to be an issue whenever a patient needs transcutaneous pacing. Of ... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=3644773 Tue, 08 Jun 2010 15:47:57 +0100 3644773 http://www.medworm.com/index.php?rid=3610397&cid=t_292298_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FZ8Nh-X85KBI%2F I’ve heard this mentioned a few times, but in all my posts I don’t think I’d ever mentioned it myself. But it’s very true that EMR is the Physician equivalent of an ERP (Enterprise Resource Planning). Wikipedia describes an ERP as such: Enterprise resource planning (ERP) is an integrated computer-based system used to manage internal and external resources including tangible assets, financial resources, materials, and human resources. It is a software architecture whose purpose is to facilitate the flow of information between all business functions inside the boundaries of the organization and manage the connections to outside stakeholders. Built on a centralized database and normally utilizing a common computing platform, ERP systems consolidate all business operati... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3610397 Fri, 28 May 2010 20:00:28 +0100 3610397 http://www.medworm.com/index.php?rid=3378498&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2010%2F03%2Fdouble-entendre%2F ERP here from Erstories.  A little quick post while I am out skiing. Yes, I admit I get a little juvenile on occasion during a shift.  Other staff members do as well and I think this is a good thing.  It lighten things up.  A little silly laugh because someone said something that conjures Beavis and Butt-head – style snickering helps our blood pressures come down.  Of course there is a fine line between jokes and harassment but if everyone laughs when someone says something that is unintentionally of sexual connotation, who would complain? Some of the things I have heard or had said to me: “Hey ERP, do you have a measuring tool”? “Who was that new doctor? He pissed me off by getting all up in me.” “Holy Moly, it is busy. I have never seen such a pat... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=3378498 Wed, 17 Mar 2010 22:21:25 +0100 3378498 http://www.medworm.com/index.php?rid=3243792&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2010%2F02%2Fwhen-will-we-learn%2F Hey, its ERP from ER stories doing a guest rant post. OK, I have blogged about this before, but nearly every shift, I have cases which emphasize the need to repeat myself. When the hell with doctors learn to stop obsessing about hypertension?  I don’t mean to say that we should not treat it – of course we should. I am talking about blaming every symptom a patient is having on it.  I am talking about aggressive lowering of the BP in the acute setting.  It is just stupid. If I had a nickle for every time a patient’s headache or dizziness is attributed to hypertension I would be a millionaire.  The sad truth is that it almost never is!  The BP is a REACTION to the symptoms not the cause.  This is obviously true in people who are chronically hypertensive – it took... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=3243792 Fri, 05 Feb 2010 05:56:28 +0100 3243792 http://www.medworm.com/index.php?rid=3175876&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2010%2F01%2Fhow-to-get-rid-of-a-customer%2F Hello, ERP here from ER stories. The other day we had a woman come in the the ER with complaints of vague chest and back pain for many months.  We noticed she had never been there before and was from out of state.  When asked why she suddenly decided to come in for this problem, she stated that she a seen an ad for our hospital’s new ER on a bus in her neighbourhood and thought, “Hey, that hospital looks great! I think I will go over there right now!”. Some of the docs joked about how our hospital’s marketing dept was doing too good of a job – in attracting the wrong type of customer!  This hospital wants insured patients to come and schedule elective surgeries and have expensive out patient studies done.  Instead, they got someone with out of state Medica... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=3175876 Fri, 15 Jan 2010 11:20:31 +0100 3175876 http://www.medworm.com/index.php?rid=3079342&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2009%2F12%2Fill-take-that-as-a-compliment%2F Fractured Distal Radius (see Arrows) Complete Posterior Elbow Dislocation Hello, guest poster ERP here. If you read my blog, recently I posted about the first “Ice” day of the year. The day that always seems to surprise people, haplessly stepping out onto the stuff in their driveway, front steps, or sidewalk. We always get a big bolus of patients with falls – often with nasty injuries. Anyway, one of the poor guys I saw that day was the unfortunate owner of the above x-rays (well, ones that were nearly identical to them). He slipped backwards and fell while trying to get into his car. He was in a world of pain (and yes, before everyone goes crayzee, he got PLENTY of IV narcotics!). Realising that I had to reduce that dislocated elbow, and since he had not eaten or drunk... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=3079342 Fri, 11 Dec 2009 15:03:29 +0100 3079342 http://www.medworm.com/index.php?rid=3017041&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2009%2F11%2Fapropos%2F ERP here from Erstories. Blanked out Letters are sometime appropriate. According to the NY times, people were greeted with the above sign when the went to the Elmhurst Emergency Room in Queens, NY. (Source: WhiteCoat's Call Room) WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=3017041 Sun, 22 Nov 2009 10:27:17 +0100 3017041 http://www.medworm.com/index.php?rid=2871623&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2009%2F10%2Fquarterback-offense%2F   Hello all, ERP here. What is the Quarterback offense?  No, it is not some weird audible in football or a Quarterback sneak. It is a tactic used by plaintiff lawyers (and expert witnesses) to sack ER doctors in court.    How does it work?  Let me give  you an example. A guy I know who is an excellent ER doctor (and probably more cautious and careful than most) who was sued along with a neurologist for not giving TPA to a patient who presented with stroke symptoms to the ER within the three hour window for its use. Now, there are MANY, MANY reasons to not give TPA to a stroke patient other than that they presented too late.  The symptoms could be too mild to warrant its risks, there could be a contraindication such as having a coagulopathy, etc.   Regardless, this guy presented... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=2871623 Wed, 07 Oct 2009 13:16:14 +0100 2871623 http://www.medworm.com/index.php?rid=2836171&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2009%2F09%2Fi-think-you-are-in-the-doghouse%2F OK Ladies, how would you feel in this scenario? Suppose you were standing in an examining room with your husband, fully clothed, waiting for the ER doctor to come in and examine you for a slightly embarrassing problem. Suddenly, your husband, who is getting frustrated with waiting, opens the door and grabs the nearest doctor who is walking by. Leading him into the room, without any chance for an introduction or for you to change into a gown, your husband takes hold of your pants, and apparently not caring that you are not wearing any underwear, yanks them down to your ankles while asking the startled doctor “What do you think this rash is?!?!?!” I bet he is sleeping on the sofa for at least a few days. (Source: WhiteCoat's Call Room) WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=2836171 Sun, 27 Sep 2009 13:00:09 +0100 2836171 http://www.medworm.com/index.php?rid=2834262&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2009%2F09%2Fa-classic-dr-so-and-so-patient%2F ERP from ERstories.net  here again today and tomorrow… You know, WC needs a weekend off now and then….. Why is it that certain doctors (usually primary care) attract a certain subset of patients? Our community is very heterogenous but I still find that several MD’s have tapped into certain subpopulations whether intentionally or unintentionally. Often, I find myself guessing (usually correctly) about who a patient’s doctor is before asking them. Clues like the med list, the last name, the insurance (or lack of it) they have, and PMH all give clues. I chuckle to myself when I ask them who the MD is and find I am correct. For example: One doc seems to have about 90% of all the living Holocaust survivors in the US as his patients. (and he was not one himself) – ... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=2834262 Sat, 26 Sep 2009 13:00:05 +0100 2834262 http://www.medworm.com/index.php?rid=2828200&cid=t_292298_88_f&fid=38959&url=http%3A%2F%2Fwww.epmonthly.com%2Fwhitecoat%2F2009%2F09%2Flucky-in-more-ways-than-he-knows%2F Hey all, I this is ERP from ERstories doing a guest post on Whitecoat’s Blog. I want to give him and the EP Monthly staff my thanks for accepting some of my occasional ramblings. Drunk people are often victims of their own stupidity. However, just as often they manage to avoid disaster by some miracle. For example, intoxicated persons have a tendency to end up face down in the street and often manage to avoid getting run over. Sometimes they are even luckier. Of course they never really realise this since after all, they are drunk. Hopefully when they sober up they count their blessings but often they simply can’t remember enough! Anyway, we had a guy who was brought in by police intoxicated outside someone’s house. Apparently he was visiting the area and was staying with... WhiteCoat's Call Room blogs http://www.medworm.com/rss/comments.php?id=2828200 Thu, 24 Sep 2009 13:00:42 +0100 2828200 http://www.medworm.com/index.php?rid=691235&cid=t_292298_122_f&fid=34733&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fscienceblogs%2Fomnibrain%2F%7E3%2F127074103%2FJAPAN_BRAIN_REMOTE Forget the clicker: A new technology in Japan could let you control electronic devices without lifting a finger simply by reading brain activity. The "brain-machine interface" developed by Hitachi Inc. analyzes slight changes in the brain's blood flow and (Source: Omni Brain) Omni Brain blogs http://www.medworm.com/rss/comments.php?id=691235 Fri, 22 Jun 2007 17:37:15 +0100 691235