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The Digital Doctor : Hope, Hype, and Harm at the Dawn of Medicine's Computer Age - Wachter

The Digital Doctor

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

By: Wachter

Paperback

Published: 29th March 2017
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The New York Times Science Bestseller from Robert Wachter, Modern Healthcare's #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 healthcare's 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 America's 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, we've 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 nation's 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 don't simply replace my doctor's 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 it's 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.

Preface 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 Acknowledgements Notes National Coordinators for Heath Information Technology People Interviewed Bibliography Illustration Credits Index

ISBN: 9781260019605
ISBN-10: 1260019608
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 352
Published: 29th March 2017
Publisher: McGraw-Hill Education - Europe
Country of Publication: US
Dimensions (cm): 22.9 x 15.1  x 1.7
Weight (kg): 0.43