Discover and read the best of Twitter Threads about #hcldr

Most recents (6)


Large assessment of 1,400 patient/family reports examining patient/family experiences and safety concerns related to visit notes.

Most common concerns:
✔️Description of symptoms
✔️Health problems… #ptsafety #opennotes
@fcbourgeois @RasuShrestha @BIDMChealth @cmd418 @AtriumHealth @BostonChildrens @jhalamka @TheIHI @AMIAinformatics Paraphrase:

"About 1/4 of 😷/👨‍👩‍👦‍👦 using an online reporting system identified potential documentation inaccuracies in visit notes, of which more than half were considered 'important' by 😷/👨‍👩‍👦‍👦 AND 👩‍⚕️🏥."

👏 to @fcbourgeois and team.

#ptsafety #opennotes
@fcbourgeois @RasuShrestha @BIDMChealth @cmd418 @AtriumHealth @BostonChildrens @jhalamka @TheIHI @AMIAinformatics Why is this important?
"... highlights the possibility... clinicians & patients/families may further enhance the ability to effectively capture potential safety issues."


As #HealthIT transparency grows, orgs need ways to capture & respond to patient feedback about EHR errors.
Read 4 tweets
Bonus #hcldr: I don't hear anyone else saying it so I'll say the (?)obvious:

A seat at the table is not enough. That's where tokens sit: "Token Negroes," "token women," "token patients." Tokenism is what you get in the MIDDLE of Arnstein's ladder, not the power tiers. 1/2 #hcldr
2/2 Bonus #hcldr Here again is Arnstein's Ladder - from the LBJ administration, when citizens yelled for a voice in whether their NEIGHBORHOOD got torn down for highways. A token "seat at the table" got them nowhere - they needed POWER.
Bonus #hcldr Running overtime here. Note that the lowest rungs there is NO participation: you get duped / manipulated to keep out of the way; or "therapy" - some salve or buyoff to supposedly help you feel better (not unlike flattery during a rape, and I'm not kidding) 1/
Read 8 tweets
Major points here (thread):
👉outrageous, disgraceful, not surprising as its cut throat business as usual; guarantee @Facebook isn’t the only organization doing what it takes to get ahead #transparency #privacy #SocialMedia #data #hcldr #ThursdayThoughts…
2) 👉@Apple didn’t “know” until the headlines broke & they want to be the “guardian of our health” 🤨 Please 🤯 #transparency #privacy #SocialMedia #data #healthcare #digitaltech #innovation #hcldr
3) 👉targeting children & their #data needs to be recognized as digital trafficking & punishable by law #transparency #privacy #SocialMedia #data #healthcare #digitaltech #innovation #hcldr
Read 6 tweets
Drop everything right now and

Whether your a millennial yourself or trying to understand them, *this* defines the extreme pressures of our generation. #meded #hcsm #hcldr #WomenInMedicine…
Does this not perfectly describe every millennial doctor you’ve ever worked with? This is exactly the crisis in #MeEd and medicine in general. The recent #USMLEPassFail discussion is the perfect example.
This is bleeding into other generations as well.

The true answer to burnout like this is probably to just say no, to stop doing all these things - but the ramifications will destroy our health and any chance of security, financial or otherwise.

This is the millennial bind.
Read 5 tweets
Read 22 tweets
Dear #hospitals:

Your discharge planning sets #patients up for failure. How? Let me explain (again, & again, & again). #PtExp #PtSafety #PtEng #EHR #interoperability #PatientAdvocacy #medtwitter #GMDD #hcldr

Photo Credit: Rob Potter (Unsplash)
1)Follow up appts, essential to a patient’s health & recovery, are listed as part of the discharge summary. These appts are recommended to be scheduled within 7-10 days. To be best prepared, patients need their records. #healthcare #PtExp #PtSafety #PtEng #EHR #GMDD #medtwitter
2)All records from a patient's hospital admission should be AUTOMATICALLY sent to every listed follow-up physician. Hospitals, you know which drs patients need to see; it’s listed in the discharge plans. This step needs to be embedded in the workflow #PtExp #EHR #interoperability
Read 14 tweets

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