Using AI Responsibly and Ethically in Healthcare
The following is a guest article by Michael Armstrong, Chief Technology Officer at Authenticx. From disease detection and treatment management to patient communications, AI plays an ever increasing role in the healthcare industry. While AI will increase effectiveness and efficiency, some worry about the cost. Will healthcare organizations sacrifice data privacy as they implement and rely more on AI? Consider the numbers. In 2021, healthcare data breaches impacted 45 million people. The Department of Health and Human Service’s (HHS) Office for Civil Rights received reports of 63 breaches of 500+ records in September 2022....
Source: EMR and HIPAA - February 3, 2023 Category: Information Technology Authors: Guest Author Tags: AI/Machine Learning Analytics/Big Data Health IT Company Healthcare IT Hospital - Health System AI Tools Artificial Intelligence Authenticx ethics Health Data Health Data Ethics Health Insurance Portability and Accountability Act H Source Type: blogs

Pain management beyond prescription pills [PODCAST]
Subscribe to The Podcast by KevinMD. Catch up on old episodes! In this episode, we welcome Cindy Perlin, a licensed clinical social worker and chronic pain survivor, to discuss the ongoing issue of prescription painkiller abuse and the dangers of relying on medication to treat pain. Research shows that physicians continue to prescribe large amounts Read more… Pain management beyond prescription pills [PODCAST] originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 1, 2023 Category: General Medicine Authors: Tags: Podcast Medications Pain Management Source Type: blogs

If a rose is a rose by any other name, how should we study treatment processes in pain management & rehabilitation?
A new instalment in my series about intensive longitudinal studies, aka ecological momentary assessment (and a host of other names for methods used to study daily life in real time in the real world). Daily life is the focus of occupational therapy – doing what needs to be done, or a person wants to do, in everyday life. It’s complex because unlike a laboratory (or a large, well-controlled randomised controlled trial) daily life is messy and there is no way to control all the interacting factors that influence why a person does what they do. A technical term for the processes involved is microtemporality, o...
Source: HealthSkills Weblog - January 29, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Assessment Clinical reasoning Professional topics Research Science in practice intensive longitudinal research Occupational therapy Pain rehabilitation research methods single case experimental design Source Type: blogs

Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion?
Written by Jesse McLaren, with edits from Smith A 30 year old with a history of diabetes presented with two days of intermittent chest pain and diaphoresis, which recurred two hours prior to presentation. Below is ECG #1 at triage. Are there any signs of occlusion or reperfusion?There ’s normal sinus rhythm, normal conduction, normal axis, normal R wave progression and normal voltages. There’s mild inferior ST elevation in III that doesn’t meet STEMI criteria, but it’s associated with ST depression in aVL and V2 that makes itdiagnostic of infero-posterior Occlusion MI (from either RCA or circumflex) – accomp...
Source: Dr. Smith's ECG Blog - January 29, 2023 Category: Cardiology Authors: Jesse McLaren Source Type: blogs

What's new in midwifery, 25th January 2023, part 2
Some recent research you might be interested in.  Actually, not so recent - a bit of a backlog.  So here is a start.  More posts to follow.  Subscription or payment (or librarian intervention) may be needed for access to some.Systematic reviewsEffects of perineal massage during childbirth on maternal and neonatal outcomes in primiparous women: A systematic review and meta-analysis.Comparative effectiveness of prophylactic strategies for preeclampsia: a network meta-analysis of randomized controlled trials.Cervical pessary for preventing preterm birth in singleton pregnancies.TrialsThe eff...
Source: Browsing - January 25, 2023 Category: Databases & Libraries Tags: midwifery Source Type: blogs

Ultrasound is Ultra-Cool
This study is also a major step forward for the exciting possibility of combining focused ultrasound with targeted delivery of medications or antibodies that normally have limited capability to cross the blood brain barrier from the blood to the brain.”  Similarly, researchers at Yonsei University College of Medicine (South Korea) found that focused ultrasound improved the delivery of Alzheimer’s drugs by over eight times.  “While there is no complete cure for dementia, we hope that open BBB [blood brain barrier] surgery using FUS surgery can help give hope to dementia patients,” the lead researcher said. ...
Source: The Health Care Blog - January 25, 2023 Category: Consumer Health News Authors: Ryan Bose-Roy Tags: Health Tech 3D printing ChatGPT DSP Kim Bellard Ultrasound Source Type: blogs

Weekly Roundup – January 21, 2023
Welcome to our Healthcare IT Today Weekly Roundup. Each week, we’ll be providing a look back at the articles we posted and why they’re important to the healthcare IT community. We hope this gives you a chance to catch up on anything you may have missed during the week. A Look at the 21st Century Cures Act With Micky Tripathi. Who better to talk to the Healthcare IT Today community about interoperability than the National Coordinator himself? John Lynn talked to Micky about how the 21st Century Cures Act making an impact for good on patients and clinicians, among other topics. Read more… The Role of Innovation and...
Source: EMR and HIPAA - January 21, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Healthcare IT Today Weekly Roundup Source Type: blogs

Where are EHRs headed in 2023?
Electronic Health Records (EHRs) are the central technology pillar for healthcare organizations. EHRs are vital to both clinical and administrative operations. Because of that, we wanted to dedicate an entire article to where EHRs are headed in 2023. We connected with MEDITECH, EPIC, eClinicalWorks, ModMed, NextGen Healthcare, athenahealth, and Elation Health. We asked them all the same 2 questions: What can customers expect from you in 2023? What is your prediction for the EHR market in 2023? Here are their responses. MEDITECH – Leah Farina, Vice President of Client Services and Carol Labadini, Vice President of ...
Source: EMR and HIPAA - January 17, 2023 Category: Information Technology Authors: Colin Hung Tags: Ambulatory EMR-EHR Healthcare IT Hospital - Health System 2023 Health IT Predictions athenahealth Carol Labadini David Sides Dr Michael Rivers eClinicalWorks EHRs Elation Health Electronic Health Records Epic Kyna Fong Leah F Source Type: blogs

Pain concepts for practice: Occupational therapists
Registration opens 11 Feburary 2023, click here for more details – click Numbers limited to 20 to ensure a great learning experience. Fundamental concepts for clinical practice including pain neurobiology, assessment, formulation and therapy. (Source: HealthSkills Weblog)
Source: HealthSkills Weblog - January 16, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Occupational therapy Professional topics Clinical reasoning Pain pain management Therapeutic approaches Source Type: blogs

What ’ s the relationship between pain intensity and functional limitations?
This question comes up from time to time as some commentators strive to “find the cause and fix the problem at all cost.” The argument is that if pain was gone, the person would simply return to their old life just as they were. And for what it’s worth, there’s certainly a relationship between pain intensity and disability, and pain intensity and distress – but it’s not simple. One of the earliest papers I read when I was beginning my pain management career is one by Waddell, Main, Morris, Di Paola & Gray (1984). Gordon Waddell was an orthopaedic surgeon with an interest ...
Source: HealthSkills Weblog - January 15, 2023 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Pain Research Science in practice biopsychosocial Clinical reasoning pain management Source Type: blogs

Fight Aging! Newsletter, January 16th 2023
Conclusions Implanted Hair Follicle Cells Produce Remodeling of Scar Tissue Assessment of Somatic Mosaicism as a Biomarker of Aging The Gut Microbiome of Centenarians https://www.fightaging.org/archives/2023/01/the-gut-microbiome-of-centenarians/ The state of the gut microbiome is arguably as influential on health as exercise. Various microbial species present in the gut produce beneficial metabolites, such as butyrate, or harmful metabolites, such as isoamylamine, or can provoke chronic inflammation in a variety of ways. An individual can have a better or worse microbiome, assessing these and other...
Source: Fight Aging! - January 15, 2023 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

How were we duped and what can we do about the opioid overdose crisis?
Who among us as physicians and prescribers, not to mention the millions of families who have been affected and suffered deep personal loss due to the current crisis and record overdose deaths, regardless of whether the opioid was legally written or illicit. Let’s take a step back in time and review. As physicians, how have Read more… How were we duped and what can we do about the opioid overdose crisis? originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - January 13, 2023 Category: General Medicine Authors: Tags: Meds Pain Management Source Type: blogs

A teenager with chest pain, a troponin below the limit of detection, and " benign early repolarization "
Sent by anonymous, written by Pendell MeyersA male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. Later that evening he felt recurrent central chest discomfort, shortness of breath, and vomited. Symptoms have been constant since this second episode, and are still present on arrival, which seems to have been less than 1 to 2 hours from onset of symptoms. No similar symptoms in the past. No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of...
Source: Dr. Smith's ECG Blog - January 9, 2023 Category: Cardiology Authors: Pendell Source Type: blogs

Bonus Features – January 8, 2023 – Omnibus bill extends telehealth expansion through end of 2024, 60% of solution providers pouring all event marketing money into in-person events, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job. News On Dec. 29, 2022, President Biden signed the omnibus spending bill. The biggest news for healthcare IT was the extension of telehealth expansion under Medicare through the end of 2024. This includes expansion of originating...
Source: EMR and HIPAA - January 8, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT 4medica ADAPT AdvancedMD AHA Ardent Health Services Blendid Brian Berning Cadence Carenet Health Carol DeVol CharmHealth CipherHealth Comcast Healthcare CORL directtrust East Tennessee Health Information Netwo Source Type: blogs

A woman in her 50s with acute chest pain
Submitted and written by Anonymous, edits by Meyers and SmithA 50s-year-old patient with no known cardiac history presented at 0045 with three hours of unrelenting central chest pain. The pain was heavy, radiated to her jaw with an associated headache.Triage VS: 135/65 mmHg, 95 bpm, 94% on room air, 16/min, 98.6 FTriage ECG:ECG Interpretation:Sinus rhythm with normal QRS. There is slight STE in V1, V2, and aVR, with STD in V3-V6, I, aVL, and II. There are T waves in lead III which are suspicious for hyperacute T waves, with reciprocal negative large T wave inversions in aVL. I do not think this ECG is by itself diagnostico...
Source: Dr. Smith's ECG Blog - January 6, 2023 Category: Cardiology Authors: Pendell Source Type: blogs