That then gets, oftentimes, faxed back to their provider. The medical assistant takes that fax, looks at the medical record , types in the information into the medical record , if it's positive, then goes and talks to the doctor.
So then they were changed to workstations on wheels so we'd never make that mistake again. The electronic medical record is a mixed blessing. When I take my kids to the pediatrician, I don't look at her like this.
And an average primary care physician is spending two additional hours a day doing documentation in the electronic medical record at home or after hours in addition to the care that she or he is providing to patients. And furthermore, during their encounters with patients they may be at a terminal typing, not looking someone in the eye, and really trying
And probably, that negatively affects some of the medical decisions we're making. The other aspect of electronic medical records that a lot of people don't realize is that you think about an electronic medical record , and you think oh my God, this is an incredible opportunity to do great research and work with big data about patients.
So whatever your definition of harm is, whatever it is you're worried about, the chances that that harm comes to you in the case where your medical record is included compared to the one where it's only your medical record that's excluded is sort of controllably close, OK? And as many people in this audience know, the definition of differential privacy involved-- it's a property of an algorithm, first of all, not about a data particular data set.
I decided, you know what, maybe I'm not asking the right questions. Maybe the answer is not in their medical record but in the rest of their life. So I redid my patient intake form, the forms that you fill out when you go see the doctor.
What are the salient ones that you put in. record. So eventually the medical record will suggest diagnoses in real time.
We haven't been posing solutions to what to do about this unwanted care in our health care system today. we actually looked at what happened over time through the electronic medical record .
We haven't been posing solutions to what to do about this unwanted care in our health care system today. And we actually found the following abstracted from the electronic medical record .
very big effects on the way people behave, the way they learn, the way they approach their jobs. We've seen this recently with the increasing automation of medical record keeping. As you probably know, we've moved fairly quickly over the last 10 years from doctors taking patient notes on paper, either writing them by hand
And when you have that, you can kind of circumvent. Like, if you wanted to share your medical record with me, it would be almost impossible.
What are the salient ones that you put in. As I said, if you have a patient's past medical record is 700 pages long.
Maybe even your health insurer knows that you're a smoker. Who cares? And suppose you're asked to contribute your medical record to the famous series of studies that were done in the 1950s in England that firmly established a correlation or connection between smoking and lung cancer.
leverages the power of big data. When I talk to my computer science colleagues and I say that we have over 2 million unique patients in the Stanford medical record -- and we do have a de-identified version of that record-- their comment is, oh, that's not big data.
And we're in the recovery room, and at the recovery room I see Carlos with his baby, rocking his baby, and singing to her, and rocking her, and singing to her. So much love. And as I'm filling out the medical record , I couldn't help but be moved by the moment. And I asked the nurse if she knew anything about it.
But what does that really mean? Well, it means that one of the foundations of your medical record will be your sequenced genome. It will be sequenced when you're a five-day-old embryo.
Everyone is chipping in on those routine jobs. On the other hand, here's a doctor maybe entering some data on a digital medical record . And there are efficiency experts that might question the idea of having a doctor, who might be worth $200 to $300 an hour
You talk to a patient that history I put down. Now I type into a record, the patient's past record, which one out of five patients has a medical record longer than Moby Dick. So longer than 600 pages.
This would have been a violation of the privacy of everybody whose data was included in this study. The key observation, though, here is that, of course, it's not the case that your particular medical record was the crucial piece of data that allowed the link between smoking and lung cancer to be established, right?
Why not have a digital enabled listening device as part of the interaction that a physician has with their patient that brings all that conversation together, codes it up, and then, of course, brings it into the electronic medical record . Improves the interaction with the physician and the patient, but at the same time, is able to reduce a huge amount of the workload that our physicians are
can do something to change those risk factors and prescribe something that will change the trajectory So when a patient comes in with chest pain, when the physician clicks a button in our medical record ,
The other side would be happy that it was failing. But what I want is whatever proprietary systems exist, that they should give every patient the ability to view, download, and transfer that medical record