Translational Medicine & Clinical Diagnosis

(EMR) Electronic Medical Record, (DSS) Discussion Support Systems, Translational Medicine, Current Medical Information Terminology, the architecture of design largely ignores differential diagnosis and current medical information. A Tsunami of new biomedical knowledge changes half of what we know and overwhelms attempts at setting standards. We lack a dynamic current medical information database that is accessible to the clinician and that can quantitate diagnostic evidence based on outcome.

Wednesday, October 12, 2016

Patient Care

Historical evidence suggests that the three measures of quality patient care we're infant mortality, bedside teaching and autopsy rate. We once ranked hospitals on these three considerations. We can blame politics/greed, misplaced confidentiality and stupidity respectively for their decline. Thr Global Burden of Disease statistics confirms, with the US at near the bottom in every category. Some of the poor outcome is behavioral and environmental, but dumbing down medical education to met the lower standards is not a solution. Furthermore, where we once lead in compulsive public health, today it's hard to find.