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A new history of human intelligence that argues that humans know themselves by knowing their machines.We imagine that we are both in control of and controlled by our bodies—autonomous and yet automatic. This entanglement, according to David W. Bates, emerged in the seventeenth century when humans first built and compared themselves with machines. Reading varied thinkers from Descartes to Kant to Turing, Bates reveals how time and time again technological developments offered new ways to imagine how the body's automaticity worked alongside the mind's autonomy. Tracing these evolving lines of thought, An Artificial History of Natural Intelligence offers a new theorization of the human as a being that is dependent on technology and produces itself as an artificial automaton without a natural, outside origin.Buy the book from Wellington Square Bookshop - https://www.wellingtonsquarebooks.com/book/9780226832104
This is a short documentary about medication-related patient safety. The documentary explores and offers an overview of the current challenges and technical solutions related to medication safety to raise awareness about the need to further improve medication-related patient safety. Unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in health care systems across the world. Globally, the cost associated with medication errors has been estimated at $42 billion USD annually. Errors can occur at different stages of the medication use process. More than 237 million medication errors are made every year in England, the avoidable consequences of which cost the NHS upwards of £98 million and more than 1700 lives every year, indicate national estimates, published online in the journal BMJ Quality & Safety. The documentary premiered on 29 June 2021. Watch the documentary and full interviews with the speakers: https://www.facesofdigitalhealth.com/overdose-documentary Learn more about Better Meds: https://meds.better.care/ Speakers in the movie and this episode: David W. Bates, Medical Director of Clinical and Quality Analysis, Information Systems, Patient Safety Expert and Harvard MD (Clinical & Research Perspective) Professor John Horn, PharmD, University of Washington School of Pharmacy, coauthor of “The Top 100 Drug Interactions”; A Guide to Patient Management” Martina Viduka, Practicing Nurse, Co-Founder of Advosense David Kliff, author and publisher of the Diabetic Investor eNewsletter, former investment advisor, and as a person living with diabetes (Patient Perspective) Duncan Cripps, Electronic Prescribing and Medication Management Lead at University Hospitals Plymouth NHS Trust (Pharmacist Perspective) Roni Shiloh, CEO of Seegnal, MD degree, specialized in Psychiatry (CDS provider and doctor perspective) Hicham Naim, Global Head Integrated & Personalized Patient Care Program, Digital Advisory Board at Takeda (Pharma Perspective) Marinka Žitnik, Assistant Professor of Biomedical Informatics, Harvard Medical School (Research perspective Lea Dias, Clinical Pharmacist, Founder and CEO of Quaefacta Abdulelah Alhawsawi, Ex - founding Director-General of the Saudi Patient Safety Center (SPSC) Roi Shternin, Founder of the patient-led Israeli society for Dysautonomia (Patient perspective).
Being a doctor can be very gratifying when a life is saved or a patient is cured. However, the number of jobs and skills physicians need to master is increasing with the advancement of technology and science. This makes the medical environment increasingly stressful, also because at the moment, many IT solutions are burdensome and add the bureaucratic workload to the schedules of doctors. Today's topic is how to doctors approach and manage medication prescribing. I spoke with David W. Bates, Patient Safety Expert and Harvard MD, who is an internationally renowned expert in patient safety, using information technology to improve care, quality-of-care, cost-effectiveness, and outcomes assessment in medical practice. He is a Professor of Medicine at Harvard Medical School, and a Professor of Health Policy and Management at the Harvard School of Public Health, where he co-directs the Program in Clinical Effectiveness. He directs the Center for Patient Safety Research and Practice at Brigham and Women's Hospital, and serves as external program lead for research in the World Health Organization's Global Alliance for Patient Safety. He has published over 700 peer-reviewed papers. We discussed: How is patient care changing and impacting medication management, Why doctors ignore alerts of decision support systems, What are healthcare IT systems missing in the UX design, What do doctors hope to see from IT in the near future, And how should organisations approach patient safety culture improvements? Enjoy the discussion, go to www.facesofdigitalhealth,com This discussion was part of a series of discussions recorded for the movie (OVER)DOSE - How can we prevent medication errors? Opportunity: HRSA Announces New Loan Repayment Program for Behavioral Health Providers. Learn more and apply here: https://bhw.hrsa.gov/funding/apply-loan-repayment/star-lrp
With mental health being at the forefront of our attention in 2020, next to COVID, have you ever wondered, how the work of a psychiatrist looks like? Many clinicians fear psychiatric drugs, but Roni Shiloh firmly believes the fear is unnecessary. Roni Shiloh is an MD, specialized in psychiatry. He headed a closed Psychiatric Department, was Chief Psychiatric Officer at a large Israeli HMO as well a senior lecturer in Tel-Aviv University, Israel. He then worked in the Pharmaceutical industry before starting his own startup Seegnal, which offers clinicians decision support in medication prescribing. The system takes into account many of a patient's variables to be as accurate as possible, and more importantly, for the decision support to not overwhelm the doctor with alerts. Electronic prescribing and medication management are very complex and plagued with errors, which I tried to outline in the documentary OVERDOSE - How can we prevent medication errors. If you haven't seen the movie yet, find the link in the show notes, or find the version adapted for radio in one of the previous episodes of this podcast. A few of Roni's statements from this interview are also in the movie. This discussion covers: How the work of a psychiatrist looks like, what are the challenges related to medications in psychiatry, why are decision support systems for medication prescribing currently still mostly frustrating for the users? Various research papers show that 90-96% of alerts get ignored. You'll be able to hear a little bit more about that in one of the upcoming episodes with the pioneering researcher in the field of the impact of IT on medical professionals - Dr. David W. Bates from Harvard. Watch the documentary (OVER)DOSE - How can we prevent medication errors and the panel discussion on Youtube: https://www.facesofdigitalhealth.com/blog/overdose-how-can-we-prevent-medication-errors Opportunity: HRSA Announces New Loan Repayment Program for Behavioral Health Providers. Learn more and apply here: https://bhw.hrsa.gov/funding/apply-loan-repayment/star-lrp
This is a short documentary about medication-related patient safety. The documentary explores and offers an overview of the current challenges and technical solutions related to medication safety to raise awareness about the need to further improve medication-related patient safety. Unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in health care systems across the world. Globally, the cost associated with medication errors has been estimated at $42 billion USD annually. Errors can occur at different stages of the medication use process. More than 237 million medication errors are made every year in England, the avoidable consequences of which cost the NHS upwards of £98 million and more than 1700 lives every year, indicate national estimates, published online in the journal BMJ Quality & Safety. The documentary premiered on 29 June and was accompanied by an expert panel discussion which you can listen to in episode 138. Watch the documentary: https://www.facesofdigitalhealth.com/blog/overdose-how-can-we-prevent-medication-errors Speakers in the movie and this episode: David W. Bates, Medical Director of Clinical and Quality Analysis, Information Systems, Patient Safety Expert and Harvard MD (Clinical & Research Perspective) Professor John Horn, PharmD, University of Washington School of Pharmacy, coauthor of “The Top 100 Drug Interactions”; A Guide to Patient Management” Martina Viduka, Practicing Nurse, Co-Founder of Advosense David Kliff, author and publisher of the Diabetic Investor eNewsletter, former investment advisor, and as a person living with diabetes (Patient Perspective) Duncan Cripps, Electronic Prescribing and Medication Management Lead at University Hospitals Plymouth NHS Trust (Pharmacist Perspective) Roni Shiloh, CEO of Seegnal, MD degree, specialized in Psychiatry (CDS provider and doctor perspective) Hicham Naim, Global Head Integrated & Personalized Patient Care Program, Digital Advisory Board at Takeda (Pharma Perspective) Marinka Žitnik, Assistant Professor of Biomedical Informatics, Harvard Medical School (Research perspective Lea Dias, Clinical Pharmacist, Founder and CEO of Quaefacta Abdulelah Alhawsawi, Ex - founding Director-General of the Saudi Patient Safety Center (SPSC) Roi Shternin, Founder of the patient-led Israeli society for Dysautonomia (Patient perspective). Thanks to our Sponsor: Health Resources and Services Administration: Receive up to $250,000 in student loan repayment in exchange for service in a community disproportionately affected by the opioid crisis. Learn more and apply to join STAR LRP - that stands for the Substance Use Disorder Treatment and Recovery Loan Repayment Program. Applications Close on July 22, 2021
Unsafe medication practices and medication errors are a leading cause of injury and avoidable harm in health care systems across the world. Globally, the cost associated with medication errors has been estimated at $42 billion USD annually. Errors can occur at different stages of the medication use process. This is the movie trailer, adopted for audio for a short documentary (OVER)DOSE, How can we prevent medication errors? which will air on 29 June 2021. More about the event: https://www.linkedin.com/events/over-dose-howcanwepreventmedica6800062280823263232/ Video trailer: https://www.youtube.com/watch?v=cPKvDYSm1mI&t=29s Speakers in this episode: David Kliff has been living with diabetes for over 20 years. He’s known as the Diabetic Investor, which is the name of the newsletter he’s been publishing for over two decades. Dr. David W. Bates, Professor of Health Policy and Management at Harvard T.H. Chan School of Public Health. Lea Dias is the founder of a healthcare startup called Quaefacta. She is a Clinical Pharmacist by background and in the past worked as the CLinical Safety Pharmacist at the Perth Children’s Hospital.
Medicine Grand Rounds November 22, 2019 David W. Bates, MD, MSc Chief, Division of General Internal Medicine Brigham and Women’s Hospital Medical Director of Clinical and Quality Analysis Partners HealthCare
David W. Bates, M.D., M.Sc. Chief, Division of General Internal Medicine, Brigham and Women's Hospital Medical Director of Clinical and Quality Analysis, Partners HealthCare Dr. Bates is an internationally renowned expert in patient safety, using information technology to improve care, quality-of-care, cost-effectiveness, and outcomes assessment in medical practice. He is a Professor of Medicine at Harvard Medical School, and a Professor of Health Policy and Management at the Harvard School of Public Health, where he co-directs the Program in Clinical Effectiveness. He directs the Center for Patient Safety Research and Practice at Brigham and Women's Hospital. He served as external program lead for research in the World Health Organization's Global Alliance for Patient Safety and is the immediate past president of the International Society for Quality in Healthcare (ISQua) and the editor of the Journal of Patient Safety. He has been elected to the Institute of Medicine, the American Society for Clinical Investigation, the Association of American Physicians and the American College of Medical Informatics, and was chairman of the Board of the American Medical Informatics Association. He has published over 700 peer-reviewed papers and has an h-index of 115, which ranks him among the 400 most cited biomedical researchers of any type. Websites: www.patientsafetyresearch.org 00:00 The Prospect Study. 03:35 Facilitating Engagement and Minimizing Harm. 04:40 “Sometimes it's the right thing not to do some of the things on the checklist, but sometimes we're just too busy.” 05:00 Patients and Care Partners contributing to the overall Quality of Care. 06:00 Why Brigham and Women's Hospital chose to focus on Patient and Caregiver Engagement. 07:00 “Healthcare is so multifactorial there are many, many ways to make it better.” 08:20 The Nature of Innovation. 10:00 The stages in Brigham and Women's Hospital's pipelines. 14:20 Narrowing focus. 16:00 David discusses Clinical Imperative. 16:40 Defining Costs. 17:35 Working with ValueScope to address Patient Costing. 20:00 An example of Patient Cost. 25:00 Social Determinants. 26:00 High Cost Patient Management. 26:50 Using the LACE Risk Stratification tool. 29:20 Achieving gains with Caregivers. 29:40 “What are the Key Barriers to Care?” 31:00 SCAMPs - Standardized Clinical Assessment and Management Plans. 34:45 You can learn more by emailing David directly at dbates@partners.org.
Reading by David W. Bates, MD, MSc, author of Care Partners and Online Patient Portals