The problem with Celexa + Coricidin would be the dextromethorpan (the 'cough' part) which can trigger serotonin syndrome. This points out the problem with these databases. There is very little practical information. The dextromethorpan-Celexa interaction is a generic one between the SSRI class of antidepressants (Celexa, Prozac, Zoloft, etc - the common ones) and the dextromethorpan. From what I've been able to look up briefly it would take a significant dose of both drugs to trigger the effect which could, but would likely not, be life threatening.
So, you have a very general effect that quite likely won't apply - but it's going to show up anyway because the lawyers reviewing this stuff aren't ever going to let you nuance this sort of thing.
The way to do that is to make the hospital financially responsible for the extra time. Then they have an incentive to fix it (despite the loud announcements by various Mission Statements, quality medical care isn't something most hospitals will take a whole lot of time with).
Medicare is trying to do this, but as usual they bring a sledgehammer to a knife fight. Dangerous to all involved but unlikely to do what you set out to do without wrecking the rest of the house.
The most common mis diagnosis in American medicine is 'Penicillin Allergy' (which would generally include amoxicillin). For exactly the reasons you cite. Actually, most EMRs do have some ability to at least explain the interaction. If I saw "Amoxicillin Allergy - nausea" on your chart, I would ask the circumstances and quite likely might prescribe it, especially if you were willing to 'experiment'.
There is a test for true penicillin allergy that's reasonably safe but requires some expertise so is usually done by Allergists or their ilk. We don't utilize it enough. It is often much easier to just label someone 'allergic' and go trundling on. But it can come back to bite you.
My favorite line is 'my mother thinks she is allergic to penicillin so I am too'. Logical thinking for the win!
The IOM report did grade error severity - they're not that dumb. The press, as usual, didn't pick up on that nuance. The IOM report, however, didn't do a very good job of grading error severity. In particular, it did not look at any metric like quality-adjusted-years-of-life that would balance a small error made in an elderly terminal patient. That was likely intentional since the thrust of the report was to say 'hello! Beuhler! wake up!'. Subtleties can come later.
Unfortunately for US medicine you have an enormous, many tiered complex system with numerous stakeholders with often competing interests simultaneously spending a significant fraction of the GNP while running out of money. Makes it hard to change things on a system wide basis which is exactly what we need to do - it's not just tossing a computer into the mix as computerizing chaos usually just yields computerized chaos.
A better solution would be that if the pharmacy cannot read the prescription, then they don't fill it. It should be the doctor who has the responsibility to make sure that what he/she is ordering is clear and understandable, not their receptionist or some clerk at the pharmacy. Doctors should be held accountable for prescription mistakes that are caused by their own haphazard penmanship.
Exactly that. The pharmacist needs to be talked to in a manner that will get their attention. If you don't understand something, get it checked out.
This, however, is the main reason for an e-prescribing system - not the interactions (the database sucks, way too many false positives). But there are literally thousands of drugs out there and names can be annoyingly similar. Decimal place errors can be a big problem as well. You need the information presented in a clear UNAMBIGUOUS fashion. Only way to do that, save for using a typewriter (link provided for all of you young'ins out there) is a computer.
The old-hat aerospace industry as a whole has completely failed. I have seen it personally. If the government just gave its space and science dollars to small teams of motivated individuals instead of massive bureaucracies, we could be outpacing the world in science and technology again.
Funny thing, this. I looked up the Wikipedia Apollo LM article to refresh my mind on something for another post and it points out that:
The Lunar Module was built by Grumman Aircraft Engineering and was chiefly designed by the American aerospace engineer, Tom Kelly.
(my emphasis).
What major project these days is designed mostly by one person? Or even a small group? This may be why SpaceX / Masten and the other small groups will be really useful. Get back to focused engineering, stay away from at least some of the bureaucratic bullshit endemic with large institutions.
Didn't the lunar lander do this back in 1969.. well they tested it out back in 1967 or something. I'll bet this thing needed mad CPU power and control systems too.
To allow astronauts to learn lunar landing techniques, NASA contracted Bell Aerosystems in 1964 to build the Lunar Landing Research Vehicle (LLRV), which used a gimbal-mounted vertical jet engine to counter 5/6 of its weight to simulate the Moon's gravity, in addition to its own hydrogen peroxide thrusters to simulate the LM's descent engine and attitude control. Successful testing of two LLRV prototypes at the Dryden Flight Research Center led in 1966 to three production Lunar Landing Training Vehicles (LLTV) which along with the LLRV's were used to train the astronauts at the Houston Manned Spacecraft Center. This aircraft actually proved fairly dangerous to fly, as three of the five were destroyed in crashes. It was equipped with a rocket-powered ejection seat, so in each case the pilot survived, including the first man to walk on the Moon, Neil Armstrong.[8]
So, not quite. This is quite a bit more advanced and hopefully more stable.
An application like Photoshop could still be very valuable on a tablet even if the UI has to change dramatically to fit the tablet idioms (like not relying on keyboard shortcuts). Photoshop in particular comes with a lot of image-processing features and algorithms that its competitors just don't have (e.g. the GIMP, which doesn't support CMYK image editing). So even though the users would need to relearn it, there would still be value in them doing so.
Excel's competitors have probably done a better job matching its features it than Photoshop's competitors have, so it may not enjoy the same market advantage on a tablet.
Nobody who does advanced Photoshop uses a single monitor anymore, much less some dinky little 8 - 10 inch thing. Yes, you can do simple image manipulation without all that, but you don't need Photoshop and the App Store is full of simple programs that do exactly that - including something called Photoshop.
But lack of macros, lack of ability to calibrate the screen, lack of ability to put files where you want them (as opposed to where Steve thinks they should go), lack of memory and a whole list of other features essentially dooms tablets to minor niches in image editing.
Use a Wacom tablet (may they burn in Hell forever) and compare using to an iPad when trying to manipulate pixels and you will instantly find that the iPad is a joke. It's just not designed for the kind of precision you need in pixel editing.
Adobe need not worry about the iPad. They're perfectly content screwing up Photoshop by themselves.
Zagg Keyboard + Jailbreak + Bluetooth Mouse + Citrix Reciever = Windows on the iPad with all the advantages the Apple hardware provides such as light weight, etc. and none of the stupid apple "features."
Why the jailbreak? Curious as to what that brings to this particular party.
Seems like it's the 1960's all over again. Small groups of engineers trying to do something cool. Maybe that's what we need to bootstrap things up again. Of course, they're essentially trying to do the same thing as NASA was trying to do in the 1960's minus the unknown factor.
But I bet it's fun to work in an environment where you have a small group of intelligent people.
(Sighs and and tries to focus enough on federal compliance regulations long enough to get ready for tomorrow's administration meeting.)
Huh? Office on the Mac is a much better software package than i(dont)Work. In fact, I like Office 2008 for the Mac better than any Windows based version.
That said, I don't think that the iPad needs a full version of anything. It just needs to be able to read the formats and perhaps use some basic functionality. Like Documents-to-Go has done for PDAs since early Palm Pilot times.
And don't get me started on Apple's inability to follow their own HID guidelines in their own software.
When you have the law in your favor, bang on the law, When you have the facts in your favor, bang on the facts, When you have neither the law nor the facts in your favor, bang on the table.
Scary, isn't it. We had a roundabout put in one of our major intersections about a year ago (to much wailing and rending of garments). Perhaps 90% of drivers picked it up in the first few weeks. The other 10%, well, all I can say it's a shame that speeds are so low that we'll never get rid of them via traffic accidents. We just have to find some better way.
Nobody really liked my idea of putting forks in some power outlets to see who would pull them out.
In a low traffic environment it would likely be easier for the 'side' street to have a trigger that tells the light to go to green if there isn't traffic in the 'main' street. Just like we have now (mostly). The only advantage this system would give you is the ability to tell the light to go green earlier, thus letting the side street vehicle go without having to stop, saving some fuel and some time.
At the expense of safety - making the side street vehicle stop even briefly before going green allows the driver to look for the drunken madman barreling down the road.
Hopefully the rest of the world will come up to speed and you won't need Barco's or the Eizo. Not too sure about the latter but the Barco's have non standard and required video cards, cost more than than all of the computers in the department combined and smell funny.
But it's great to see all three views of a CT or MRI at full resolution at once.
Yes, Yes and more yes. It's really too bad that the fab systems are set up the way they are, but I would love to see the day when we could get 16:10 / 4:3 decent quality monitors in various flavors and colors....
Slashdot Mirror
Oh but they will be replaced by an anti-synthetics group.
At least it will be a different ringing in the ears.
Not to worry. PETA will always be a PITA.
Now it's Sea Kittens. (Otherwise known as fish).
You can't make this stuff up! Or at least I can't.
The problem with Celexa + Coricidin would be the dextromethorpan (the 'cough' part) which can trigger serotonin syndrome. This points out the problem with these databases. There is very little practical information. The dextromethorpan-Celexa interaction is a generic one between the SSRI class of antidepressants (Celexa, Prozac, Zoloft, etc - the common ones) and the dextromethorpan. From what I've been able to look up briefly it would take a significant dose of both drugs to trigger the effect which could, but would likely not, be life threatening.
So, you have a very general effect that quite likely won't apply - but it's going to show up anyway because the lawyers reviewing this stuff aren't ever going to let you nuance this sort of thing.
The way to do that is to make the hospital financially responsible for the extra time. Then they have an incentive to fix it (despite the loud announcements by various Mission Statements, quality medical care isn't something most hospitals will take a whole lot of time with).
Medicare is trying to do this, but as usual they bring a sledgehammer to a knife fight. Dangerous to all involved but unlikely to do what you set out to do without wrecking the rest of the house.
The most common mis diagnosis in American medicine is 'Penicillin Allergy' (which would generally include amoxicillin). For exactly the reasons you cite. Actually, most EMRs do have some ability to at least explain the interaction. If I saw "Amoxicillin Allergy - nausea" on your chart, I would ask the circumstances and quite likely might prescribe it, especially if you were willing to 'experiment'.
There is a test for true penicillin allergy that's reasonably safe but requires some expertise so is usually done by Allergists or their ilk. We don't utilize it enough. It is often much easier to just label someone 'allergic' and go trundling on. But it can come back to bite you.
My favorite line is 'my mother thinks she is allergic to penicillin so I am too'. Logical thinking for the win!
The IOM report did grade error severity - they're not that dumb. The press, as usual, didn't pick up on that nuance. The IOM report, however, didn't do a very good job of grading error severity. In particular, it did not look at any metric like quality-adjusted-years-of-life that would balance a small error made in an elderly terminal patient. That was likely intentional since the thrust of the report was to say 'hello! Beuhler! wake up!'. Subtleties can come later.
Unfortunately for US medicine you have an enormous, many tiered complex system with numerous stakeholders with often competing interests simultaneously spending a significant fraction of the GNP while running out of money. Makes it hard to change things on a system wide basis which is exactly what we need to do - it's not just tossing a computer into the mix as computerizing chaos usually just yields computerized chaos.
A better solution would be that if the pharmacy cannot read the prescription, then they don't fill it. It should be the doctor who has the responsibility to make sure that what he/she is ordering is clear and understandable, not their receptionist or some clerk at the pharmacy. Doctors should be held accountable for prescription mistakes that are caused by their own haphazard penmanship.
Exactly that. The pharmacist needs to be talked to in a manner that will get their attention. If you don't understand something, get it checked out.
This, however, is the main reason for an e-prescribing system - not the interactions (the database sucks, way too many false positives). But there are literally thousands of drugs out there and names can be annoyingly similar. Decimal place errors can be a big problem as well. You need the information presented in a clear UNAMBIGUOUS fashion. Only way to do that, save for using a typewriter (link provided for all of you young'ins out there) is a computer.
Totally random. Probably won't happen again. And, to get back to point, it's not like iOS apps are always ad free.
Sauce for the goose.
OOOOH. Scary AC. Everyone start shaking their mouses!
The old-hat aerospace industry as a whole has completely failed. I have seen it personally. If the government just gave its space and science dollars to small teams of motivated individuals instead of massive bureaucracies, we could be outpacing the world in science and technology again.
Funny thing, this. I looked up the Wikipedia Apollo LM article to refresh my mind on something for another post and it points out that:
The Lunar Module was built by Grumman Aircraft Engineering and was chiefly designed by the American aerospace engineer, Tom Kelly.
(my emphasis).
What major project these days is designed mostly by one person? Or even a small group? This may be why SpaceX / Masten and the other small groups will be really useful. Get back to focused engineering, stay away from at least some of the bureaucratic bullshit endemic with large institutions.
sort of, not quite.
Didn't the lunar lander do this back in 1969 .. well they tested it out back in 1967 or something. I'll bet this thing needed mad CPU power and control systems too.
From the Apollo LM Wikipedia entry:
To allow astronauts to learn lunar landing techniques, NASA contracted Bell Aerosystems in 1964 to build the Lunar Landing Research Vehicle (LLRV), which used a gimbal-mounted vertical jet engine to counter 5/6 of its weight to simulate the Moon's gravity, in addition to its own hydrogen peroxide thrusters to simulate the LM's descent engine and attitude control. Successful testing of two LLRV prototypes at the Dryden Flight Research Center led in 1966 to three production Lunar Landing Training Vehicles (LLTV) which along with the LLRV's were used to train the astronauts at the Houston Manned Spacecraft Center. This aircraft actually proved fairly dangerous to fly, as three of the five were destroyed in crashes. It was equipped with a rocket-powered ejection seat, so in each case the pilot survived, including the first man to walk on the Moon, Neil Armstrong.[8]
So, not quite. This is quite a bit more advanced and hopefully more stable.
An application like Photoshop could still be very valuable on a tablet even if the UI has to change dramatically to fit the tablet idioms (like not relying on keyboard shortcuts). Photoshop in particular comes with a lot of image-processing features and algorithms that its competitors just don't have (e.g. the GIMP, which doesn't support CMYK image editing). So even though the users would need to relearn it, there would still be value in them doing so.
Excel's competitors have probably done a better job matching its features it than Photoshop's competitors have, so it may not enjoy the same market advantage on a tablet.
Nobody who does advanced Photoshop uses a single monitor anymore, much less some dinky little 8 - 10 inch thing. Yes, you can do simple image manipulation without all that, but you don't need Photoshop and the App Store is full of simple programs that do exactly that - including something called Photoshop.
But lack of macros, lack of ability to calibrate the screen, lack of ability to put files where you want them (as opposed to where Steve thinks they should go), lack of memory and a whole list of other features essentially dooms tablets to minor niches in image editing.
Use a Wacom tablet (may they burn in Hell forever) and compare using to an iPad when trying to manipulate pixels and you will instantly find that the iPad is a joke. It's just not designed for the kind of precision you need in pixel editing.
Adobe need not worry about the iPad. They're perfectly content screwing up Photoshop by themselves.
Zagg Keyboard + Jailbreak + Bluetooth Mouse + Citrix Reciever = Windows on the iPad with all the advantages the Apple hardware provides such as light weight, etc. and none of the stupid apple "features."
Why the jailbreak? Curious as to what that brings to this particular party.
And the other 'private' space companies.
Seems like it's the 1960's all over again. Small groups of engineers trying to do something cool. Maybe that's what we need to bootstrap things up again. Of course, they're essentially trying to do the same thing as NASA was trying to do in the 1960's minus the unknown factor.
But I bet it's fun to work in an environment where you have a small group of intelligent people.
(Sighs and and tries to focus enough on federal compliance regulations long enough to get ready for tomorrow's administration meeting.)
Huh? Office on the Mac is a much better software package than i(dont)Work. In fact, I like Office 2008 for the Mac better than any Windows based version.
That said, I don't think that the iPad needs a full version of anything. It just needs to be able to read the formats and perhaps use some basic functionality. Like Documents-to-Go has done for PDAs since early Palm Pilot times.
And don't get me started on Apple's inability to follow their own HID guidelines in their own software.
And further, I don't think even our HR department would consciously hire an ungulate.
your cow-orkers must have horrible typing skills. increase productivity by upgrading them to ppl who can type 10 wpm
Where I work, we value spelling and punctuation over sheer typing speed.
Just a thought.
Nope, I have an ipad 2 and they're nonfunctional. I wish slashdot would change the interface to make them usable on touchscreens.
I wish Slashdot would change the interface to make it just plain useable.
When you have the law in your favor, bang on the law,
When you have the facts in your favor, bang on the facts,
When you have neither the law nor the facts in your favor, bang on the table.
The first thing a defendant's lawyer is going to do is subpoena a true copy of the originals. Then the cat will be out of the BAG for sure.
Oopsy, we lost it. Here's a copy.....
Scary, isn't it. We had a roundabout put in one of our major intersections about a year ago (to much wailing and rending of garments). Perhaps 90% of drivers picked it up in the first few weeks. The other 10%, well, all I can say it's a shame that speeds are so low that we'll never get rid of them via traffic accidents. We just have to find some better way.
Nobody really liked my idea of putting forks in some power outlets to see who would pull them out.
In a low traffic environment it would likely be easier for the 'side' street to have a trigger that tells the light to go to green if there isn't traffic in the 'main' street. Just like we have now (mostly). The only advantage this system would give you is the ability to tell the light to go green earlier, thus letting the side street vehicle go without having to stop, saving some fuel and some time.
At the expense of safety - making the side street vehicle stop even briefly before going green allows the driver to look for the drunken madman barreling down the road.
I'll take the safer route, thanks.
Hopefully the rest of the world will come up to speed and you won't need Barco's or the Eizo. Not too sure about the latter but the Barco's have non standard and required video cards, cost more than than all of the computers in the department combined and smell funny.
But it's great to see all three views of a CT or MRI at full resolution at once.
As long as somebody else foots the bill.
Yes, Yes and more yes. It's really too bad that the fab systems are set up the way they are, but I would love to see the day when we could get 16:10 / 4:3 decent quality monitors in various flavors and colors....
Further, does that give them access to every paywalled site available in Canada or do 'some restrictions apply'?