Kata Bijak: Disiplin dimulai dari..

Kata bijak

Disiplin dimulai dari..

Kata kata indah bergambar dan kata mutiara kehidupan :Disiplin dimulai dari penguasaan isi pikiran

Kata kata bijak kehidupan,Gambar Motivasi, Kata Mutiara kehidupan, Kata kata Indah

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Kata mutiara motivasi: Disiplin dimulai dari penguasaan isi pikiran

Kata mutiara: Hasil dari ilmu

Kata mutiara:

Hasil dari ilmu

Kata kata indah bergambar dan kata mutiara kehidupan : Hasil dari ilmu adalah tindakan bukan pengetahuan

Kata kata bijak kehidupan,Gambar Motivasi, Kata Mutiara kehidupan, Kata kata Indah

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Klik untuk mengetahui berapa resolusi monitor anda

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Klik untuk mengerahui berapa resolusi monitor anda

Kata kata indah : Hasil dari ilmu adalah tindakan bukan pengetahuan

Healthcare IT Transparency Could Stand Some Improvement

Transparency in the health IT sector is akin to the transparency of Pb (lead).

The following report comes from the FDA Maude (Manufacturer and User Facility Device Experience) voluntary-reporting database, reported by a (likely unhappy) biomedical engineer a month after the "incident" - the nature of which is deliberately kept hidden.  This is regarding the PICIS "Pulsecheck" EHR for emergency departments:

Report Date     05/14/2010

PICIS INC. CARESUITE ED PULSECHECK S/W, TRANSMISSION & STORAGE PATIENT DATA
Event Type:  Other
Patient Outcome:  Required Intervention

Event Description

The customer has reported a patient incident that has prompted a review of their internal process and possible issues surrounding the incident. The customer report alleges the involvement of picis' ed (emergency dept. ) electronic health record application, whereby, duplicate results were received by the picis ehr application from an enterprise info system, which, when displayed in their entirety may have contributed to some degree of confusion for the treating physician - the context of which the customer has declined to clarify any further.  [What in the world? -ed.] At this time, we have been informed by the customer that they are restricted by senior leadership from disclosing any specific details regarding the patient's status, the specific type of result or evidence of application performance to support picis' investigation.

"Restricted by senior leadership from disclosing any specific details regarding the patient's status, the specific type of result or evidence of application performance to support Picis' investigation?"

That is perverse on its face, and probably in violation of Joint Commission safety standards on reporting of incidents that could affect other organizations.

Manufacturer Narrative

Picis' investigation into the reported incident is based on a limited exchange of info with the customer, as well as our internal review of the application design and current configuration in use at the reporting site. Review of configuration files, existing system build at the client site, interface specification documents and previous customer communications demonstrate that the customer implemented and accepted the picis edis in 2008. During this process, the picis edis system was configured to display all results sent from the customer's enterprise system rather than configuring the results display in 'overwrite' mode. Prior to acceptance, an investigation by picis and the client revealed that it was the sending system, sending multiple duplicate results messages [great quality - ed.] and a request was made by the customer of that enterprise vendor [I can only wonder who that was - ed.] to investigate. However, due to the enterprise system's protocol for 'add on' tests, it was not possible to utilize the 'overwrite' configuration due to the risk of filtering out unique results and subsequently not presenting the clinicians with important info. Therefore, the customer elected to have all results displayed.

A workaround that apparently, from the limited information provided, led to physician confusion..."the context of which the customer had", not very helpfully, "declined to clarify any further."

Hospitals also are required to have add'l safeguards in place for the handling of critical results including expedited reporting of critical results with a licensed responsible caregiver rather than relying solely on standard results reporting processes (joint commission national patient safety goal 02. 03. 01).

This is not a resounding statement of confidence in health IT...

The customer is currently working with a 3rd party integration consultant to improve the handling of results sent to picis' electronic health record application. We are providing support as it is requested. At this time, no corrective action is needed. 

The "senior leadership" that withheld details was protecting what, exactly?  Money and contracts, perhaps; conflicts of interest, possibly ... but not patients.

All I can say is:

Imagine if this was a report on a new drug suspected of harming people. 

What in heaven's name was going on here?

As I've written many times, and as illustrated by this MAUDE report, the health IT industry must first be transformed into one of evidence-driven IT practices and transparency before anyone touting its products has any business even speaking about the technology "transforming medicine."

-- SS

Foto Penampakan Naga di China

Unik Informatika - Seorang pria dari Fuzhou China timur, Provinsi Jiangxi mengklaim telah mengambil foto naga terbang dilangit. Menurut Guan Mulin dia mengambil foto tersebut saat dia sedang mengendarai mobil.

Dia berkomentar "Saya sedang menyetir dan saya melihat orang-orang melihat keatas, jadi saya memarkir mobil saya dan memeriksanya"

Naga di Langit Provinsi JiangXi

Guan bilang dia melihat naga terbang diatas awan "ini terlihat seperti 2 naga berenang-renang di langit, atau seekor naga dengan kepala dan ekornya yang muncul dari balik awan".

Guan bilang kejadian itu berlangsung selama beberapa menit sebelum akhirnya naga itu menghilang ke dalam awan. Beberapa menit merupakan waktu yang lama, masuk akal atau tidak hanya anda yang memutuskan ! :)

Good HIT, Bad HIT, HIMSS And Reckless Technology Advocacy: Will This Hurt President Obama?

HIMSS, the Health Information Systems Management Society, is the large vendor trade group representing healthcare IT sellers.

At the HIMSS blog entitled "Health IT is an essential element to transform the Nation’s healthcare system" (link), Carla M Smith, MA, CNM, FHIMSS writes this with regard to the House  letter to HHS Secretary Sebelius asking her to suspend payments for the EHR Incentive Payments authorized in the American Recovery & Reinvestment Act of 2009:

HIMSS opposes halting the Meaningful Use EHR Incentive Program. Health IT is an essential, foundational element of any meaningful transformation of the Nation’s healthcare delivery system. 

(Of course, not mentioned is "transformed" into what, exactly; this utopian ideation is a topic for another time.)

A chart is then presented as to "how US civilian hospitals have, since the first incentive payments were made in second quarter, 2011, matured in their use of health IT."  Then this statement is made:

Healthcare providers are adopting certified EHRs and using them for meaningful purposes; thus, achieving Congressional intent to improve the quality, safety, and cost-effectiveness of care in U.S.

Really?  (See my Feb. 2012 post "Hospitals and Doctors Use Health IT at Their Own Risk - Even if Certified.")

This non-evidence based, amoral advocacy by HIMSS for health IT may cost the President the November election.  HIMSS has beguiled the president into similar unquestioning advocacy for the technology in its present form, which his opponents are now (rightfully) seizing upon as in the House letter.

The reckless mistakes made by HIMSS and their advocates include these two:

1.   The unquestioned belief that this expensive technology would save billions of dollars in healthcare costs, instead of depleting precious healthcare resources better spent on, say, improvement of healthcare services for the poor.

2.  More importantly, the appallingly naïve belief that any health IT is good health IT, and that any health IT is only capable of good, not bad.

HIMSS has thus failed to recognize - or perhaps worse, recognized but recklessly ignored - the profound difference between good health IT (GHIT) and bad health IT (BHIT).

As I defined at my teaching site on Medical Informatics:

Good Health IT ("GHIT") is defined as IT that provides a good user experience, enhances cognitive function, puts essential information as effortlessly as possible into the physician’s hands, keeps eHealth information secure, protects patient privacy and facilitates better practice of medicine and better outcomes.

Bad Health IT ("BHIT") is defined as IT that is ill-suited to purpose, hard to use, unreliable, loses data or provides incorrect data, causes cognitive overload, slows rather than facilitates users, lacks appropriate alerts, creates the need for hypervigilance (i.e., towards avoiding IT-related mishaps) that increases stress, is lacking in security, compromises patient privacy or otherwise demonstrates suboptimal design and/or implementation.  

I am an advocate of the former, and an opponent of the latter.

Bad health IT is prevalent in 2012 due to lack of meaningful quality control, software validation, usability standards and testing, and regulation of any type - a situation HIMSS long favored.   (The failed National Programme for HIT [NPfIT] in the NHS learned this the hard way, as will Australians needing emergency care, I predict.)

Put bluntly, in the end BHIT maims and kills patients, squanders precious healthcare resources, and drains the treasury into IT industry pockets (see my Oct. 3, 2012 post "Honesty and Good Sense on Electronic Medical Records From Down Under" and this query link on health IT risks). 

Further, the failure to recognize that the technology's downsides need to be understood and remediated before national deployment occurs and under controlled conditions, not after (which uses patients as non-consenting experimental subjects for software debugging), speaks to gross corporate negligence on the part of HIMSS.  It's not as if they did not have advance warning of all of healthcare IT's deficiencies. 

BHIT also permits record alterations after the fact that may be to conceal medical error.  I am aware of numerous instances of such alterations, fortunately caught by critical-thinking, detail-minded attorneys.  However, like health IT harms, the incidences of known alteration attempts likely reflect the "tip of the iceberg."

HIMSS and its fellow travelers have thus led this administration down the Garden Path of health IT perdition.

I warned of this in a Feb. 18, 2009 Wall Street Journal letter to the editor:

Dear Wall Street Journal:

You observe that the true political goal is socialized medicine facilitated by health care information technology. You note that the public is being deceived, as the rules behind this takeover were stealthily inserted in the stimulus bill.

I have a different view on who is deceiving whom. In fact, it is the government that has been deceived by the HIT industry and its pundits. Stated directly, the administration is deluded about the true difficulty of making large-scale health IT work. The beneficiaries will largely be the IT industry and IT management consultants.

For £12.7 billion the U.K., which already has socialized medicine, still does not have a working national HIT system, but instead has a major IT quagmire, some of it caused by U.S. HIT vendors. [That project, the NPfIT in the NHS, has now been abandoned - ed.]

HIT (with a few exceptions) is largely a disaster. I'm far more concerned about a mega-expensive IT misadventure than an IT-empowered takeover of medicine.

The stimulus bill, to its credit, recognizes the need for research on improving HIT. However this is a tool to facilitate clinical care, not a cybernetic miracle to revolutionize medicine. The government has bought the IT magic bullet exuberance hook, line and sinker.

I can only hope patients get something worthwhile for the $20 billion.

Scot Silverstein, MD

Mr. President, again, quite bluntly, the health IT industry took you for a ride, and the damage is done and is continuing due to lack of any meaningful health IT post market surveillance.   (As I wrote here, the untoward results have already been used against the current administration, with more perhaps to follow.)

In the U.S. we have the 1938 Federal Food, Drug, and Cosmetic Act (FD&C Act) in place:

The introduction of this act was influenced by the death of more than 100 patients due to a sulfanilamide medication where diethylene glycol was used to dissolve the drug and make a liquid form.  See Elixir Sulfanilamide disaster. It replaced the earlier Pure Food and Drug Act of 1906.

It should be honored, not ignored via special accommodation to the health IT industry and its trade group.

HITECH also needs to be put in dormancy until the problems with these unregulated medical devices get worked out in relatively small, controlled settings to minimize risk, with patient informed consent.  This is in accord with human rights documents dating at least to the Nuremberg Code, as in any new, experimental or partly-experimental medical device, pharmaceutical, or therapy.

-- SS
 

Misteri Kebenaran Tentang UFO Yang Simpang Siur !

Limit Komputer | Mungkin artikel ini sudah sangat basi dan membosankan untuk di bahas karena bersifat pasaran. namun untuk artikel ini saya buat berbeda agar pembaca menilainya dengan baik tanpa harus memikirkan Artikelnya Pasaran atau hal-hal yang lain yang bersifat negatif.

Kita sering mendengar di berbagai media massa yang mengatakan bahwa UFO sering menampakkan diri di mana-mana, namun bukti yang mengatakan UFO itu benar-benar ada itu masih Simpang Siur dan belum tentu benar?

Berikut beberapa kejadian tentang penampakan UFO ?

1. Siswa SD Banjarmasin melihat penampakan UFO

Screenshot : Penampakan UFO di banjarmasin

Pada 22 Januari 2010, Seorang anak SD dan teman-temannya keluar kelas untuk melihat benda aneh yang berjalan mendekati matahari. bentuknya besar yang di lingkari pelangi yang memutarinya. kejadiannya sekitar pukul 11:00 WITA.

2. Penampakan UFO di bandung pada Awal 2012

Screenshot : Penampakan UFO di bandung

Kota bandung sempat di gegerkan dengan beberapa foto penampakan UFO. yang di ambil dari Perjalanan dari bandung ke jakarta dengan kereta api Argoparahyangan. UFO tersebut sempat melintasi perkebunan warga. 

3. Penampakan UFO di Blok M jakarta 

 Screenshot : Penampakan UFO di Blok M

Beberapa tahun lalu UFO sempat menampakan diri di atas kota jakarta atau yang lebih tepatnya Blok M. UFO tersebut melayang-layang di atas salah satu apartemen di jalan pakubuwono di blok m. kabar tersebut muncul di facebook setelah salah seorang warga melihatnya di salah satu foto hasil potretannya ada sebuah benda aneh bulat yang tampak seperti UFO.

Setelah saya menganalisanya ternyata 3 penampakan di atas semuanya tidak benar atau bohong belaka. kenapa saya bisa mengatakan hal tersebut tidak benar? coba anda lihat di kejadian nomor 1 di situ terlihat fotonya yang tidak sama dengan isi beritanya, nomor 2 tampak penampakan UFOnya begitu tidak nyata dan terlalu kelihatan editan manusia dan nomor 3 setelah saya membaca artikel lengkapnya, foto UFO tersebut di gabungkan dengan Gedung Green bay, Wisconsin

Namun jangan dulu beranggapan bahwa penampakan-penampakan UFO yang pernah di publikasikan di media massa itu 100% tidak benar atau bohong belaka. walaupun bukti-bukti yang ada belum begitu benar, siapa tahu beberapa tahun kedepan akan terungkap keberadaan UFO memang benar-benar ada.

Cara Mengatasi Masalah Pending BBM ( Blackberry Messenger)

Unik Informatika - Blackberry kini kian diminati semua kalangan masyarakat, baik muda mudi maupun golongan orang tua sekalipun. Salah satu fitur andalan Blackberry adalah BBM (BlackBerry Messenger) yaitu sebuah aplikasi untuk saling berbagi foto, music, dan video singkat yang tak lepas dari fungsi dasarnya untuk chat.

Namun terkadang BBM ini sendiri juga memiliki masalah khusus, masalah yang sering kita jumpai bahkan tidak asing lagi bagi pengguna BBM adalah pending, yaitu tertahannya pesan kita yang telah dikirim. Biasanya pesan yang sudah terkirim akan di lengkapi tanda conteng dengan huruf "D" = delivered yang berarti pesan kita sudah sampai.

contoh BBM yang delivered

atau tanda conteng dengan huruf "R" = received/replied yang berarti pesan kita sudah dibaca atau bahkan sudah di balas.

contoh BBM yang sudah dibaca/dibalas

 Untuk pending sendiri biasanya ditandai dengan lambang jam ataupun dengan tanda conteng tanpa huruf apa-apa, seperti :

BBM Pending

atau

BBM Pending 

Dan apabila pesan yang anda kirim gagal, maka akan langsung keluar tanda silang berwarna merah.

BBM gagal

Untuk mengatasi masalah pending ini, admin punya sedikit solusi yang mungkin bisa membantu...

- offline kan Blackberry anda dengan cara buka manage connection lalu unconteng pada mobile network, tunggu sesaat dan conteng kembali

- bila masih pending, coba ubah jaringan anda, misalnya dari 3G ke 2G

- bila masih pending juga, coba softrestrart BB anda dengan menahan tombol alt+shift kanan+del dengan sekalian, atau hard restart dengan mencabut baterai.

selamat mencoba, semoga bermanfaat....

source : Bluezer Blog