Description
Book SynopsisThe New York Times Science Bestseller from Robert Wachter, Modern Healthcareâs #1 Most Influential Physician-Executive in the US
While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcareâs ills.
But medicine stubbornly resisted computerization â until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital.
Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of Americaâs leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the abs
Table of Contents
Preface xi
Chapter 1: On Call 1
Chapter 2: Shovel Ready 9
Part One - The Note
Chapter 3: The iPatient 23
Chapter 4: The Note 29
Chapter 5: Strangers at the Bedside 35
Chapter 6: Radiology Rounds 47
Chapter 7: Go Live 65
Chapter 8: Unanticipated Consequences 71
Part Two - Decisions and Data
Chapter 9: Can Computers Replace the Physician’s Brain? 93
Chapter 10: David and Goliath 105
Chapter 11: Big Data 115
Part Three - The Overdose
Chapter 12: The Error 127
Chapter 13: The System 131
Chapter 14: The Doctor 135
Chapter 15: The Pharmacist 139
Chapter 16: The Alerts 143
Chapter 17: The Robot 155
Chapter 18: The Nurse 159
Chapter 19: The Patient 165
Part Four - The Connected Patient
Chapter 20: OpenNotes 171
Chapter 21: Personal Health Records and Patient Portals 183
Chapter 22: A Community of Patients 195
Part Five - The Players and the Policies
Chapter 23: Meaningful Use 205
Chapter 24: Epic and athena 219
Chapter 25: Silicon Valley Meets Healthcare 235
Chapter 26: The Productivity Paradox 243
Part Six - Toward a Brighter Future
Chapter 27: A Vision for Health Information Technology 257
Chapter 28: The Nontechnological Side of Making Health IT Work 267
Chapter 29: Art and Science 271
Acknowledgments 281
Notes 285
National Coordinators for Health Information Technology 309
People Interviewed 311
Bibliography 319
Illustration Credits 321
Index 323
