Wes Rishel

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Archives for August, 2010


Regulatory Concerns re Home Medical Devices

by Wes Rishel  |  August 8, 2010  |  Comments Off

Interest in the market for home and remote monitoring rising steeply. For example, in our 2010 Hype Cycle (requires a Gartner log-in) we find the standards in Continua 1.5 to have matured to the point where they can soon begin to be the basis for compatible instruments and patient management systems, operating over an appropriate […]

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Avoiding “Stupid Questions” in CDS.

by Wes Rishel  |  August 3, 2010  |  1 Comment

I received an email from Jonathan Perlin, commenting on the yesterday’s post on CDS and “Stupid Questions”. It was based on his pioneering experience with CDS, has helped me to better understand ways in which an EHR can assure that CDS does not devolve to being “stupid questions.” I am fatiguing of hearing “alert fatigue” […]

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Smart Questions on “No Stupid Questions”

by Wes Rishel  |  August 2, 2010  |  2 Comments

The commentors on Usability: No Stupid Questions have raised the most important question of all … when is the “no stupid questions” rule an aid to improving the functional design of an EHR and when might it be used to the detriment of patients.The concern is that physicians who are resistant to CDS would equate […]

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Usability: No Stupid Questions

by Wes Rishel  |  August 1, 2010  |  11 Comments

Dick Taylor, the CMIO at Providence Health and Services Oregon Region has been speaking to this principle of usability for some time. “No Stupid Questions: remember why your clinical users came to work today, and honor their needs.” Until recently I had been filing this under “obvious but impractical.” Recently I had a chance to […]

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