Miscommunication and medical Malpractice

Miscommunication is a huge problem in the medical practice , years before we didn’t suffer from such problem , but right now we are suffering from it in the age of communications. The miscommunication i mean same as Dr. Mark E. Meaney means , as it’s miscommunication between the Doctors themselves and another miscommunication between the Doctors and the Patient ….

Dr. Mark E. Meaney is the President and CEO of National Institute for Patient Rights (NIPR) …. he helped me through his discussion about that topic to reconsider my thinking about that matter …. To follow up with Dr. Mark E. Meaney you might join Empower Patients group at facebook.
before as my father thought me

” Your Patient is more than case more that a responsibility , you’ll spend sometime with , your patient is trusting you not just as a doctor but also as his guidance , and right now many doctors forget this part and that responsibility , now the patient is just another case “

So :

Can we Consider the Miscommunication as failure in the system Or as Medical Malpractice ?

This Question is based on what i read in “Miscommunication, or a failure to communicate, in health care delivery.” ….. at this Discussion Board ..

There is Miscommunication leading to failure sometime in the diagnosis , sometimes in the decision ( by the patient or his own doctor ) ….

so before i replied the other post , my coder ” programming sense ” hold me to give it a thought ( we should classify the problem and know how dangerous its , then studying it , Analysis the causes , then make the plan to fix , cure and treat the problem ”
..

so now this miscommunication is :

1- a small failure in the system ?!!
2- or a complete malpractice ?!!!!

the way i see it :
it’s a complete medical malpractice ,why :,

1.confuse the Teamwork actions .. between the doctors
2.produce a conflict in the diagnosis and/or medication
3.The decision by the patient himself might be regrettable , wrong cause it build on wrong or incomplete information cause the miscommunication ..
4-Miscommunication Leads to Misunderstanding which finally will conclude to Misjudgments ……

Each Patient’s case is a Ship and needs only one captain to admin it and guide it …..

Personally as i see : we can’t say how to fix this miscommunication , simply cause the Doctor’s area and environments are too much different , it might be closed environment ( Hospital , Center , Clinic ) or wide open ( Health Charity Organizations , Open Clinics , community health services powered by the community ) , plus we need to know the source of cause about miscommunication , in wide large scale of doctors and health services providers as well as many environments … (That’s way we need many doctors to Contribute us in this matter , we need to know many opinions , and know about many environments ) ..

The solution has it’s own 2 ways :
1-fix the partial miseducation and environmental , works causes which lead to miscommunication .finally to misjudgment . ( The Diagnosis , and the decision then the medication )

2-social and community icons : as the chaplain , Family Doctor …. as Dr.Mark E. Meaney suggests …. which i totally agree about the whole concept .

… years later this miscommunication will be massive and produce non avoidable consequences , which we can avoid the future problem by fixing and planning how from now …

Hamza E.e Mousa


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13 Jan Posted by Hamza Emadeen M. Comments zero

BaseCamp , Active Collab –> RailsCollab

AFTER trying out many of Projects Management system , and of course some online ones as the Famous BaseCamp by the famous 37 singles , and got amazed by how interactive usable creative BaseCamp was , i got ” months ago ” ActiveCollab , and as the some people suggest , it’s a free open alternative for BaseCamp …
ActiveCollab Dashboard
The ActiveCollab , is developed by the developer of simple PHP framework , who has an interesting concept about his framework , This framework isn’t designed to build websites for you. There are
plenty out there that already try to do that. It’s designed to help you build websites
.
I Used Activecollab and still using it , it’s simple easy to use and featured more than any other Groupware i ever used ..
Why ActiveCollab :

  • Simple easy install , mostly without problems 80% ..
  • Simple easy navigation ..
  • Interface : simple , usable …. other wise , other groupware out of simple interface
  • Milestone , Tasks , Documents handling were pretty good
  • People Privilege was really powerful and simple

ActiveCollab got new opponent …, James S Urquhart clones the ActiveCollab to Rubyonrails called : RailsCollab .
RailsCollab Dashboard
why so ? :
James S Urquhart :

  1. I didn’t like PHP
  2. I was a bit of a novice at programming in Ruby
  3. My experience of dealing with the Ruby on Rails framework was sketchy to say the least
  4. ActiveCollab’s PHP framework was similar to Ruby on Rails
  5. Open source is great, lots of people will be interested in working on it with me

Curse of the Open Source Excitement ( Open Source Excitement Syndrome ) :
Excitement to Join an Open source Project sometimes is an excitement and joy of the monument , so 2 people only joined the Project and James did all the work ..

again : Hell NO :
James S Urquhart :
Will i ever do such a stupid thing like this again? I can conclusively say…. hell, no!

Resources :

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13 Jan Posted by Hamza Emadeen M. Comments one

Clinical Psychiatry News

Clinical Psychiatry News is an independent newspaper that provides the practicing psychiatrist with timely and relevant news and commentary about clinical developments in the field and about the impact of health care policy on the specialty and the physician’s practice.

Website :  http://www.clinicalpsychiatrynews.com/home

Moaaz


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04 Sep Posted by moaaz Comments zero

MedPeek Again

We are happy to announce that we made MedPeek public again with some updates and enhancements.
It is a medical news and podcasts aggregator. We organized the news in categories and subcategories. You can also search for previous news.

Categories are :-

  • Health News
  • Medical News
  • Surgery :
    • Cardiothoracic and Vascular Surgery
    • Surgical Oncology
    • Transplantation Surgery
    • Orthopedic Surgery
  • Dental News
  • Cancer :
    • Cancer publishing
    • Breast Cancer
    • Prostate Cancer
  • Podcasts

Website : http://medpeek.com/

Moaaz


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18 Aug Posted by moaaz Comments zero

MedReader The Medical news at your desktop

Trying the MedReader , it’s a free medical desktop news reader , delivers the medical and health news to your desktop …for windows …. simple to use , easy to install and run , handy in customize the news category source .. search the medical news from your desktop , and it’ll direct you to medicalnewstoday.com

the interface holds many news items , scroll down to get more , but no option to choose the category you want to browse .

Medreader Download


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28 Jul Posted by Dr.Hamza Mousa Comments zero

Is Joomla DMS ? and what`s The DMS .

(DMS) Document management System ,the best way to handle the documents online , simple way as web2.0 dose , such as PDF , DOC , PPT , CVS , XLS , …….. ,SWF.So what`s the simple way to handle your articles - news - posts online ( in PDF format ?)

since the Mambo like systems like (Joomla …) (Ps. years ago)have to power to export the article / news to PDF files , yas it`s ..

That`s quiet simple answer about Q. in email i got .

but How The Web2.0 handling Documents? that`s another story (another post)
Hamza Emad Eldeen


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08 Oct Posted by Dr.Hamza Mousa Comments zero

Web2.0 in Medicine - are we there yet ?? Thoughts about web based Medical ware!!

Are We There Yet ?!! , that`s Q. i planned to answer the last post.. to prefer to later and test some more Web Based Medical softwareand medical web sites … almost all what i test didn`t adopt Web2.0technologies and features , which including simplicty (in Development -Design - and use ) as well as Web 2.0 Technologies as Ajax .. many ofthat software basic .. and focused on the concept it`s DB application(EMR - EHR) ..

lake of communication i notice with some (I meanbetween the for the patient and the doctors ) ….some of EMR softwaresdidn`t get Calenders ….. including more communication details as (Emails - Skype - IMs accounts ) i mean Web Communication features ….

For Developers it`s quiet hazy for editing especially or developingmodules , or re-architecture the system … ( I means for open source systems )

Medical Web sites : many of old respective medical search engines …didn`t adopt the Web2.0 features yet .. but here we have 2 featuredprojects : healthline.com , healia.com -as medical / health care search engines

So.. that`s the Main Q .: are we there yet ? yas and no

  • Yas ..
  1. We use blogs and it`s quiet Web 2.0 publishing system.
  2. Now Wikis .. at WikiPedia ….and Wetpaint Wiki
  3. Search Engines
  • No.. here for Web based medical wares / and Web1.0 Style Medical web sites .

Hamza Mousa. medpeek.com stuff


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08 Oct Posted by Dr.Hamza Mousa Comments zero

Web2.0 in Medicine

Web2.0 Revelation all over the Internet including featured useful project , we all use , but here i want to exclude some points about web2.0 and medicine - health related use .

  • what`s web2.0 ?
  • web2.0 featured projects - and related medical projects
  • Web2.0 Conepts in Medical Informatics Development.

What`s the Web 2.0 ? is web Revelation
, based on new concepts to develop the web sites and treat the Web as
Platform , so now u used some web sites sometimes as desktop
applications , The main new concept is the simplicity , in design , development , information delivery , Web2.0 included many featured projects filed under many sections as (RSS - Podcasts - Weblogs - Wikis - Social bookmarking )

Web2.0 featured projects … adapted web2.0 concepts in developing web based systems make the internet more interactive , more simple to use , that adaptation included in :-

What do we need to get out of the Web1.0 for the medical / health informatics related projects ??

  • Web2.0
    power is in the simplicity , in design , and development , that`s make
    the projects really handy and easily to update with new features when
    it`s needed
  • User Interactivity , that features provided by ajax , adding more interactivity and life to the web page , but is that the main use for ajax ?? (i`ll try to exclude it later another post)
  • Simple Notification - RSS feeds , that feature included in many blogs - CMS - Wikis
  • Rich Internet application : as Flash / Multimedia / adobe
  • Simple search Friendly : remember the ajax elements not search friendly
  • ajax Frameworks “alot of ajax frameworks Opensource free” but which is one to use?
  • Modularity :- Modularity system allow the developers which use
    the system to add and customize the system according to their needs ,
    that`s could be developer side .. developing extensions - Plugins & addons sometimes make the system more strong and flexible especially if that Modules easy to develop simply

some notes about medical informatics developmet and web2.0

but Medical informatics and Web 2.0 are we there yet?????
Hamza Mousa


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08 Oct Posted by Dr.Hamza Mousa Comments zero

Free Medical EMR (#02)

Some of other free opensource EMR systems , i got , through search … or emails to me ……..Testing In Progress
Free and Opensource Medical EMR List No.2

  • FreeMed : Most Powerful , Document management , Hl7 Interface , Modular System
  • MedClipse : Free OS EMR Included ” agenda, billing (tarmed), medical and administrative data management, prescriptions & referals”(Non English Main website) Download
  • Elexis : (Non English site ) for all aspects of a medical practice: EMR ,laboratory findings accounting, billing & other daily work.
  • Endoclinic : Patient Management System
  • FreePM : physicians practice management / EMR
  • CAISI : an EMR system based on Oscar
  • ClearHealth : a next generation practice management system and EMR -Web Based
  • Natural EMR : EMR for for the special needs alternative medical providers-web based
  • Ultimate EMR : Web based

Feel Free To Update me with another free opensource EMRs…

Dr.Hamza Emadeen Mousa - GooMedic.com author - Medpeek.com Stuff

Contact Me


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08 Oct Posted by Dr.Hamza Mousa Comments zero

Which CMS is Fit as Medical CMS?

alot of free Open source CMS (Content Management System) all over the web but which one is could use for medical resources?

that`s Q. some one email me to post about the answer..

The Effective CMS features :

  • Good Plugin and addons support
  • Web 2.0 Features
  • Easy Multimedia Integration
  • Rss Notification
  • gallery Integration support
  • easy Integration with other scripts as forums , blogs
  • Search Friendly
  • Themes made easy and good themes support
  • Good User System.
  • easy friendly Control Panel
  • Email Notifications
  • Good Security and bugs tracking support
  • Multi Lingual support

Just simple answer That`s depends on the Content..you wanna this CMS to hold .

-for Medical portal
Included Medical Community :You should Use Compatible system .. to save
time The CMS should contain Forums , News system …articles system

Some
sites make The forums alone …. make the user confused 2 User systems
included one for the CMS and the other for the forums …

so what CMS could use as Medical Portal ?

  • Mambo .. easy CMS and Quality Themes and Plugins support Including forums ,News and articles …RSS support
  • Joomla .. coming from the Mambo easy and Powerful support for themes , plugins and Security enhanced . RSS support
  • Php-Fusion
    .. Including Forums , Links manager , Categorized news , articles and
    Download section…. and Photo gallery as well .. easy Control Panal
    and Good Plugin support alot of themes available. RSS Plugin
  • e107.. Simple to use with Powerful support with Powerful Control Panal .RSS support
  • Xoops simple and easy to use .. good plugins and themes support . RSS support

-News system :News system Features

  • News Categorization
  • News Archive - Or Advanced Archive system …Weekly , Monthly or by Category
  • Calender
  • RSS notification
  • Search Friendly
  • Simple and easy to Navigate
  • Multimedia Support to add Multimedia News or Podcasts / Vodcasts .
  • News Via Email ..
  • good Themes and plugins support.

you
can Use simple blog … regarding you may add media in It so look for
good plugins support … The blog Interface ? if you using the
Wordpress it`s easy to customize the blog look to anything you want.

News systems :

  • Wordpress ..Categorized Posts system .. Plenty of Themes and Plugins support
    ….Multimedia
    support … RSS feed… Interactive Posts system (Comments) .. Archive
    support and advanced Archive Plugins …. Gallery support with easy
    Integration to other CMS and forums ….. Podcasts Support .. search
    Friendly and Permalinks Options
  • sNews
    .. new on board simple and easy … Categorized News system… Comments
    system …. Template made easy….Search Friendly ..Local Search engine
    ….RSS feed Simple archive system
  • Limbo..
    Mambo like lite CMS .. easy to use and Supper themes support and
    Plugins support… categorized news … News Voting system …. RSS
    support… good user system ….

- Educational Systems & eLearning Web Solutions:

What If you are looking for elearning Web Based Solution for medical
Use? What are the features should be in the eLearning system?

  • Interactivity : here The interactivity should be more advanced Plus the comments systems … adding Chat ….
  • Powerful Notification .. Email .. RSS
  • Advanced Calender and Archive system
  • Multimedia Support adding - Flash Support
  • Multimedia Library and Archiving
  • Plugins and themes Support
  • Powerful examing And Testing system..
  • Easy Navigation
  • Powerful Control panal
  • Advanced User system - Multi Level Support
  • Tutorials and classes Plans ..
  • Agenda and News support
  • Learners Administration
  • Courses , Sessions & tutorials Administration
  • Surveys
  • Reporting Support
  • Learners Profiles
  • Easily Presentation integration (Powerpoint , Flash , Openoffice Presention )
  • Simple DMS (Document management System ) for Resources (*.doc , Pdf , Swf , Exe , Videos , Audio)
  • Player for Multimedia and Document files
  • Advanced Export System Artciles , News , Tutorials as PDF files … Courses , Schedule as CVS or XLS files

so what`s the free web based eLearning Solutions could used?

-DMS (Document Management System)

There is Huge lake of Medical online Free
Documents :( i remember at The first year at the medical school … it
was so hard to find Presentations , Documents etc.. but now there is
many DMS available but almost no Medical uses yet :(
Note :

  • Filebrowser from Lussumo ..
    It`s no DMS … it`s just Powerful PHP script to browse the files and
    the folders … and Preview some types of files like SWF - Why i did
    list it here ? to exclude the difference ( ) The DMS and The simple
    scripts.

Features of Good DMS :

  • Multi User support
  • Multi Level Users support
  • File and Folder Manager
  • Searchable
  • Player for Multimedia files (Mov . Audio . SWF..etc )
  • Document Files Viewer (PDF . Doc . XLS . CVS..etc)
  • Image Viewer
  • Easy and Advanced File Navigation (by type , date , category , user , activity)
  • Log Viewer and Export
  • Security Enchaced
  • FTP file Uploading Support
  • Multimedia Info Reading as MOV , MP3
  • RSS feed
  • Easy Control Panal
  • Advacned File Archive
  • News system
  • Bulk Operation

here i`ll list some of DMS open source and easy to use ..

Dr.Hamza Emadeen Mousa - GooMedic.com author - Medpeek.com Stuff

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08 Oct Posted by Dr.Hamza Mousa Comments zero