Burn out

Alan Morris Alan.Morris at IMAIL.ORG
Mon Feb 1 11:33:08 UTC 2016

Thank you for the reply, Jason.
I do not see any impact yet.  This change must come from the bottom - not
top-down, if we are to have any chance of changing medical culture and
adopting such medical decision aids, in my opinion.  We need support for
development and scaling of this decision-support strategy, I believe.  I
am now beginning discussion of this with a large healthcare network, but
the funding institutions are, as far as I can tell, ignoring this central
issue.  I believe this will have to take place with local funding from
institutions that recognize this as a good business venture.

On 2/1/16, 04:17, "Jason Maude" <jason.maude at isabelhealthcare.com> wrote:

>This is very depressing. Are you seeing any impact from the IOM report
>yet in helping to change culture? I am expecting/hoping that the report
>will start being discussed by hospital boards and this will eventually
>translate in some sort of action which could include providing and
>encouraging the use of decision support as you describe.
>Jason Maude
>Founder and CEO Isabel Healthcare
>Tel: +44 1428 644886
>Tel: +1 703 879 1890
>www.isabelhealthcare.com <http://www.isabelhealthcare.com/>
>On 30/01/2016 16:30, "Alan Morris" <Alan.Morris at IMAIL.ORG> wrote:
>>Thanks - this is likely to continue until we, as a profession, focus on
>>the core problem:  the overtasked physician, asked to do humanly
>>impossible decisions without effective decision support.  I believe we
>>will be mired in this problem set unless we target automatic control of
>>medical tasks (closed loop protocols) with adequately detailed computer
>>protocols.  This requires a cultural change and recognition that the
>>Hippocratic model (the expert model) is necessary but by itself
>>insufficient.  Most of the time I feel as if I am talking to a wall.
>>Have a nice day and Happy New Year.
>>Alan H. Morris, M.D.
>>Professor of Medicine
>>Adjunct Prof. of Medical Informatics
>>University of Utah
>>Medical Director, Urban Central Region Pulmonary Function Laboratories
>>Pulmonary/Critical Care Division
>>Sorenson Heart & Lung Center - 6th Floor
>>Intermountain Medical Center
>>5121 South Cottonwood Street
>>Murray, Utah  84157-7000, USA
>>Office Phone: 801-507-4603 <tel:801-507-4603>
>>Mobile Phone: 801-718-1283 <tel:801-718-1283>
>>On 1/30/16, 08:57, "Robert Bell"
>><0000000296e45ec4-dmarc-request at LIST.IMPROVEDIAGNOSIS.ORG> wrote:
>>>The AMA Morning Rounds today has an excellent article on Physician
>>>burnout. It mentions Errore in Medicine.
>>>Rob Bell, M.D.

Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

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