Lisa Rosenbaum.

Lisa Rosenbaum, M.D .: Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine A decade ago, a primary care physician We admired appeared to come undone. His performance had derived not really from rushing between sufferers but from knowing them so well that his charting was effortless and fast. But he became distracted instantly, losing his grip on the facts of his sufferers’ lives. He slumped around, shirt half-untucked, perpetually pulling a yellowed handkerchief from his pocket to clean his perspiring forehead. Everyone worried he was sick. His problem, however, turned out to be the electronic health record . Investigating the root causes, Wachter discovers style flaws, such as defaulting to certain products for medication dosing and alerts rendered meaningless by their sheer amount.

If an important advantage for an altruistic donor is definitely psychological, then arguably there is more psychological advantage to be derived from helping a chain of several patients than from helping only one patient.22 Although many challenges remain in maximizing the benefits that can be achieved with paired donation, we believe that this report of a chain of paired kidney donations in which the transplantations were not necessarily performed concurrently illustrates the potential of this approach.. Michael A. Rees, M.D., Ph.D., Jonathan E. Kopke, B.S., Ronald P. Pelletier, M.D., Dorry L. Segev, M.D., Matthew E. Rutter, M.D., Alfredo J.