I'm very interested in the model of the world that a GP has in her head. In
my opinion, computer systems themselves are irrelevant - they just happen to
be a way of asking GPs to be explicit about that model.
I'd like that to be a very good model: ideally, evidence-based; ideally,
open to scrutiny by intelligent people who are not GPs. I'd like it to be
challenged by non-GPs and for GPs to learn from those challenges. I'd like
transparency. It would be an excellent contribution to societal knowledge if
GPs could make that model (those models if more than one) explicit.
I'd also like the 'acceptable' (i.e. non-Red Light) level of deaths due to
medical errors to MUCH better than 5000 a year.
As to the negligence/responsibility point?
Sandra
-----Original Message-----
From: GP-UK [mailto:[log in to unmask]] On Behalf Of Adrian Midgley
Sent: 29 July 2011 22:37
To: [log in to unmask]
Subject: Re: Current GP computer systems
On 29 July 2011 22:17, Sandra Pickering <[log in to unmask]>
wrote:
> I completely agree - especially since I've been paying tax for GPs to be
> trained to do General Practice - I'd really like them to focus 100% on
being
> high quality GPs.
Hmm. So do general practice, and then have a separate activity
recording stuff in a computer system designed by other people for
other ends?
I think that is a sub-optimal approach.
There are several areas where automation - rather than a record
system, or soemthing you use to produce bits of paper to write on,
file and fail to compute later - can make easier and quicker things we
can do well, or catch well-known errors, or occasionally do soemthign
that in principle we could do but in practice cannot.
The drive to produce and configure software for all of those comes
from the model of the world that a doctor - a GP mainly - has in his
head.
Some of the mechanics of reification of such manipulations into
software are best done by professional programmers, and some are best
done in rapid prototype or first version pending refactoring, by
domain experts with some practice at programming.
--
Adrian Midgley http://www.defoam.net/
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