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Nick Genes
Lives in New York City
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Nick Genes

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Order Sets & the Art of Medicine
When I was part of Jeff Neilson's illustrious Informatics Research panel at SAEM in Dallas this past spring (we were recently invited back for San Diego next year) I spoke on the topic of simple clinical decision support projects, particularly evidence-base...
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You can go FOAM again
Last month I got on stage at SAEM's Annual Meeting, and said ( among other things ) that excelling at medical education through social networks was a calling - one that I didn't hear. Despite being an early adopter of social media for EM education, it's cle...
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Nick Genes

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#SAEM14 panel discussions on social media scholarship & clinical decision support
I was very pleased this year to participate on two panels at SAEM in Dallas.  On Thursday, I joined Michelle Lin and (remotely) Rob Cooney for the panel led by Jason Nomura, called "From Twitter to Tenure - Use of Social Media to Advance Your Academic Caree...
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Interesting blog by Zoc Doc.
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Some thoughts on dictating charts, via my Mac's new operating system. 
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at this point, my EHR system uses so many macros and shortcuts that dictations will just take too long.  The idea of a mixed system has some appeal... just some.
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Riding in Santa's taxi
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Have him in circles
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Nick Genes

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Coming down on The Night Shift
I've been reviewing episodes of NBC's The Night Shift for EPMonthly. Specifically, I took the pilot, then episodes 5-8, while Dr. Aaron Bright handled episodes 2, 3 and 4. It's not a good show. The plot twists are predictable. The characters are mostly cari...
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Yikes!!!
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Counting clicks
This month, EPMonthly ran an article about the cost of poorly-designed EHR on ED operations . The EPMonthly authors - Augustine and Holstein - ask some good questions and made some good points. But the data they used to ground their piece came from a peer-r...
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thanks, David! I meant to post that, months ago. I don't visit the "drafts" section of the blog as often as I should. 
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A look at EHR usability - and why some physicians are reluctant to make the leap from paper records (and why the rest of us are hoping for progress)
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Recent piece with Raj Patel on inefficiencies surrounding blood typing and RhIG administration in emergency departments. My favorite part of this was learning about "trauma recidivism." Since Type O-negative blood is hard to come by, in some traumas men are given RhoGAM along with their O+ blood transfusions, in case they need another O+ transfusion down the line.
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Andy Hertzfeld originally shared:
 
In memoriam for Steve Jobs as 2011 draws to a close, here's one more rare photo that illustrates his rebellious spirit. In December 1983, a few weeks before the Mac launch, we made a quick trip to New York City to meet with Newsweek, who was considering doing a cover story on the Mac. The photo was taken spontaneously as we walked around Manhattan by Jean Pigozzi, a wild French jet setter who was hanging out with us at the time. Somehow I ended up with a copy of it. My editor begged me to include it in my book, but I was too timid to ask for permission, especially since IBM was still making CPUs for Apple at the time.
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Providers using EHR are familiar with its many benefits -- and risks. That extends to the data behind the data -- physician actions on EHR are being logged, and are discoverable.
The Independent Voice for Emergency Physicians
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Hello, David! I would love to try to define this -- but my sense is that while practice varies considerably from doctor to doctor, place to place, EHR usage and activity vary even more. Some ED docs, for instance, do most of their chart review from trackboard panes, making it look like they never really enter the chart. Others routinely leave charts "open" as they discuss case, or are called away, making it look like they spent 20 minutes composing a note.

It's said that 90% of ED charts are never accessed again, after the encounter. So is it a problem (or abnormal) when a doctor accesses a chart the next day, or changes an element of the exam or HPI, a week later? EMRs can report on this late activity -- do you make use of those reports?
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Have him in circles
774 people
Susan Palwick's profile photo
Mike Lennon's profile photo
Mark Hauswald's profile photo
David Richardson, MD's profile photo
Steve Robbin's profile photo
steve van ooteghem's profile photo
Patrick Steward's profile photo
Jeanhyong Park's profile photo
Josh Umbehr's profile photo
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Physician
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Male
Other names
Nicholas Genes
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Introduction
NYC emergency medicine doctor with an interest in informatics.
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Map of the places this user has livedMap of the places this user has livedMap of the places this user has lived
Currently
New York City
Previously
Worcester - Providence - Wellesley