PEMBlog

AUGUST 30, 2023

System level innovations such as the electronic health platform, including order entry, were intended to improve efficiency but may result in the unintended consequence of making it easier to order a chest radiograph without substantiating the need or in conflict with best clinical practice guidelines.

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

GeriPal

APRIL 4, 2024

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. What words to use? Is the POLST useful? Under what circumstances? Should we abandon the term, “comfort measures?” ICU care was pretty rudimentary.

Family 113

Family Families Patient-Centered IT 113

GeriPal

FEBRUARY 29, 2024

Not the most common circumstances that people with serious illness face where attention and understanding of what my goals and values are. Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. ” Very specific, rare circumstance.

IT 127

IT Patient-Centered Illness Education 127

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. And we were able, because of the way OHSU has the registry and POLST link had just been integrated into our electronic medical records.

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

MARCH 28, 2024

Kate: So it was an embedded alert in the electronic health record and they just clicked those two answers very quickly. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Eric: And how did you do that? Alex: We had you on just recently, the podcast. Kate: Sounds right.

Consulting 116

Consulting Patient-Centered IT Patients 116

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. And so this is our way of supporting non English speaking families in advanced care planning. I’m hearing family and caregivers. So that’s why I selected the song.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 84

Patient-Centered IT Hospital Patients 84