Tuesday, January 8, 2013

Copying common in electronic medical records: study

(Reuters) - Most doctors copy and paste old, potentially out-of-date information into patients' electronic records, according to a U.S. study looking at a shortcut that some experts fear could lead to miscommunication and medical errors.

"The electronic medical record was meant to make the process of documentation easier, but I think it's perpetuated copying," said lead author Daryl Thornton, assistant professor at Case Western Reserve University School of Medicine.

Electronic health records have been touted as having the potential to transform patient data from indecipherable scribbles into easy-to-read, searchable standardized documents that could be shared among hospital staffers and a patient's various other health care providers.

Many electronic record keeping systems allow text to be copied and pasted from previous notes and other documents, a shortcut that could help time-crunched doctors but that could also cause mistakes to be passed along or medical records to become indecipherable, critics argue.

To see how much information in patient records came from copying, Thornton's team, in a study published in Critical Care Medicine, examined 2,068 electronic patient progress reports created by 62 residents and 11 attending physicians in the intensive care unit of a Cleveland, Ohio hospital.

Progress notes are typically shared among doctors, nurses and other hospital staff and are meant to document the progression of a patient's tests and treatments.

Using plagiarism-detection software, the researchers analyzed five months' worth of progress notes for 135 patients.

They found that 82 percent of residents' notes and 74 percent of attending physicians' notes included 20 percent or more copied and pasted material from the patients' records.

Thornton and his colleagues did not examine what motivated physicians and residents to copy and paste, or whether the shortcut affected patient care.

But in one case, a patient left the ICU and was readmitted a couple of days later. The patient's medical record included so much copied and pasted information that the new team of doctors wasn't able to decipher the original diagnosis. In the end, the team called the physicians who originally diagnosed the patient.

Experts suggested that copying signifies a shift in how doctors use notes, away from being a means of communication among fellow healthcare providers and toward being a barrage of data to document billing.

"What tends to get missing is the narrative - what's the patient's story?" said Michael Barr, senior vice president in the Division of Medical Practice, Professionalism and Quality at the American College of Physicians. Barr was not involved in the study. SOURCE: http://bit.ly/UKgOcP

(Reporting from New York by Trevor Stokes at Reuters Health; editing by Elaine Lies)

Source: http://news.yahoo.com/copying-common-electronic-medical-records-study-010357438.html

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HBT: Yankees really don't want Soriano back

Atari

I don?t play many video games and I don?t vote in many fan polls, but that doesn?t mean you have to feel the same way. And if you don?t, you can cast your vote for the cover boy for ?MLB ?12 The Show? over at MLB.com starting today. The candidates: Buster Posey,?Matt Kemp,?Ryan Braun,?Andrew McCutchen,?Bryce?

Source: http://hardballtalk.nbcsports.com/2013/01/07/yankees-really-really-dont-want-rafael-soriano-back/related/

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Samsung unveils 85-inch S9 UHD TV, 110-inch model to follow later this year

Samsung unveils 85inch S9 UHD TV, 110inch model to follow later this year

At CES 2013, it is apparently a must for mainstream HDTV manufacturers to bring a 4K television and as a market leader, Samsung is no different. So what does the mighty S9 UHD TV bring to the table? At 85-inches, it claims a size that's one inch beyond the competition, and features a crazy "Timeless Gallery" frame design that Samsung says "showcases the juxtaposition of a minimalist concept with such a large display." Even after getting a firsthand look at it we're still not sure how to interpret its odd stance, but after promising an "unprecedented new shape" we guess this... had to be it?

No matter how it's propped up, it's still high end all the way, with "Precision Black Pro" display tech for an extremely high contrast ratio, 2.2 channel audio and integrated scaler to make your 1080p videos viewable at the higher res. Naturally, you can also count on all of Samsung's 2013 smart TV features with quad-core processor, voice and gesture control and apps making an appearance. There's no word on pricing or ship date, but Samsung is promising 95- and even 110-inch sizes before the year is out -- check below for more pics in the gallery and details from the press release.

Continue reading Samsung unveils 85-inch S9 UHD TV, 110-inch model to follow later this year

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Source: http://feeds.engadget.com/~r/weblogsinc/engadget/~3/-ZNYVE74nYs/

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Sunday, January 6, 2013

Solar Winds IP Address Manager


Solar Winds IP Address Management provides automated vendor-independent DHCP, DNS, and IP Address Space Management. It's an excellent, robust tool and provides lots of customization and flexibility in managing IP addresses throughout a business' infrastructure. Starting at $2K, it's not cheap; but, if you need the functionality it can provide, it's well worth the price.

Managing IP Adresses
IP address management is a critical part of managing a network. Avoiding conflicts, successfully creating subnets, and keeping tabs on DHCP-assigned addresses are all key to a smoothly-running network. Network administrators can manage some aspects of IP addresses through DHCP and DNS servers deployed on the network, but management options are limited and if you are dealing with several different subnets, management can become a nightmare just relying on DHCP or DNS server interfaces alone.

Microsoft recently added IP address management (IPAM) to its latest Windows server operating system, Server 2012. Native IPAM support in a Windows OS is a welcome new feature for many server administrators who have been mostly relying on third-party IPAM solutions. However, in my testing, IPAM support via Windows alone still has some limitations such as its inability to automatically discover non-Microsoft devices.Therefore, larger organizations with several subnets or many network nodes that may be considering an upgrade to Windows Server 2012 will likely still have to rely on a third-party IPAM solution. Solar Windows IP Address Manager is a worthy consideration.

This software does not come cheap, however. Pricing starts at $1,995 and licensing is based on the number of used IP address in your organization. Solar Windows and other companies offer free IPAM tools that may be useful for networks with few subnets and nodes, but if you are looking for the ultimate in IPAM, IP Address Manager is worth the price.

Install
Solar Winds offers a fully-functioning 30-day trial that can be downloaded from the company's site. IP Address Manager is a stand-alone application that I easily installed on a Windows 7 client Windows 7 to manage IP addresses on a Server 208 R2 domain. Installation requires Microsoft's .NET framework either version 3.5 SP1 or 4.0. Running IP Address manager also requires IIS. You can perform a manual install to use with an existing SQL server database, otherwise, you can do the automated install and the Solar Windows software will install SQL Server Express.

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This is a Windows-centric application, though it will also discover non-Windows IP addresses. Running it on a Windows 7 machine provided a smooth install and peppy performance.

You can set up IP Address Manager to login with a Windows domain account. After first install, you just use the default username and password displayed at first login to get into the interface and then you can change to a Windows account for login.

Features and Navigation
The first screen displayed is Discovery Central. This is where you can enter a subnet, import a file containing IP addresses in your organization, or add a DHCP or DNS server?all for discovering IP addresses.

I entered my network's subnet information. Every IP address, even ones assigned to virtual machines, was discovered in a few minutes on my rather small testing network.
Once discovery is complete, the IP Address Manager interface displays all IP addresses and associated information such as the address' status (if it's a reserved, used, or available address, for example), hostname, MAC address, DNS records, response time to a Ping, and more information.

You can also switch into a chart view. This displays a pie graph of the percent of IP addresses used, available, transient, and reserved. I easily saw that 94 percent of IP addresses in my subnet were available.

Clicking on a specific IP address and then on "View Details" option shows even more specific information about that network node such as IP address history, aliases, and lease expiration. You can also view information on IPv6 addresses.

?Solar Windows' IPAM software also includes some powerful tools. One is a subnet allocation wizard. This tool lets you allocate subnets from one specific supernet, a process that can get messy if you just try to do the same using DHCP and DNS servers. Of course, there are myriad reports you can run, and it's easy to import and export IP address information.

The key to this software is centralization. Administrators can quickly view all IP address information via a dashboard, which is accessible by clicking the "Home" tab in the interface. The dashboard allows you to quickly add subnets, DNS or DHCP servers for discovery as well as get a quick glance which subnets have the most used IP addresses, top DHCP scopes in use, or you can search for a specific IP address?a good resource if you are trying to troubleshoot a problematic network device or client.

The dashboard also integrates with the Thwack community. This is a forum for getting help using the product as well as information about new features and capabilities as the software is updated.

Administrators also have the ability to customize IP Address Manager. You can add custom IP Address information as well as tailor the look of the interface and what's displayed.

Powerful IPAM
There's no question that Solar Winds IP Address Manager provides powerful IP Address Management. The question is, do you need it? Smaller networks, probably not?it's likely overkill and too expensive. But if IP address management is crucial to running your infrastructure, look into Solar Windows IPAM, a 4.5 out 5 star Editors' Choice for networking utilities.

More?Networking Software?Reviews:
??? Solar Winds IP Address Manager
??? Wi-Fi Finder (for iPad)
??? Umbrella
??? WiFi Protector
??? Free Wi-Fi Finder (for iPad)
?? more

Source: http://feedproxy.google.com/~r/ziffdavis/pcmag/~3/9wXnumHSmY0/0,2817,2413724,00.asp

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Samsung Korea posts Galaxy S II Jelly Bean update details, but not the release date

Samsung Korea posts Galaxy S II Android 41 Jelly Bean update details

Samsung Galaxy S II owners waiting for an update that adds features (instead of taking them away) may not have long to wait, now that support pages for the official Android 4.1 Jelly Bean update -- announced months ago -- have been found on the company's Korean website. Listing details for all three local carriers, the update will arrive via KIES and change the amount of available internal memory from 12GB to 11GB. Other than the usual list of Android 4.1 features, it will also preload the Google+ and some additional Play apps while adding Samsung features like Smart Stay. There's no word yet on exactly when the official update will arrive (or a schedule for rollout on US carrier editions), but once it's out in Korea it shouldn't take much for owners of the GT-I9100 international version to try it out as well.

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Source: Samsung Korea, XDA-Developers

Source: http://feeds.engadget.com/~r/weblogsinc/engadget/~3/ULJK5dvBubw/

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Saturday, January 5, 2013

More Hoard items 'are treasure'

Nearly all the pieces of Anglo-Saxon gold found in the same field as the Staffordshire Hoard have been declared treasure at an inquest in Stafford.

The verdict was 81 of the 91 objects were treasure as they were more than 300 years old with a precious metal content of above 10%.

The items were found after the field in Hammerwich was ploughed in November.

The latest finds of gold and silver fragments will now be valued by the British Museum.

South Staffordshire coroner Andrew Haigh said: "The original Staffordshire Hoard was a magnificent find and I hope these further 81 items can be added to the current collection and saved for the nation."

Part of hoard

He added 10 of the items were rejected on the grounds they were "wastage" but he said they may still be of interest.

The pieces were recovered by a team of archaeologists and metal detectorists from the Stoke-on-Trent Museum Society and Archaeology Warwickshire after the field had been ploughed.

Some of them are fragments that fit with parts of the original hoard of Anglo-Saxon gold and silver, archaeologists said.

The original hoard, valued at ?3.3m, was found in July 2009 by metal detectorist, Terry Herbert.

Those artefacts have been dated to the 7th and 8th Centuries and are currently on display in Stoke-on-Trent and Birmingham.

Stoke-on-Trent City Council and Birmingham Museum and Art Gallery jointly own the original hoard, which includes 3,900 artefacts.

They acquired the hoard after a 12-week fundraising campaign, in which ?900,000 was raised through public donations, with funding from the National Heritage Memorial Fund and five local councils.

Source: http://www.bbc.co.uk/news/uk-england-stoke-staffordshire-20903152#sa-ns_mchannel=rss&ns_source=PublicRSS20-sa

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