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	<title>I, Nurse Practitioner/Informaticist</title>
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	<link>http://miquerencia.net/blog</link>
	<description>Discussions of Personal and Technology Interfaces in Neonatal Care</description>
	<lastBuildDate>Thu, 03 May 2012 14:29:33 +0000</lastBuildDate>
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		<title>iMedicalApps for Your Smart Phone</title>
		<link>http://miquerencia.net/blog/?p=694</link>
		<comments>http://miquerencia.net/blog/?p=694#comments</comments>
		<pubDate>Thu, 03 May 2012 14:29:33 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=694</guid>
		<description><![CDATA[Follow iMedicalApps.com @iMedicalApps for medically related apps for your iPhone, iPad, Android or Blackberry.]]></description>
			<content:encoded><![CDATA[<p>Follow <a href="http://www.iMedicalApps.com/">iMedicalApps.com</a>  @iMedicalApps for medically related apps for your iPhone, iPad, Android or Blackberry.</p>
]]></content:encoded>
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		<item>
		<title>You Can&#8217;t Multitask Even if You Think You Can</title>
		<link>http://miquerencia.net/blog/?p=690</link>
		<comments>http://miquerencia.net/blog/?p=690#comments</comments>
		<pubDate>Tue, 01 May 2012 22:56:00 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=690</guid>
		<description><![CDATA[University of Utah researchers have shown that nearly everyone of us attempt to multitask, and think we are, while we are simply jumping from one task to another quickly. An article in the Wall Street Journal on April 245, 2012, likened the experience to a cocktail party. Through the din of multiple conversations, music and [...]]]></description>
			<content:encoded><![CDATA[<p>University of Utah researchers have shown that nearly everyone of us attempt to multitask, and think we are, while we are simply jumping from one task to another quickly.  An article in the Wall Street Journal on April 245, 2012, likened the experience to a cocktail party.  Through the din of multiple conversations, music and whatever, we can concentrate, that is filter out, on a conversation and engage with that person. All of our senses go through the same type of process and we can lose perception as to what is going on around us because of our concentration on one task. </p>
<p><a href="http://miquerencia.net/blog/wp-content/uploads/2012/05/cocktail-party.jpg"><img src="http://miquerencia.net/blog/wp-content/uploads/2012/05/cocktail-party-300x115.jpg" alt="" title="cocktail-party" width="300" height="115" class="aligncenter size-medium wp-image-691" /></a></p>
<p>WSJ author Melinda Beck suggests we place ourselves in danger when we try to do to many things as the same time.  Yet, unplugging as restorative value.  Ms Beck provide 5 ways to improve our function and safety.</p>
<blockquote><p>1.  <strong>Recognize your limitations.</strong>  The brain can only attend to one thing at a time.<br />
2.  <strong>Make your senses work together</strong>.  If you&#8217;re trying to listen to someone in a noisy room, look directly at the speaker.<br />
3.  <strong>Focus on what&#8217;s important.</strong>  Many professions—from pilots to police officers—depend on keen powers of observation.  Training and practice help.  But experts say things like chess and video games likely won&#8217;t expand your overall attention span.<br />
4.  <strong>Allocate blocks of time to specific tasks.</strong>  Sometimes a deadline can force people to focus.<br />
5.  <strong>Avoid distracted driving.</strong>  Don&#8217;t talk on a cellphone, text or give voice commands while at the wheel.</p></blockquote>
<p>Now the good news.  University of Utah researchers found a rare group of &#8220;supertaskers.&#8221;  About 2.5% of the population seem to be able to attend to more than one thing with ease.</p>
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			<wfw:commentRss>http://miquerencia.net/blog/?feed=rss2&#038;p=690</wfw:commentRss>
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		<item>
		<title>Nudging to Drop Sepsis Mortality</title>
		<link>http://miquerencia.net/blog/?p=682</link>
		<comments>http://miquerencia.net/blog/?p=682#comments</comments>
		<pubDate>Wed, 20 Jul 2011 21:33:14 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Information Technology in Healthcare]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=682</guid>
		<description><![CDATA[Can a helpful suggestion or two improve sepsis mortality 45%? According to a published study in American Journal of Respiratory and Critical Care Medicine May 2011, going down a check list of important actions helped decrease sepsis mortality. the death rate was cut in half when the checklist was accompanied by residents who asked the [...]]]></description>
			<content:encoded><![CDATA[<p>Can a helpful suggestion or two improve sepsis mortality 45%?  According to a published study in <strong>A<a href="www.ncbi.nlm.nih.gov/pubmed/21616996/">merican Journal of Respiratory and Critical Care Medicine</a></strong> May 2011, going down a check list of important actions helped decrease sepsis mortality.  </p>
<blockquote><p>the death rate was cut in half when the checklist was accompanied by residents who asked the attending physicians how to act on information related to matters such as antibiotic prescribing, ventilator use and central-line placement.</p></blockquote>
<p>  An <a href="http://www.ama-assn.org/amednews/2011/07/18/prsd0719.htm">AMA article</a> interviewed the principle investigator, Curtis H. Weiss, MD.  Nudging is the key. </p>
<blockquote><p>&#8230;We&#8217;re designing an electronic checklist and plan to compare that to personal prompting.&#8221;  Building the nudge into health information technology could have its own drawbacks, Dr. Weiss said. &#8220;My main concern with electronic prompting is alarm fatigue.</p></blockquote>
<p>How do we overcome alarm fatigue?<br />
What would be on your list of things to nudge about?<a href="http://miquerencia.net/blog/wp-content/uploads/2011/07/Eindex.jpg"><img src="http://miquerencia.net/blog/wp-content/uploads/2011/07/Eindex-150x150.jpg" alt="" title="Eindex" width="150" height="150" class="aligncenter size-thumbnail wp-image-683" /></a></p>
<p>&#8221;</p>
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		</item>
		<item>
		<title>Is Your Hospital Like Disneyland?</title>
		<link>http://miquerencia.net/blog/?p=677</link>
		<comments>http://miquerencia.net/blog/?p=677#comments</comments>
		<pubDate>Wed, 20 Jul 2011 21:09:07 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Care and Nurturing of Familes of Sick Newborns]]></category>
		<category><![CDATA[Professionalism in Nursing]]></category>
		<category><![CDATA[Workflow Process for Neonatal Nurse Practitioners]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=677</guid>
		<description><![CDATA[&#8230;the new federal standards mark a shift in thinking toward improving the patient experience&#8230; News article from the LA Times about Disney&#8217;s Building a Culture of Healthcare Excellence 3-1/2 day seminar for health care professionals. Patients are not customers but guests. Staff are &#8220;on stage.&#8221; &#8220;If any [employee] happens to say something out of sorts [...]]]></description>
			<content:encoded><![CDATA[<blockquote><p>&#8230;the new federal standards mark a shift in thinking toward improving the patient experience&#8230;</p></blockquote>
<p><a href="http://www.latimes.com/health/os-disney-hospitals-20110715,0,3692976.story?track=rss">News article from the LA Times</a> about Disney&#8217;s <strong>Building a Culture of Healthcare Excellence</strong> 3-1/2 day seminar for health care professionals.  Patients are not customers but guests.  Staff are &#8220;on stage.&#8221;  </p>
<blockquote><p>&#8220;If any [employee] happens to say something out of sorts or creates a bit of ill will with that patient, they may damn the entire hospital,&#8221;
</p></blockquote>
<p>Federal Standards?  <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1713194/">Click here</a><br />
<div id="attachment_679" class="wp-caption alignright" style="width: 210px"><a href="http://miquerencia.net/blog/wp-content/uploads/2011/07/mmimages.jpg"><img src="http://miquerencia.net/blog/wp-content/uploads/2011/07/mmimages.jpg" alt="" title="Mickey Mouse" width="200" height="236" class="size-full wp-image-679" /></a><p class="wp-caption-text">Courtesy of Disney</p></div></p>
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		<item>
		<title>PubMed Search for June 2011</title>
		<link>http://miquerencia.net/blog/?p=672</link>
		<comments>http://miquerencia.net/blog/?p=672#comments</comments>
		<pubDate>Wed, 20 Jul 2011 20:49:10 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Care and Nurturing of Familes of Sick Newborns]]></category>
		<category><![CDATA[Information Technology in Healthcare]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=672</guid>
		<description><![CDATA[June 6, 2011 June 13, 2011 June 20, 2011 June 27, 2011]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.ncbi.nlm.nih.gov/pubmed/21635363,21615787,21626672,21621185,21621184,21620358,21622997,21632221,21596287,21596283,21619702,21619675,21628364,21622506,21622504,21626007,21614511,21614510,21071736,21209163,21235309,21232752,21621221,21616268,21616258,21616251,21616246,21616237,21616235,21616232,21616231,21616230,21616227,21616225,21627491,21617702,21617643,21617642,21621717,21612820,21612819,21591963,21568003,21568002,21631323,21623245,21617574,21626715,21629156,21629154,21629153,21632877,21626014,21444599,21402631,21382949,21624885,21624883,21624881,21624877,21618315">June 6, 2011</a><br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/21645087,21658670,21658669,21640231,21640965,21660904,21660902,21660899,21652187,21645352,21645328,21659364,21645799,21645798,21645794,21645793,21645788,21645786,21660433,21660432,21641250,21658149,21658148,21658715,21658714,21658712,21641615,21641614,20634795,21660083,21646927,21654548,21654546,21659962,21659961,21659957,21654550,21654549,21654279,21646940,21646263,21646256,21646254,21653925,21658049">June 13, 2011</a><br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/21672013,21671389,21671378,21671373,21671372,21663889,21667428,21673183,21665443,21672239,21663622,21673001,21673000,21672992,21668430,21678243,21678242,20973864,21414633,21676411,21669315,21669314,21669313,21669309,21669307,21669305,21665222,21663458,21675912,21675899,21675898,21675897,21675896,21178818,21669895,21669894,21669893,21669892,21669889">June 20, 2011</a><br />
<a href="http://www.ncbi.nlm.nih.gov/pubmed/21692848,21684516,21681695,21697219,21680624,21698400,21695474,21681440,21357920,20562125,20525718,21681855,21693598,21680866,21697333,21679338,21679332,21679331,21683959,21683370,21683241,21683237,21683216,21683215,21683214,21683202,21683201,21683199,21683198,21683196,21683194,21683193,21683184,21683183,21681180,21681178,21681177,21691176,21691173,21691171,21691170,21691168,21691167,21691162,21691161,21691243,21691254,21691252,21691251,21691250,21691249,21691247,21691762,21690121">June 27, 2011</a></p>
]]></content:encoded>
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		</item>
		<item>
		<title>Brains Are Still the Name of the Game</title>
		<link>http://miquerencia.net/blog/?p=668</link>
		<comments>http://miquerencia.net/blog/?p=668#comments</comments>
		<pubDate>Wed, 20 Jul 2011 20:42:19 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=668</guid>
		<description><![CDATA[I encountered an interesting web article about NFL players and their approaches to memorizing the myriad of plays in the offensive or defensive schemes of thier football teams. This cause me to consider the myriad of facts that go into making daily clinical decisions. Hopefully we can learn from other professions how to memorize, envision, [...]]]></description>
			<content:encoded><![CDATA[<p>I encountered an interesting <a href="http://www.aolnews.com/2011/02/24/method-men-how-nfl-players-memorize-dizzying-playbooks/">web article about NFL players</a> and their approaches to memorizing the myriad of plays in the offensive or defensive schemes of thier football teams.  This cause me to consider the myriad of facts that go into making daily clinical decisions.  Hopefully we can learn from other professions how to memorize, envision, and to process quickly developing situations at hand  </p>
]]></content:encoded>
			<wfw:commentRss>http://miquerencia.net/blog/?feed=rss2&#038;p=668</wfw:commentRss>
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		<item>
		<title>Monthly PubMed Search:  April 2011</title>
		<link>http://miquerencia.net/blog/?p=663</link>
		<comments>http://miquerencia.net/blog/?p=663#comments</comments>
		<pubDate>Mon, 02 May 2011 14:00:02 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Uncategorized]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=663</guid>
		<description><![CDATA[Here are the PubMed searches for Neonatology for April 2011 04/04/11 04/11/11 04/18/11 04/25/11]]></description>
			<content:encoded><![CDATA[<p>Here are the PubMed searches for Neonatology for April 2011</p>
<p><a href="http://www.ncbi.nlm.nih.gov:80/sites/entrez?cmd=Retrieve&#038;db=PubMed&#038;dispmax=22&#038;list_uids=21450013,21449922,21449921,21438923,21438921,21450792,21447593,21448630,21448185,21448184,21448181,21448180,20845499,20717936,20717935,20717915,21442424,21444597,21444595,21444593,21444592,21444591&#038;dopt=AbstractPlus">04/04/11</a><br />
<a href="http://www.ncbi.nlm.nih.gov:80/sites/entrez?cmd=Retrieve&#038;db=PubMed&#038;dispmax=41&#038;list_uids=21466585,21466583,21457305,21457304,21457303,21457302,21457299,21458616,21458615,21458614,21458613,21457916,21457915,21457913,21458976,21458971,21357627,21464110,21465122,21455834,21074177,21459387,21448215,21448208,21448207,21448204,21448203,21448201,21448199,21448197,21459207,21465679,21465676,21462359,21464195,21464194,21464189,21464185,21464182,21460098,21460097&#038;dopt=AbstractPlus">04/11/11</a><br />
<a href="http://www.ncbi.nlm.nih.gov:80/sites/entrez?cmd=Retrieve&#038;db=PubMed&#038;dispmax=31&#038;list_uids=21477089,21480159,21487057,21487056,21482591,21487678,21484355,21484354,21479529,21489562,21489560,21489555,21489554,21482247,21482242,21482237,21482236,21482235,21481418,21481417,21481414,21129562,21129536,21488810,21488809,21488808,21476073,21482614,21482612,21482604,21482600&#038;dopt=AbstractPlus">04/18/11</a><br />
<a href="http://www.ncbi.nlm.nih.gov:80/sites/entrez?cmd=Retrieve&#038;db=PubMed&#038;dispmax=34&#038;list_uids=21497789,21492825,20648416,20607642,21500146,21500145,21494995,21502263,21505768,21503629,21492868,21496552,21496551,21496549,21496547,21496529,21496528,21496527,21509992,20877411,20877404,21494232,21504088,21504086,21497692,21499881,21499880,21502234,21502233,21502232,21502231,21502227,21502223,21502221&#038;dopt=AbstractPlus">04/25/11</a><a href="http://miquerencia.net/blog/wp-content/uploads/2008/12/title_pubmed2.gif"><img src="http://miquerencia.net/blog/wp-content/uploads/2008/12/title_pubmed2.gif" alt="" title="title_pubmed2" width="126" height="30" class="aligncenter size-full wp-image-268" /></a></p>
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		<item>
		<title>Disruptive Health Care Conversation</title>
		<link>http://miquerencia.net/blog/?p=657</link>
		<comments>http://miquerencia.net/blog/?p=657#comments</comments>
		<pubDate>Mon, 25 Apr 2011 19:34:32 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Information Technology in Healthcare]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=657</guid>
		<description><![CDATA[My hero and friend Clayton Christensen shares, on NPR, his ideas on how to improve health care. He uses Intermountain Healthcare and Kaiser Permanente as examples of the models for systemic health care.]]></description>
			<content:encoded><![CDATA[<p>My hero and friend <a href="http://www.answers.com/Clayton%20Christensen">Clayton Christensen</a> shares, on <a href="http://onpoint.wbur.org/2011/04/14/clayton-christensen">NPR,  his ideas on how to improve health care</a>.  He uses <a href="http://www.answers.com/Intermountain%20Healthcare">Intermountain Healthcare</a> and <a href="http://www.answers.com/Kaiser%20Permanente">Kaiser Permanente</a> as examples of the models for systemic health care.</p>
]]></content:encoded>
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		<item>
		<title>Sync Your Calendar</title>
		<link>http://miquerencia.net/blog/?p=647</link>
		<comments>http://miquerencia.net/blog/?p=647#comments</comments>
		<pubDate>Fri, 08 Apr 2011 18:33:38 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Information Technology in Healthcare]]></category>
		<category><![CDATA[iPhone]]></category>
		<category><![CDATA[Professionalism in Nursing]]></category>
		<category><![CDATA[Workflow Process for Neonatal Nurse Practitioners]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=647</guid>
		<description><![CDATA[Our NNP group has 55-56 practitioners, full and part time. We use Amion.com as an electronic scheduling device. The schedulers put our schedule for 8-12 weeks at a time in the calendar but there are conflicts as people go through life. That means frequent schedule trading, day trades, night for day trades, and even facility [...]]]></description>
			<content:encoded><![CDATA[<p>Our NNP group has 55-56 practitioners, full and part time.  We use <a href="http://www.amion.com"><strong>Amion.com</strong></a> as an electronic scheduling device.  The schedulers put our schedule for 8-12 weeks at a time in the calendar but there are conflicts as people go through life.  That means frequent schedule trading, day trades, night for day trades, and even facility switches.  How do I keep up with the changes?  </p>
<p>I subscribe to the electronic calendar that Amion provides and sync it to my <a href="http://www.apple.com/macosx/what-is-macosx/mail-ical-address-book.html"><strong>Apple iCalendar</strong></a> and <strong><a href="http://www.apple.com/iphone">iPhone</a></strong>.  Then when trades are made, the scheduler approves the trade and the schedule calendar is updated automatically to my calendar.  I don&#8217;t have to write the dates in a book or type them into my desktop calendar or keep track of them.  It is all done for me through subscription.  </p>
<p><strong>Amion</strong> syncs to <strong><a href="https://www.google.com/accounts/ServiceLogin?service=cl&#038;passive=1209600&#038;continue=http://www.google.com/calendar/render?client%3Dfirefox-a%26rls%3Dorg.mozilla:en-US:official%26hl%3Den%26tab%3Dwc&#038;followup=http://www.google.com/calendar/render?client%3Dfirefox-a%26rls%3Dorg.mozilla:en-US:official%26hl%3Den%26tab%3Dwc&#038;hl=en">Google Calendar</a></strong>, <strong><a href="http://www.apple.com/macosx/what-is-macosx/mail-ical-address-book.html">Apple iCal</a></strong>, <strong><a href="http://www.apple.com/iphone">iPhone</a></strong>, and <strong><a href="http://office.microsoft.com/en-us/training/CR010065458.aspx">Outlook 2007</a></strong>.<br />
<a href="http://miquerencia.net/blog/wp-content/uploads/2011/04/amimages.jpg"><img src="http://miquerencia.net/blog/wp-content/uploads/2011/04/amimages-150x88.jpg" alt="Amion Logo" title="Amion Logo" width="150" height="88" class="alignleft size-thumbnail wp-image-649" /></a><a href="http://miquerencia.net/blog/wp-content/uploads/2011/04/outimages.jpg"><img src="http://miquerencia.net/blog/wp-content/uploads/2011/04/outimages-150x150.jpg" alt="" title="outimages" width="150" height="150" class="alignright size-thumbnail wp-image-650" /></a><a href="http://miquerencia.net/blog/wp-content/uploads/2011/04/dateimages.jpg"><img src="http://miquerencia.net/blog/wp-content/uploads/2011/04/dateimages-150x150.jpg" alt="" title="dateimages" width="150" height="150" class="alignleft size-thumbnail wp-image-651" /></a><a href="http://miquerencia.net/blog/wp-content/uploads/2011/04/calendar_logo.gif"><img src="http://miquerencia.net/blog/wp-content/uploads/2011/04/calendar_logo.gif" alt="" title="calendar_logo" width="209" height="40" class="alignright size-full wp-image-652" /></a></p>
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		<item>
		<title>What Would You Like to See as a Mashup?</title>
		<link>http://miquerencia.net/blog/?p=635</link>
		<comments>http://miquerencia.net/blog/?p=635#comments</comments>
		<pubDate>Thu, 31 Mar 2011 20:42:56 +0000</pubDate>
		<dc:creator>paparex</dc:creator>
				<category><![CDATA[Information Technology in Healthcare]]></category>
		<category><![CDATA[Professionalism in Nursing]]></category>

		<guid isPermaLink="false">http://miquerencia.net/blog/?p=635</guid>
		<description><![CDATA[Baseball season has started. I love baseball. I collected baseball cards as a kid and spent time in the summer talking baseball and sats with my friends. I got a baseball encyclopedia for Christmas one year. All the facts and figures in my hand. Now, Mashup published a list of 10 Essential Mobile Apps for [...]]]></description>
			<content:encoded><![CDATA[<p>Baseball season has started.  I love baseball.  I collected baseball cards as a kid and spent time in the summer talking baseball and sats with my friends.  I got a baseball encyclopedia for Christmas one year.  All the facts and figures in my hand.  Now, <a href="http://www.answers.com/Mashup">Mashup</a> published a list of <a href="http://t.co/h3tI0z0">10 Essential Mobile Apps for Baseball Fans</a>. </p>
<p>At your place of business, what mashup would you like to see?  Which <a href="http://www.answers.com/widgets">widgets</a> would you like on your desktop?  That&#8217;s one of the critical questions to <a href="http://en.wikipedia.org/wiki/Clinical_decision_support_system">Decision Support in healthcare.</a></p>
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