An eHealth diptych: the impact of privacy regulation on medical error and malpractice litigation.
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Due to the highly technical requirements for HIPAA compliance and the numerous administrative and clinical functions and processes involved, guidance from experts who are knowledgeable about systems design and use to secure private data is necessary. In health care organizations, this will require individuals who are knowledgeable about clinical processes and those who understand health information technology, security, and privacy to work together to establish an entity's compliance plans and revise operations and practices accordingly. As a precondition of designing such systems, it is essential that covered entities understand the HIPAA's statutory requirements and timeline for compliance. An organization's success in preparing for HIPAA will depend upon an active program of assessment, planning, and implementation. Compliance with security and privacy standards can be expected to increase costs initially. However, greater use of EDI is expected to reduce costs and enhance revenues in the long run if processes and systems are improved. NOTE: Special protection for psychotherapy notes holds them to a higher standard of protection. Notes used only by a psychotherapist are not intended to be shared with anyone and are not considered part of the medical record.
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Statistical techniques known as the analysis of variance make it possible for the electron microscopist to plan work in such a way as to get quantitative data with the greatest possible economy of effort. This paper explains how to decide how many measurements to make per micrograph, how many micrographs per tissue block, how many blocks per experimentally treated organ, and how many organs per experimental treatment group.
The efficient exchange of instruments between the operator and the dental assistant is fundamental to the facilitation of an efficient and stress-free dental practice. This requires a commitment on the part of the members of the operating team to specific work practices before and during a dental procedure. The objectives of this article include the description of team member responsibilities during an instrument transfer and the identification of the benefits of a proper instrument transfer technique. Objectives also include specific instrument grasps and descriptions of transfer methods that require practice on the part of the operating team in order to attain proficiency.
A great deal of new technology has been integrated into the modern dental office during the last several decades. However, no product can increase productivity and reduce stress and strain on the dental team as much as using the singular concept of four-handed dentistry. The research of the 1950s is undaunted in its impact on productivity. Combined with the practice of ergonomics in the workplace, this concept must be revisited by the dental profession. The young dentists of the 21st Century have had minimal exposure to true four-handed dentistry. This article, the first in a series, re-introduces the basic principles of a research-oriented concept.
The physical work rate, the energy and the cardiac costs of twenty-seven young male workers from the eastern part of India in five groups handling loads of about 30, 60, 75, 90, and 125 kg, respectively, were ascertained with the objective to rationalize the rate of work based on the physiological responses of the workers. The mean rate of usual work of the groups (I to V) was 4,715, 8,020, 7,350, 6,100, and 7,600 kg-m/min, respectively, which was considered to be extremely heavy. From the mean values of all the groups for the average work pulse rate of 143.1 beats/min, the recovery-pulse-sum of 119 beats for the first five minutes of recovery, the first and third minute recovery pulses of 127 and 114, respectively, the oxygen-pulse of 0.25 ml/pulse/kg, and the energy cost of 9.1 kcal/min, it was suggested that excepting the first group, the workers were working at a level much higher than the 50% level of their maximal working capacity. The simple and multiple linear correlation coefficients between the rate of work and the various physiological parameters were significant and different linear regression equations were suggested. In conclusion, for extremely heavy types of work in India, 1,200 kcal as the net optimal energy output in an 8-hr working day is suggested.
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