Examining-room computers require doctors to record detailed data about their patients, yet reduce the time clinicians can spend listening attentively to the very people they are trying to help. This book presents original essays by distinguished experts in their fields, addressing this critical problem and making an urgent case for reform, because while electronic technology has revolutionized the practice of medicine, it also poses a unique challenge to health care. Smartphones in the hands of doctors and nurses have become dangerously seductive devices that can endanger their patients.
Distracted Doctoring is written for anesthesiologists and surgeons, as well as general practitioners, nurses, and health care administrators and students. Chapters include Electronic Challenges to Patient Safety and Care; Distraction, Disengagement, and the Purpose of Medicine; and Managing Distractions through Advocacy, Education, and Change.
Peter J. Papadakos, MD, is Professor of Anesthesiology, Surgery, Neurosurgery, and Neurology at the University of Rochester Medical Center in New York, where he serves as Director of the Division of Critical Care, and is Professor of Respiratory Care and Medical Director at the State University of New York at Genesee Community College. He is the co-editor of Encyclopedia of Trauma Care (Springer) as well as the author of numerous monographs, book chapters, original papers, and reviews.
Stephen Bertman, PhD., is Professor Emeritus of Languages, Literatures, and Cultures at Canada's University of Windsor. He is the author of Hyperculture: The Human Cost of Speed (Praeger), The Healing Power of Ancient Literature (co-edited with Dr. Lois Parker; Cambridge Scholars Press), The Genesis of Science: The Story of Greek Imagination (Prometheus), and "Electronic Threats to Humane Health Care," winner of Vital Speeches of the Day's 2014 Cicero Speechwriting Award in the category of health care.
TABLE OF CONTENTS
Foreword: "First, Do No Harm"
Matt Richtel, The New York Times
Chapter 1: Introduction: "The Problem of Distracted Doctoring"
Peter Papadakos, MD, University of Rochester Medical Center
Stephen Bertman, PhD, University of Windsor
Chapter 2: "Medicine Enters the Computer Age"
Lekshmi Santhosh, MD, University of California, San Francisco, School of Medicine
Raman Khanna, MD, University of California, San Francisco, School of Medicine
Chapter 3: "Electronic Challenges to Patient Safety and Care"
Stephen Bertman, PhD, University of W
indsor
Chapter 4: "The Problem of Electronic Addiction"
Stephanie Brown, PhD, Addictions Institute
Chapter 5: "A Note to My Doctor: Lessons from Fifty Years of Distracted Driving Research"
Paul Atchley, PhD, University of Kansas
Chapter 6: "Distraction, Disengagement, and the Purpose of Medicine"
David Loxterkamp, MD, Seaport Community Health Center
Chapter 7: "Taking Time to Truly Listen to Our Patients"
Deepthiman Gowda, MD, MPH, Columbia University College of Physicians and Surgeons
Chapter 8: "When It Comes to the Physician-Patient-Computer Relationship, the 'Eyes' Have It"
Richard M. Frankel, PhD, Richard L. Roudebush VA Medical Center
Chapter 9: "The
Impact of EMRs on Communication within the Doctor-Patient Relationship"
Wei Wei Lee, MD, MPH, University of Chicago Pritzker School of Medicine
Maria Lolita Alkureishi, MD, University of Chicago Department of Pediatrics
Chapter 10: "Physician Dissatisfaction, Stress, and their Impact on Patient Safety"
Alan H. Rosenstein, MD, MBA
Chapter 11: "Distractions in the Operating Room"
Michelle Feil, MSN, RN, ECRI Institute
Chapter 12: "Risk Reduction and Vigilance in Anesthesia"
Roy Soto, MD, Beaumont Health
Mallika Thampy, MD, Beaumont Health
Sara Neves, MD, Brigham & Women's Hospital
C
hapter 13: "Managing Distractions through Advocacy, Education, and Change"
Donna Ford, MSN, RN-BC, CNOR, CRCST
Chapter 14: "Electronic Devices as Potential Sources of Biological Contamination"
Roy Constantine, PHD, MPH, St. Francis Hospital
Chapter 15: "Digital Distraction and Legal Risk"
James Szalados, MD, JD, MBA, MHA, FCCP, FCCM, FCLM, Rochester General Hospital
Chapter 16: "Electronic Etiquette: A Curriculum for Health Professionals"
Peter J. Papadakos, MD, University of Rochester Medical Center
Chapter 17: "Mindful Practitioners, Mindful Teams, and Mindful Organizations: Attending to the Core Tasks of Medicine"
Ronald M. Epstein, MD, University of Rochester M
edical Center
Afterword: "Physician, Heal Thyself"
Burke Cunha, MD, Winthrop University Hospital
