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Joaquin Miller put this comparison between application-oriented and situational
software together that illustrates very well why this situational software not
only saves money but sometimes even lives.
| You arrive at the hospital for your midnight shift as
an emergency room physician.
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| Yesterday: You go to the nursing station to get a list of the patients
that need your attention. |
Today: The list of your patients appears on your handheld. Icons show the status
of each patient. |
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You go to the first patient.
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| Yesterday: You check the clipboard to learn about their current primary complaint. |
Today: You tap on the patients name on the handheld and see a summary of her
current primary complaint. |
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You quickly examine the patient.
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Yesterday: You flip through papers on the clipboard to find information on outstanding
lab orders and any lab results, other significant health problems, drugs they are
currently taking, allergies, whether there are any images or charts available, and any
other information that might bear on the case. You hope the information on paper is
reasonably accurate and up-to-date.
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Today: You glance at the summary icons, to see if there are any outstanding lab orders
or results or any images or charts ordered or available. You know for sure that the
displayed information is no more than a few minutes out of date.
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Yesterday: Not finding what you need in the folder, you go to a computer, log into
the medical record system, locate the patient and check for allergies; you navigate
to the screen for significant health problems and then to the screen for drugs they
are currently taking. You switch to the lab system, identify the patient, and check
to see if lab results are ready. You use other systems to see whether there are any
images or charts available, and if there is any other information that might bear on
the case. You return to the patient.
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Today: You tap through tabs, which display significant health problems, drugs she
is currently taking, allergies, and available lab results. You order an urgent lab
test for the first patient and move to the second patient.
You ask him a few questions.
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Yesterday: You see on the clipboard that that a lab test has been ordered. You go to
a computer, log on to the lab system, enter the patient identifier, and check to see
if the result is ready. You return to the patient.
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Today: You see from the summary icons that some lab test has been ordered. You tap
on the icon, and the display shows which tests were ordered and which have results
ready. You examine the patient.
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Not only does the situational software scenario save a lot of time, it provides much
more certainty about the critical decisions that the physician needs to take.
Missing a single allergic reaction, for example, can be very serious, and in an
emergency room, who has time all the time to check so many different backend systems
for every single patient?
This is an example where it is clear that situational software is just a much better
paradigm than the paradigm of an application.
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