Skip to content
By using Twitter’s services you agree to our Cookies Use. We and our partners operate globally and use cookies, including for analytics, personalisation, and ads.
  • Home Home Home, current page.
  • About

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @
  • Language: English
    • Bahasa Indonesia
    • Bahasa Melayu
    • Català
    • Čeština
    • Dansk
    • Deutsch
    • English UK
    • Español
    • Filipino
    • Français
    • Hrvatski
    • Italiano
    • Magyar
    • Nederlands
    • Norsk
    • Polski
    • Português
    • Română
    • Slovenčina
    • Suomi
    • Svenska
    • Tiếng Việt
    • Türkçe
    • Ελληνικά
    • Български език
    • Русский
    • Српски
    • Українська мова
    • עִבְרִית
    • العربية
    • فارسی
    • मराठी
    • हिन्दी
    • বাংলা
    • ગુજરાતી
    • தமிழ்
    • ಕನ್ನಡ
    • ภาษาไทย
    • 한국어
    • 日本語
    • 简体中文
    • 繁體中文
  • Have an account? Log in
    Have an account?
    · Forgot password?

    New to Twitter?
    Sign up
Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
Verified account
@Atul_Gawande

Tweets

Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

Tweets

  • © 2018 Twitter
  • About
  • Help Center
  • Terms
  • Privacy policy
  • Cookies
  • Ads info
Dismiss
Previous
Next

Go to a person's profile

Saved searches

  • Remove
  • In this conversation
    Verified accountProtected Tweets @
Suggested users
  • Verified accountProtected Tweets @
  • Verified accountProtected Tweets @

Promote this Tweet

Block

  • Tweet with a location

    You can add location information to your Tweets, such as your city or precise location, from the web and via third-party applications. You always have the option to delete your Tweet location history. Learn more

    Your lists

    Create a new list


    Under 100 characters, optional

    Privacy

    Copy link to Tweet

    Embed this Tweet

    Embed this Video

    Add this Tweet to your website by copying the code below. Learn more

    Add this video to your website by copying the code below. Learn more

    Hmm, there was a problem reaching the server.

    By embedding Twitter content in your website or app, you are agreeing to the Twitter Developer Agreement and Developer Policy.

    Preview

    Why you're seeing this ad

    Log in to Twitter

    · Forgot password?
    Don't have an account? Sign up »

    Sign up for Twitter

    Not on Twitter? Sign up, tune into the things you care about, and get updates as they happen.

    Sign up
    Have an account? Log in »

    Two-way (sending and receiving) short codes:

    Country Code For customers of
    United States 40404 (any)
    Canada 21212 (any)
    United Kingdom 86444 Vodafone, Orange, 3, O2
    Brazil 40404 Nextel, TIM
    Haiti 40404 Digicel, Voila
    Ireland 51210 Vodafone, O2
    India 53000 Bharti Airtel, Videocon, Reliance
    Indonesia 89887 AXIS, 3, Telkomsel, Indosat, XL Axiata
    Italy 4880804 Wind
    3424486444 Vodafone
    » See SMS short codes for other countries

    Confirmation

     

    Welcome home!

    This timeline is where you’ll spend most of your time, getting instant updates about what matters to you.

    Tweets not working for you?

    Hover over the profile pic and click the Following button to unfollow any account.

    Say a lot with a little

    When you see a Tweet you love, tap the heart — it lets the person who wrote it know you shared the love.

    Spread the word

    The fastest way to share someone else’s Tweet with your followers is with a Retweet. Tap the icon to send it instantly.

    Join the conversation

    Add your thoughts about any Tweet with a Reply. Find a topic you’re passionate about, and jump right in.

    Learn the latest

    Get instant insight into what people are talking about now.

    Get more of what you love

    Follow more accounts to get instant updates about topics you care about.

    Find what's happening

    See the latest conversations about any topic instantly.

    Never miss a Moment

    Catch up instantly on the best stories happening as they unfold.

    1. Atul Gawande‏Verified account @Atul_Gawande Jul 27

      Important study: Hospitals have a digital learning curve. Deaths go UP 0.11% during adoption of a new EMR function, but wind up going DOWN 0.21% per year for each key function. I still hate my computer. But this is a striking effect.https://reut.rs/2LFxe7O 

      31 replies 339 retweets 556 likes
      Show this thread
      Atul Gawande‏Verified account @Atul_Gawande Jul 27

      Here are the details of the study showing that electronic medical records do save lives. Brilliantly done by #SunnyLin @ashishkjha @j_r_a_m https://www.healthaffairs.org/doi/10.1377/hlthaff.2017.1658 …

      6:19 AM - 27 Jul 2018
      • 131 Retweets
      • 231 Likes
      • Margaret Stutt RachelDarlingNaranjo_DPM Beth Meyers ISMAIL Jocelyn Leavitt Riya de los Reyes Christina M Shannon Kelli Harding MD MPH Orla Howard
      8 replies 131 retweets 231 likes
        1. New conversation
        2. Ken Milne‏ @TheSGEM Jul 27
          Replying to @Atul_Gawande @ashishkjha @j_r_a_m

          Here is a structured critical review of the impacts of implementing CPOE in a large tertiary care ED.http://thesgem.com/2016/07/sgem159-computer-games-computer-provider-order-entry-cpoe/ …

          1 reply 0 retweets 0 likes
        3. joshua‏ @vagabondpensees Jul 27
          Replying to @TheSGEM @Atul_Gawande and

          i can help answer (2): this type of data you would expect outliers / unequal variance, which would result in non-parametric analysis, which means medians not means reported. wouldn't worry about normality with the # of patients they had. this new studies lends credibility to (5)

          1 reply 0 retweets 1 like
        4. Ken Milne‏ @TheSGEM Jul 27
          Replying to @vagabondpensees @Atul_Gawande and

          Appreciate you joining the convo. A question i have is about the allocation of resources. The govt gave $30 billion for this initiative. What impact would that have had on mortality if it was spent on social determinants of health or things proven to save lives (ex vaccination)?

          1 reply 0 retweets 5 likes
        5. joshua‏ @vagabondpensees Jul 27
          Replying to @TheSGEM @Atul_Gawande and

          that's a really good question. $30b is a very small amount for health care in U.S., so I'm not sure. i've only helped admit a few pts w/ paper charts during med school, & it was the worst experience... combing through 100-200 pages of chicken scratch.

          1 reply 0 retweets 1 like
        6. joshua‏ @vagabondpensees Jul 27
          Replying to @vagabondpensees @TheSGEM and

          i could see EDs actually not as dependent/needing EHRs compared to inpatient service. EM is a shotgun approach to medicine, inpatient services much more granularity for management (at least in my experience, YMMV). EDs also high cost care anyway, so i'm not sure! :/

          1 reply 0 retweets 1 like
        7. Ken Milne‏ @TheSGEM Jul 27
          Replying to @vagabondpensees @Atul_Gawande and

          I agree EMRs may be better suited to other environments than the ED. At what cost to the therapeutic relationship? Do all these thing they measure and tract really make a patient important difference. The longer I practice the more I value the human interaction.

          2 replies 0 retweets 2 likes
        8. joshua‏ @vagabondpensees Jul 27
          Replying to @TheSGEM @Atul_Gawande and

          Not sure. iCOMPARE trial secondary outcome showed ~ 63-68% of day more or less on EHR ("indirect pt care")! EHR notes too bloated w/non-vital info. we need patient-oriented EHR, convey only essential info, while mitigating potential for malpractice lawyers to pounce on it?

          1 reply 0 retweets 1 like
        9. Ken Milne‏ @TheSGEM Jul 27
          Replying to @vagabondpensees @Atul_Gawande and

          Signal to noise ratio is very important. I’m probably not as worried about the legal issues as a #Canadian.

          1 reply 1 retweet 1 like
        10. 4 more replies
        1. Katren‏ @katren_tyler Jul 28

          I imagine safety could be even better if EMR users were retrained at intervals not just the hour or so you get when you start. Our department has a physician @SF_Red in this role and it’s been great @UCDavisEM. Helping prevent burnout too

          0 replies 2 retweets 4 likes
          Thanks. Twitter will use this to make your timeline better. Undo
          Undo
        1. Ken Milne‏ @TheSGEM Jul 27
          Replying to @Atul_Gawande @ashishkjha @j_r_a_m

          It did not show EMRs “do save lives”. It showed an association with mortality. Increased in early phase and decrease after implementation. Many limitations to this type of study design. No causation demonstrated. Even authors used the word “suggest”. Be skeptical. @ZDoggMD

          0 replies 2 retweets 7 likes
          Thanks. Twitter will use this to make your timeline better. Undo
          Undo
        1. Michel Accad‏ @michelaccad Jul 27
          Replying to @Atul_Gawande @ashishkjha @j_r_a_m

          Great. Now we can submit this poll to an audience of EHR users. Which of the following does the EHR save?

          0 replies 5 retweets 3 likes
          Thanks. Twitter will use this to make your timeline better. Undo
          Undo
        1. New conversation
        2. Noémi Fábry‏ @icureiosity Jul 29
          Replying to @Atul_Gawande @ashishkjha @j_r_a_m

          Article is not Open Access. If Abstract is representative there is no consideration of cost. IT projects notoriously expensive to procure & maintain. What wld be the effect if same resources invested in additional staff? i.e. to enable continuity of carer?

          1 reply 0 retweets 0 likes
        3. Trisha Greenhalgh #PeoplesVote‏Verified account @trishgreenhalgh Jul 29
          Replying to @icureiosity @Atul_Gawande and

          Deterministic design makes unsubstantiated claims for linear causality. What else changed? Where’s the nuanced narrative?

          1 reply 0 retweets 1 like
        4. Noémi Fábry‏ @icureiosity Jul 29
          Replying to @trishgreenhalgh @Atul_Gawande and

          yes, increasingly evident that such studies tend to lack the capacity to account for the nuance of work-as-done. so many resources dedicated to studying work-as-imagined. while work-as-done is abandoned to an evidence free zone...

          0 replies 0 retweets 1 like
        5. End of conversation
        1. jordanwillcox‏ @jordanwillcox Jul 27
          Replying to @Atul_Gawande @ashishkjha @j_r_a_m

          Important considerations for hospitals undergoing digital transformations: enhanced EHR can help reduce patient deaths and improve safety cc: @uhn @UHNDigital @KevinSmithUHN

          0 replies 0 retweets 1 like
          Thanks. Twitter will use this to make your timeline better. Undo
          Undo
        1. Anand Parikh‏ @anandparikh254 Jul 27
          Replying to @Atul_Gawande @ashishkjha @j_r_a_m

          excellent article! curious, why is the EHR adoption slow and not standardized?

          0 replies 0 retweets 1 like
          Thanks. Twitter will use this to make your timeline better. Undo
          Undo
        1. The Wildebeest‏ @carol99305129 Jul 30
          Replying to @Atul_Gawande @ashishkjha @j_r_a_m

          The EMR allows for faster transfer of information which can be useful, however the ones that can most benefit from the utilization of that information are often over worked, treading an uphill battle. Nurses on the frontline do not have time to read the EMR

          0 replies 0 retweets 0 likes
          Thanks. Twitter will use this to make your timeline better. Undo
          Undo

      Loading seems to be taking a while.

      Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.

        Promoted Tweet

        false

        • © 2018 Twitter
        • About
        • Help Center
        • Terms
        • Privacy policy
        • Cookies
        • Ads info