Knowledge Coupling

Knowledge Coupling discusses the premises upon which the coupling of knowledge to every action is based in the practice of medicine, as well as why these premises must change. In concrete terms, the volume explores the methods of structuring and using medical knowledge and medical records that enables implementation of new premises; it sets forth a specific approach to use of the computer. The work examines the new roles and skills that will be demanded of both patients and health care providers within the system based on these new premises. The author takes into account the broad implications of his philosophy for the social, economic, educational, and political structuring of the health care system.

Autorentext

Lawrence L. Weed, MD (1923-2017) is best known for originating problem lists and "SOAP notes," two components of the problem-oriented record standard for organizing data in health records. As discussed in Chapter 5, LLW's work on health records arose out of his experiences in medical school, internships, residency in internal medicine, and basic research in biochemistry, at several institutions. In 1965, he became director of the outpatient clinics at Cleveland Metropolitan General Hospital, where he established a group to develop a computerized problem-oriented record. In 1969, he moved to the University of Vermont, where his group became known as the PROMIS Laboratory. LLW received a number of awards for his work, most prominently the Gustav O. Lienhard Award in 1995 from the Institute of Medicine of the National Academy of Sciences. Further details on his career are available in a New York Times obituary and other sources cited in chapter 5. Lincoln Weed, JD, a son of LLW, practiced employee benefits law in Washington, D.C. for 26 years, followed by 8 years at a consulting firm where he specialized in health privacy. His experience as an employee benefits lawyer included work on health benefits. This intersected with LLW's work in medicine, which led to them co-authoring several publications.

Klappentext

Knowledge Coupling discusses the premises upon which the coupling of knowledge to every action is based in the practice of medicine, as well as why these premises must change. In concrete terms, the volume explores the methods of structuring and using medical knowledge and medical records that enables implementation of new premises; it sets forth a specific approach to use of the computer. The work examines the new roles and skills that will be demanded of both patients and health care providers within the system based on these new premises. The author takes into account the broad implications of his philosophy for the social, economic, educational, and political structuring of the health care system.

Inhalt
1 Summary.- 1 The Database: Its Definition and Present Status.- 2 Summary.- 2 The Problem List.- 3 Summary.- 3 The Initial Plan.- 4 Summary.- 4 The Progress Notes.- 5 Flowsheets.- 6 Summary.- 6 The Discharge Summary and Data Reduction.- 7 Summary.- 7 The Building and Editing of Problem Knowledge Couplers.- 8 Summary.- 8 Implications of the Computerized Problem Oriented Medical Record and Knowledge Coupling Tools.- 9 Summary.- 9 Interdependencies and Potential Synergies.- 10 Summary.- 10 General Implications for Education.- 11 Summary.- 11 Can the Present Infrastructure of Medicine Support Radical Change in Premises and Tools?.- 12 Summary.- 12 Conclusion.- 13 The Perspective of a Practitioner.- 14 Comments From Other Medical Practitioners.- 15 Problem Knowledge Couplers and Their Use in Dentistry.- 16 Problem Knowledge Couplers in Veterinary Medicine.- Appendices.- C Samples of Introductions to Individual Couplers.- References.- Select Bibliography.