Computer Caregivers Will Revolutionize Patient Care
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About this ebook
Computer caregivers with better AI and HCI could replace some nurses, improve patient care and the public health, and cut health care costs. This clear explanation of computer and health care “worlds” helps each better understand how they might collaborate to develop computer caregivers like an imagined “Carey.” All that is needed are visionary leaders, a public will, and collaboration between health care and computer science innovators.
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Book preview
Computer Caregivers Will Revolutionize Patient Care - Emmie McGuire
Computer Caregivers Will Revolutionize Patient Care
A registered nurse hopes for computer caregivers that will improve patient care and the public health, cut health care costs, and maybe even change the world!
By Emmie McGuire
Smashwords Edition
Copyright 2012 Emmie McGuire
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Smashwords Edition, License Notes
This ebook is licensed for your personal enjoyment only. This ebook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each recipient. If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy. Thank you for respecting the hard work
of this author.
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Dedication
To the visionaries who will explore these horizons
To my husband, whom I love
And for patients, who deserve the best
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Author’s Note to Readers
I’m an RN and fairly knowledgeable about nursing practice and many current, emerging, and even theoretical computer advances. But I’m not an expert, since I learned much of what I write about from my education and experience more years ago than I’d like to admit; from popular media
such as TV, radio, magazines, and online journalism; from speakers at health care conferences; and from informal conversations with friends, family and colleagues experienced in health care or computer science. So this is my informed opinion, shared in the hopes it will be a catalyst for change, in the hopes that health care and computer students and professionals will read it and consider working together to create Computer Caregivers and other related technology, and in the hopes that they will receive the support they’ll need for that exciting, and revolutionary, exploration.
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Table of Contents
Preface: Embracing Change for Patient-Centered Care
Introduction
Part I: The Patient Care Team Today: Education, Experience, and Empathy
Chapter 1: Education and Experience
Chapter 2: Empathy
Chapter 3: Continuity of Care
Chapter 4: The RN’s Role
Part II: Patient Assessment and Education
Chapter 5: The Assessment Process
Chapter 6: Patient Assessment Errors
Chapter 7: Judgment in Patient Assessment
Chapter 8: Patient Education
Part III: The Computer in Health Care Today
Chapter 9: Administrative (and Clinical) Systems
Chapter 10: Computers in Patient Tests and Treatments
Chapter 11: Computers in Patient Monitoring
Chapter 12: Mobile Medicine
Chapter 13: Assessment Triage
Chapter 14: The EHR
Chapter 15: Computers in Education
Chapter 16: Data Analysis
Part IV: Emerging Computer Capacities in Artificial Intelligence
Chapter 17: How Computers Think
Chapter 18: Data Mining
Chapter 19: Human-Computer Interaction
Chapter 20: Beyond Human-Computer Interaction
Part V: The New Patient Care Team
Chapter 21: A Hypothetical Patient Encounter- Carey
Chapter 22: Carey’s Development Process
Chapter 23: Carey and Communication
Chapter 24: Carey and the Formal Assessment
Chapter 25: Carey and Patient Education
Chapter 26: Today’s (Real) Next Steps
Chapter 27: What can you do?
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Preface: Embracing Change for Patient-Centered Care
Computer Caregivers will revolutionize patient care, improve the public health, and cut health care costs by replacing registered nurses (RNs) on many direct patient care teams. RNs are already being phased out of many of these teams as a cost-cutting measure, now replaced with less expensive but less educated and experienced human staff. If these RNs are replaced instead with computers that have abilities that match or even surpass the RN’s skills, patient care teams comprised of human and computer caregivers will transform health care.
Society will need to re-direct resources, particularly money and minds, away from current well-intentioned but misguided efforts to shore up the role of the patient care RN and toward the development of computer caregivers. Instead of spending millions to recruit and educate RNs with promises of personal and professional fulfillment as patient caregivers, when in fact most RNs are now typically removed from hands on
direct patient care, those funds could support the development of patient care teams comprised of human and computer caregivers.
A computer can’t possibly do what I do
is a refrain that has been heard, and proven wrong, in countless fields, including medicine. I know it may be many RNs’ first thought because I am an RN and it was my first thought when I began to research this. Nursing has long been among the most trusted professions, and we have been highly valued for our unique blend of knowledge, judgment, skills, and compassion. However, I quickly learned that computers already perform many tasks I’ve performed as an RN and might be able to surpass many of our abilities, if research and development is properly supported. Any shortcomings, such as the tremendous comfort patients feel from the gentle touch of a human hand, can be addressed by the human members of the patient care team.
Nurses will ultimately embrace this revolution. Our first priority has always been our patients and once convinced that computer caregivers will benefit our patients and the public health, we will advocate for the finest computers possible, integrated into patient care teams that will offer the finest patient care possible.
What will become of RNs? Certainly, there will continue to be important roles for RNs in areas other than direct patient care- such as in hospital leadership, medical and nursing research, public health policy development and implementation, and so on. Some RNs will continue to function for some time as part of direct patient care teams, particularly in health care systems that are slow to adopt new technologies. Even in more progressive systems, RNs will need to mentor
computer caregivers, particularly as the first generations of computer caregivers are integrated into patient care teams. This mentoring
process has already begun to some degree, since nurses’ feedback has been instrumental in improving algorithms in the computerized patient assessment