Discrete Mathematics

Patient safety is one of the main driving forces behind calls for better EHR systems and, as a result, EHR design quirks and flaws are receiving more attention.   Thomas Payne has provided a very insightful analysis of EHR safety issues in a recent BMJ Quality & Safety commentary (1). As part of the commentary he […]


A Mathematical View of Clinical Work

by Jerome Carter on April 6, 2015 · 7 comments

Whenever I mention working on models of clinical work or describing clinical care mathematically, the comments vary from how esoteric such an endeavor seems to protestations that medicine is an art.  Math is not out of place in medicine. In fact, it is part of everyday practice; it is simply not recognized as such. Back […]


Many Theories, No Math…

by Jerome Carter on October 13, 2014 · 0 comments

In my quest to develop a mathematically-based theoretical framework for understanding the relationship between clinical work and clinical systems, I have been reviewing theory-focused articles in the academic informatics literature.   So far, I have waded through socio-technical theory and human factors engineering.   Interestingly, neither uses mathematics to convey their points of view.  Why is this? […]


Yes, Programming Is Math…

by Jerome Carter on September 15, 2014 · 0 comments

I read a wide range of articles and posts on a daily basis.   Many of them are aimed at software developers and entrepreneurs.    At least once each year or so, I run across a blog post that takes the very adamant stance that programming is not really related to math.   The interesting thing is that […]


We gain understanding by asking good questions.  Questions about even the most common, mundane things can yield wisdom and point the way to important discoveries.   According to William Stukeley, Isaac Newton began his research into gravity because he wondered why apples always fell down and never sideways or up (1).  How many people had seen […]

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Summer Reading List

by Jerome Carter on June 30, 2014 · 2 comments

Work is piling up faster than expected this summer, but I am not complaining.  However, it has cut down on the time I have to write posts.   Generally, summer is a time to explore new ideas and topics, especially if they require a lot of reading.   As it happens, this summer is proving to be […]


Greatest Hits: Volume 5

by Jerome Carter on June 2, 2014 · 0 comments

Over the past year, two themes have dominated the blog—EHR design issues and the application of discrete mathematics to clinical informatics.   Both topics reflect my conviction that it is possible to create a mathematical theory of clinical systems that can be used to design clinical care software.   If all goes well, the first academic paper […]