HCFA's Davis praises PPS, predicts strong future for medical record profession. Interview by Jill Callahan Dennis, RRA.
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Biomedical subjects
Publications and source records attributed to C K Davis.
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Information is an increasingly important resource in an academic hospital. Effective planning and control of this resource are essential in order to maximize its usefulness. The Hospital Information Planning Study (HIPS) undertaken at Groote Schuur Hospital, and based on the Business Systems Planning (BSP) methodology, is outlined, as are the results of the study. The recommendations arising from the study, which are of considerable significance to the hospital, are mentioned briefly.
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In a retrospective study to correlate preoperative ultrasonic findings with operative findings in 80 patients with symptoms of biliary tract disease, ultrasound was 75% accurate in predicting the presence or absence of gallstones. Of all positive ultrasonic studies, 95% correlated with gallbladder disease of some kind. The diseased gallbladder without stones may still produce ultrasonic abnormalities, allowing detection of inflammatory changes. Ultrasound is indicated in acute conditions of the abdomen, in patients with jaundice or allergy to contrast agents, and as an adjunct to other diagnostic modalities.
Hepatic cysts are found incidentally and cause few if any symptoms. Simple unroofing of such cysts to provide drainage is adequate therapy when symptoms occur, but such patients must be followed up. Disease progression can result in serious or even life threatening complications, as demonstrated in the case reported here.
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