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R I O'Desky

Publications and source records attributed to R I O'Desky.

7 recordsLinked to original sources

Status and progress of hospital information systems (HIS).

Expectations for hospital information systems (HIS) have yet to be realized. Requirements have been defined by the International Medical Informatics Association, health care futurists, and others. With a volatile marketplace and evolving technologies, computerization has been a non-trivial task. However, recent advances in architecture and communication standards promise to make networking possible. In addition, the development of professional workstations and of computer-based patient records linked to new tools and applications can transform health care. For HIS to realize these expectations, however, technology assessment and outcome analysis must play critical roles.

Hospital Information Systems↗

Computers in health care for the 21st century.

As the world enters the last decade of the 20th Century, there is a great deal of speculation about the effect of computers on the future delivery of health care. In this article, the authors attempt to identify some of the evolving computer technologies and anticipate what effect they will have by the year 2000. Rather than listing potential accomplishments, each of the affected areas: hardware, software, health care systems and communications, are presented in an evolutionary manner so the reader can better appreciate where we have been and where we are going.

Artificial Intelligence↗

An infocentric view of the hospital information system.

The development of HISs has evolved from a piebald collection of stand-alone applications to a well conceived collection of integrated modules. The current generation of both computer hardware and the development tools available on the hardware have facilitated the creation of these infocentric applications. The willingness of healthcare professionals--from doctors and nurses to administrators--to become more involved in the design and implementation has created more sophisticated and appropriate application modules. Multiple development sites have resulted in more flexible systems which can be more readily adapted to a larger set of end users. The cumulative result of this current technology and professional involvement is a collection of systems which are better suited for the end user; and which are more cost effective to implement. If these current trends continued, it is possible that we will see much of the promise envisioned in the early days of HIS development available to the individual HIS user. However, the dynamic characteristics of the healthcare industry warn us that we cannot allow our systems to become stagnant. Everyone with computer responsibility must be vigilant to the kaleidoscopic modifications in requirements if the infocentric based systems are to be a propitious tool for the suppliers of healthcare services.

Computers↗