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At least 181 records · Page 10Linked to original sources
PubMed2004

Interactive Web sites for families and physicians of pediatric intensive care unit patients: a preliminary report.

OBJECTIVE: To describe our experience with a Web-based communications program for the patients, families, and referring physicians of patients admitted to our pediatric intensive care unit. DESIGN: Prospective descriptive case series for a 32-month period from April 2000 through January 2003. SETTING: Sixteen-bed multidisciplinary medical-surgical pediatric intensive care unit (PICU). SUBJECTS: Seventy-three of 78 patients admitted to the PICU for > or =3 days and their families participated in the study, along with 26 referring physicians. INTERVENTION: None. MEASUREMENTS AND MAIN RESULTS: We found that 77% (474/619) of surveyed family members and friends thought that the Web page helped them share information, 13% (82/619) were unsure, and only <1% (4/619) thought it did not help them share information. When comparing respondents who thought the Web page helped them share information with those who did not or those who did not know, internet use was significantly associated with thinking that the Web page helped them share information (p =.0007). Seventy-three percent (19/26) of physicians thought that Web page-based communication was easier than present methods to convey patient information, and 62% (16/26) replied that the Web-based communication met their expectation. Fifty-four percent (14/26) of physicians thought they were more likely to refer patients to our PICU because of the Web-based communication; this was significantly associated with physician assessment that the Web-based communication was easier than the present methods of communicating with referring physicians (p =.003). CONCLUSIONS: We conclude that both families and referring physicians find Web-based communications during a child's PICU hospitalization to be very helpful. We suggest that the Web-based PICU communications be developed and studied for both medical and economic impact.

Child↗
PubMed1990

The M1 Kegworth aircraft disaster: experience in three hospital blood transfusion laboratories and the regional transfusion centre.

Eighty-eight survivors of an aircraft accident on the M1 motorway were taken to three major hospitals, two of which were teaching hospitals, in the immediate vicinity. We describe the effects of this on the three blood transfusion and haematology laboratories concerned and on the regional transfusion centre, describe how the work was processed, and list the lessons learnt.

Accidents, Aviation↗
PubMed2002

Radiology services in emergency medicine residency programs: a national survey.

OBJECTIVES: To determine who reads plain film radiographs, how quickly radiologists' interpretations are available, how many initial readings require correction, and how satisfied emergency physicians (EPs) are with radiology in emergency departments (EDs) with emergency medicine (EM) residency programs. METHODS: A questionnaire was sent to the chairs of all U.S. EM residencies, asking about EM radiology services. RESULTS: Of 120 sites surveyed, 97 (81%) responded. Respondents reported that, on weekday days, EM attendings or residents performed the radiograph interpretation used for clinical decision making at 66% of sites; on nights and weekends, EPs performed the clinically relevant readings at 79% of sites. Twenty-one percent of sites reported that no radiologist reviewed images before patients left the ED on nights and weekends. Only 39% of sites reported that all images were read within four hours on weekday days, and only 19% of sites reported readings within this time frame on nights and weekends. Median misinterpretation rates were reported as 1% on weekday days and 1.5% at other times. Overall, EPs were satisfied with their interactions with radiology at 63% of EDs. CONCLUSIONS: This study summarizes the perceptions of EPs regarding radiology services; the findings must be interpreted with caution, given the lack of external validation. Nevertheless, EPs report that many EM residency programs depend on EPs' interpretations of radiographs. Emergency physicians report that attending radiologists rarely read images on nights and weekends and that images are misread more frequently at these times. Although EPs were satisfied with many aspects of radiology, EPs expressed the most dissatisfaction with turnaround times and misreads.

Diagnostic Errors↗
PubMedDate not supplied

Using beepers to keep family members involved in the patient's care.

The 1994 Veterans Health Administration (VHA) National Customer Feedback Survey of 43,594 recently discharged inpatients revealed that problems relating to emotional support were reported two to three more frequently by VHA patients than by patients in the private sector. The scores related to emotional support that were reported by 130 Oklahoma City Veterans Affairs Medical Center surgery respondents were the facility's least favorable scores in benchmark comparisons with all VHA surgery patients and with surgery patients at Picker Institute, a nonprofit, private sector research and education organization. These scores prompted the initiation of a successful program to loan radio and digital beepers to patients' family members.

Awareness↗
PubMed1978

No news is bad news: patients' views about communication in hospital.

One hundred patients on four general surgical wards in a large teaching hospital were interviewed about the information they had received about their illness and what they had been told about the investigations they had undergone. Fifty-five of them expressed some dissatisfaction and 14 were strongly dissatisfied. The way in which ward rounds were conducted was heavily criticised, but most patients did not object to the teaching of medical students at the bedside. Twenty-four patients would have liked more explanation about why investigations were performed, and 38 though that they had not been told enough about the results of their investigations. This lack of information led to anxiety and fear. The findings suggest that more effort is needed to improve communication between doctors and patients.

Attitude↗
PubMed1975

Hospital discharge reports: content and design.

The information required by family doctors on initial and final discharge reports from hospitals was specified and 546 such reports from hospitals in Aylesbury, Amersham, Banbury, Oxford, and High Wycombe were reviewed for the availability and accessibility of important information. Several items could have been recorded better, including the name of the hospital, the specialty (or department) concerned, and the name of the consultant in charge of the case. Drug reactions seemed to be under-reported in the initial discharge reports and information about treatment on discharge was inadequate. The recording of the prognosis and information given to the patient was deficient and communication on follow-up needs to be improved. The use of obscure abbreviations was widespread. There is room for improvement in the ease of access to important information, especially the diagnostic assessment, and the time taken for final reports to reach the general practitioner.

England↗
PubMedDate not supplied

Problem-oriented prefetching for an integrated clinical imaging workstation.

Prefetching methods have traditionally been used to restore archived images from picture archiving and communication systems to diagnostic imaging workstations prior to anticipated need, facilitating timely comparison of historical studies and patient management. The authors describe a problem-oriented prefetching scheme, detailing 1) a mechanism supporting selection of patients for prefetching via characterizations of clinical problems, using multiple data sources (picture archiving and communication systems, hospital information systems, and radiology information systems), classifying patients into cohorts on the basis of their medical conditions (e.g., lung cancer); and 2) prefetching of multimedia data (imaging, laboratory, and medical reports) from clinical databases to enable the viewing of an integrated patient record. Preliminary evaluation of the prefetching algorithm using classic information retrieval measures showed that the system had high recall (100 percent), correctly identifying and retrieving data for all patients belonging to a target cohort, but low precision (50 percent). A key finding during testing was that the recall of the system was increased through the use of multiple data sources (compared with one data source), because of better patient descriptors. Medical problems and patient cohorts were more specifically defined by combining information from heterogeneous databases.

Algorithms↗
PubMed2005

[Patient liaison service and social work unit].

The present article describes the activity of the Patient Liaison Service and Social Work Unit on March 11 and subsequent days. The service centered its activity on providing support, advice, and information to relatives, as well as on resource management and identification and localization of victims. The organization of activities and the response of the various professionals that comprise the team, as well as the results of their interventions are discussed.

Hospital Communication Systems↗