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At least 271 records · Page 15Linked to original sources

From electronic medical record to personal health record.

In this paper we attempt to provide a definition and purpose for the electronic patient record, point out the benefits of its use and outline the major challenges in wider implementation that are encountered world-wide. Finally, some trends are highlighted that are believed to play an important role in the future development and use of the electronic patient record.

Computer Communication Networks↗

The care card.

Explore the source record for details and available documents.

England↗

Why good hospitals get bad computing.

American Hospitals spend a lot of money for computing, but physicians and nurses are dissatisfied with the computing that they receive. No one is at fault. Rather, each person, acting in his or her best interest, unwittingly conspires to produce the unfavorable result. Until hospitals make major and fundamental changes in the way they purchase and manage computing, they will continue to spend large sums without commensurate return.

Consultants↗

Strategic uses of information technology in health care: a state-of-the-art survey.

The general perception that the use of information technology (IT) in health care is ten to fifteen years behind IT in other industrial sectors such as banking, manufacturing, and airline is rapidly changing. Health care providers, faced with an unprecedented era of competition and managed care, are now exploring the opportunities for using IT to improve the quality while simultaneously reducing the cost of health care. A revolution is taking place in the health care industry, with IT playing an increasingly important role in its delivery. In recent years, for example, the industry spent approximately $12 billion to $14 billion a year on IT. Further exponential growth is expected as the health care industry implements electronic medical records, upgrades hospital information systems, sets up intranets for sharing information among key stakeholders, and uses public networks, such as the Internet, for distributing health-related information and for providing remote diagnostics. Along with these drastic changes and the new approach to health care, the field of health/medical informatics and telematics has also experienced significant growth in the last few years. This article identifies and surveys the critical information technologies that are being adopted to provide strategic benefits to the various health care constituencies including hospitals and health maintenance organizations (HMOs).

Canada↗

[Interpersonal communication as a factor in successful development of a decision-oriented information systems model in the hospital].

The success of a decision-oriented hospital information system is primarily depending on the way of integration of the involved professionals in the development. The technical realisation of those systems is already supported by several tools. Interpersonal interactions on the other hand which take about 40 percent of the time of development are still methodically ignored. The medVista method promotes the active integration of all persons involved and supports the realisation of a technological model simultaneously. Substantial corrections usually arising after implementation are no longer necessary and the system will be accepted by users.

Decision Making, Organizational↗

Data warehousing as a tool for quality management in oncology.

At present, physicians are constrained by their limited skills to integrate and understand the growing amount of electronic medical information. To handle, extract, integrate, analyse and take advantage of the gathered information regarding the quality of patient care, the concept of a data warehouse seems to be especially interesting in medicine. Medical data warehousing allows the physicians to take advantage of all the operational data they have been collecting over the years. Our purpose is to build a data warehouse in order to use all available information about cancer patients. We think that with the sensible use of this tool, there are economic benefits for the Society and an improvement of quality of medical care for patients.

Ambulatory Care↗

ARCHIMED: a Network of Integrated Information Systems.

ARCHIMED is a Network of Integrated Information Systems (NIIS). This novel concept of hospital information system has a major advantage over the currently used distributed systems. The normalized representation structure of its databases enable its Navigators to reach simultaneously not only the data coming from different hospital departments, laboratories, and other hospital facilities, but also the data from different hospitals associated in the network.

Computer Communication Networks↗

A study of communication in the Cardiac Surgery Intensive Care Unit and its implications for automated briefing.

We present a study of the information transferred among caregivers in the context of cardiac surgery and use the study to evaluate a system, MAGIC, that we are developing for automated generation of briefings. Our framework integrates cognitive and quantitative evaluation methods and features three standards that reflect current practice in the Cardiothoracic Intensive Care Unit (CTICU). Using experimental design to compare human-generated and machine-generated briefings, we show that MAGIC's current level of performance is useful. Moreover, MAGIC could help improve information flow in the CTICU by providing a consistent set of information earlier than in current practice. The separate standards are also consistent in suggesting specific modifications that may be necessary for iterative design and further system development.

Communication↗