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At least 271 records · Page 15Linked to original sources
PubMed1995

The design and development of a fully integrated hospital information system.

This paper provides an overview of the design and development of a comprehensive integrated hospital information system for the National Cheng Kung University Hospital. This system was designed for a new hospital, to be built on a 'green field' site, and was developed and installed as an integral component of the building of the hospital and the installation of the medical and administrative facilities. The approach necessitated: 1) the specification of requirements with no users to explain what they needed; 2) a study of capacity without the availability of existing data to predict the workload; 3) a performance study in advance of operation to understand system behavior; and 4) the effective scheduling of implementation to ensure congruence with the building and commissioning of the hospital.

Computer Simulation↗
PubMed1999

IAIMS and JCAHO: implications for hospital librarians. Integrated Academic Information Management Systems. Joint Commission on Accreditation of Healthcare Organizations.

The roles of hospital librarians have evolved from keeping print materials to serving as a focal point for information services and structures within the hospital. Concepts that emerged from the Integrated Academic Information Management Systems (IAIMS) as described in the Matheson Report and the 1994 Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards have combined to propel hospital libraries into many new roles and functions. This paper will review the relationship of the two frameworks, provide a view of their commonalities, and establish the advantages of both for hospital librarianship as a profession.

Humans↗
PubMedDate not supplied

Crossing the quality chasm: the role of information technology departments.

Integrating information technology (IT) into medical settings is considered essential to transforming hospitals into 21st-century health care institutions. Yet the role of IT departments in maximizing the effectiveness of information systems is not well understood. This article reports a 3-round Delphi panel of Veterans Administration personnel experienced with provider order entry electronic systems. In round 1, 35 administrative, clinical, and IT personnel answered 10 open-ended questions about IT strategies and structures that best support successful transformation. In round 2, panelists rated item importance and ranked proposed strategies. In round 3, panelists received aggregate feedback and rerated the items. Four domains emerged from round 1: IT organization, IT performance monitoring, user-support activities, and core IT responsibilities (eg, computer security, training). In rounds 2 and 3, IT performance monitoring was rated the most important, closely followed by clinical support. Strategies associated with each domain are identified and discussed.

Adult↗
PubMed2001

[Integrated health information system based on Resident Assessment Instruments].

The paper explores the meaning of Resident Assessment Instruments. It gives a summary of existing RAI instruments and derived applications. It argues how all of these form the basis for an integrated health information system for "chain care" (home care, home for the elderly care, nursing home care, mental health care and acute care). The primary application of RAI systems is the assessment of client care needs, followed by an analysis of the required and administered care with the objective to make an optimal individual care plan. On the basis of RAI, however, applications have been derived for reimbursement systems, quality improvement programs, accreditation, benchmarking, best practice comparison and care eligibility systems. These applications have become possible by the development on the basis of the Minimum Data Set of RAI of outcome measures (item scores, scales and indices), case-mix classifications and quality indicators. To illustrate the possibilities of outcome measures of RAI we present a table and a figure with data of six Dutch nursing homes which shows how social engagement is related to ADL and cognition. We argue that RAI/MDS assessment instruments comprise an integrated health information system because they have consistent terminology, common core items, and a common conceptual basis in a clinical approach that emphasizes the identification of functional problems.

Aged↗
PubMed2000

Integrating medical information and knowledge in the HL7 RIM.

Guidelines have a proven ability to improve quality of health care and reduce cost, yet, guidelines are not very well deployed at the point of care. This is largely due to the impedance mismatch between decision support modules and the Electronic Medical Record (EMR.) The Unified Service Action Model (USAM) as part of the HL7's Reference Information Model provides a conceptual integration between patient data and medical knowledge. The USAM defines one action-oriented information structure for patient data, concept definitions, action plans, conditionals, and goals. This suggests a new approach to the problem of sharing data and knowledge, effectively working around the problem of missing domain terminology.

Computer Communication Networks↗
PubMed1999

Integrated radiology information system, picture archiving and communications system, and teleradiology--workflow-driven and future-proof.

The proliferation of integrated radiology information system/picture archiving and communication system (RIS/PACS) and teleradiology has been slow because of two concerns: usability and economic return. A major dissatisfaction on the usability issue is that contemporary systems are not intelligent enough to support the logical workflow of radiologists. We propose to better understand the algorithms underlying the radiologists' reading process, and then embed this intelligence into the software program so that radiologists can interact with the system with less conscious effort. Regarding economic return issues, people are looking for insurance against obsolescence in order to protect their investments. We propose to future-proof a system by sticking to the following principles: compliance to industry standards, commercial off-the-shelf (COTS) components, and modularity. An integrated RIS/PACS and teleradiology system designed to be workflow-driven and future-proof is being developed at Texas Tech University Health Sciences Center.

Algorithms↗
PubMed2005

Procedural interference in perceptual classification: implicit learning or cognitive complexity?

Researchers have argued that an implicit procedural-learning system underlies performance for information integration category structures, whereas a separate explicit system underlies performance for rule-based categories. One source of evidence is a dissociation in which procedural interference harms performance in information integration structures, but not in rule-based ones. The present research provides evidence that some form of overall difficulty or category complexity lies at the root of the dissociation. The authors report studies in which procedural interference is observed for even simple rule-based structures under more sensitive testing conditions. Furthermore, the magnitude of the interference is large when the nature of the rule is made more complex. By contrast, the magnitude of interference is greatly reduced for an information integration structure that is cognitively simple. These results challenge the view that a procedural-learning system mediates performance on information integration categories, but not on rule-based ones.

Adult↗
PubMed2005

Integration of hospital information systems, operative and peri-operative information systems, and operative equipment into a single information display.

The integration of disparate information systems in the operative environment allows access to information that is typically unseen or unused. Through a collaborative effort, a variety of information systems and surgical equipment are being integrated. This provides improved context-sensitive information display and decision support and improved access to information to improve workflow, safety and visualization of information that was previously unattainable.

Data Display↗
PubMedDate not supplied

The integrated academic information management system at Columbia-Presbyterian Medical Center.

Over the past seven years, Columbia-Presbyterian Medical Center has been planning and implementing an integrated academic information management system. Accomplishments to date include establishing an institutional information architecture, installing a campus-wide network of workstations, recruiting the staff needed to develop and implement the system, and developing various applications. This paper presents the rationale and steps involved in these accomplishments, as well as data on use of the system so far.

Academic Medical Centers↗
PubMed1982

Integrating visual information from successive fixations.

One of the classic problems in perception is how visual information from successive fixations of a scene is integrated to form a coherent view of the scene. The results of this experiment implicate a process that integrates by summing information from successive fixations after spatially reconciling the information from each glimpse. The output of this process is a memory image that preserves the properly reconciled information from successive fixations.

Humans↗
PubMed2005

[Implementation of integrated hospital information system in the existing hospital organization--experience at Dubrava Clinical Hospital in Zagreb].

In the modern hospital information systems govern extremely important functions such as patient management, control of work flows, administration, etc., with a great variety of recommended standards used in functional integration of healthcare information systems. The main parts of the original idea of the integrated Hospital Information System have been implemented at Dubrava University Hospital in Zagreb through several phases, resulting in data production covering distinct areas of hospital administration. This paper describes the basic idea of information, organization problems and steps taken in the implementation. International standards in communication have been implemented in the system.

Computer Communication Networks↗
PubMed2003

Integrated care information technology.

Counties Manukau District Health Board (CMDHB) uses information technology (IT) to drive its Integrated Care strategy. IT enables the sharing of relevant health information between care providers. This information sharing is critical to closing the gaps between fragmented areas of the health system. The tragic case of James Whakaruru demonstrates how people have been falling through those gaps. The starting point of the Integrated Care strategic initiative was the transmission of electronic discharges and referral status messages from CMDHB's secondary provider, South Auckland Health (SAH), to GPs in the district. Successful pilots of a Well Child system and a diabetes disease management system embracing primary and secondary providers followed this. The improved information flowing from hospital to GPs now enables GPs to provide better management for their patients. The Well Child system pilot helped improve reported immunization rates in a high health need area from 40% to 90%. The diabetes system pilot helped reduce the proportion of patients with HbA1c rang:9 from 47% to 16%. IT has been implemented as an integral component of an overall Integrated Care strategic initiative. Within this context, Integrated Care IT has helped to achieve significant improvements in care outcomes, broken down barriers between health system silos, and contributed to the establishment of a system of care continuum that is better for patients.

Child↗
PubMed1995

Building a medical multimedia database system to integrate clinical information: an application of high-performance computing and communications technology.

The rapid growth of diagnostic-imaging technologies over the past two decades has dramatically increased the amount of nontextual data generated in clinical medicine. The architecture of traditional, text-oriented, clinical information systems has made the integration of digitized clinical images with the patient record problematic. Systems for the classification, retrieval, and integration of clinical images are in their infancy. Recent advances in high-performance computing, imaging, and networking technology now make it technologically and economically feasible to develop an integrated, multimedia, electronic patient record. As part of The National Library of Medicine's Biomedical Applications of High-Performance Computing and Communications program, we plan to develop Image Engine, a prototype microcomputer-based system for the storage, retrieval, integration, and sharing of a wide range of clinically important digital images. Images stored in the Image Engine database will be indexed and organized using the Unified Medical Language System Metathesaurus and will be dynamically linked to data in a text-based, clinical information system. We will evaluate Image Engine by initially implementing it in three clinical domains (oncology, gastroenterology, and clinical pathology) at the University of Pittsburgh Medical Center.

Abstracting and Indexing↗
PubMed1995

The satellite laboratory and point-of-care testing. Integration of information.

Laboratory testing is returning to the point of care, where it started in the 19th century. This decentralization of testing is occurring because of the many advantages it brings to the practice of critical care medicine, such as faster turn-around time and better patient management in inpatient and outpatient settings. However, decentralization of testing is decentralizing laboratory information. In addition, bedside analytical systems are causing a quality assurance dilemma in which data can be seen and acted on before the appropriate quality checks are completed. Current information technology allows these data to be integrated and thus patient care processes to be enhanced through tracking of clinical outcomes and reducing costs. Because the goal of point-of-care testing is to provide data in a timely manner, the future success of any point-of-care/satellite testing system will depend on the ease with which it can be integrated into the medical information system.

Clinical Laboratory Information Systems↗
PubMed2005

Delayed feedback disrupts the procedural-learning system but not the hypothesis-testing system in perceptual category learning.

W. T. Maddox, F. G. Ashby, and C. J. Bohil (2003) found that delayed feedback adversely affects information-integration but not rule-based category learning in support of a multiple-systems approach to category learning. However, differences in the number of stimulus dimensions relevant to solving the task and perceptual similarity failed to rule out 2 single-system interpretations. The authors conducted an experiment that remedied these problems and replicated W. T. Maddox et al.'s findings. The experiment revealed a strong performance decrement for information-integration but not rule-based category learning under delayed feedback that was due to an increase in the number of observers using hypothesis-testing strategies to solve the information-integration task, and lower accuracy rates for the few observers using information-integration strategies.

Analysis of Variance↗
PubMed2004

Integrated advanced information management systems: a twenty-year history at the University of Cincinnati.

The University of Cincinnati (UC) has been active in the National Library of Medicine's Integrated Advanced Information Management Systems (IAIMS) program since IAIMS' inception in 1984. UC received IAIMS planning and modeling grants in the 1980s, spent the 1990s practicing its own form of "iaims" and refining its vision, and, in May 2003, received an IAIMS operations grant in the first round of awards under "the next generation" program. This paper discusses the history of IAIMS at UC and describes the goals, methods, and strategies of the current IAIMS program. The goals of UC's IAIMS program are to: improve teaching effectiveness by improving the assessment of health professional students and residents in laboratory and clinical teaching and learning environments; improve the ability of researchers, educators, and students to acquire and apply the knowledge required to be more productive in genomic research and education; and increase the productivity of researchers and administrators in the pre-award, post-award, and compliance phases of the research lifecycle.

Academic Medical Centers↗