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At least 361 records · Page 20Linked to original sources
PubMed1995

[Electr(on)ic data processes in trauma surgery--"an old hat that still doesn't fit"].

Despite the application of data processing in medicine beginning almost 40 years ago and then employing the Hollerith-method until now no consent has been achieved to solve the problems that arise from the demands of jurisdiction concerning methodical proceedings and procedures in data processing in hospitals. Concerning this the hospitals' administrations are overstrained as are the clinical departments. The paper presented recalls empirical knowledge that has already been gathered long ago.

Electronic Data Processing↗
PubMed1994

[Electronic picture and data storage and processing with PC in trauma surgery--an anachronism?].

Acquisition, storage and processing of any images relevant in trauma surgery together or in combination with (alpha) numeric data nowadays are possible employing a personal computer. The computing speed that is achieved with 486 cpu's "inside" is sufficient to process images in motion as well as single images to be filtered. The display and process-resolutions required for processing of X-ray-images can be achieved with the PC's hardware as well as with the software available. That is why there is no need any longer for special configurations for X-ray-departments. Calculating the price of the process-environment proposed, about 25,000 DM should be enough including the video tape recorders and the CD-ROM-recorder that are required.

Computer Peripherals↗
PubMed1993

Resection of intraventricular tumors via a computer-assisted volumetric stereotactic approach.

Intraventricular tumors present a major challenge for neurosurgeons because of their depth and the important structures around them. Between 1984 and 1991, we performed 60 computer-assisted volumetric stereotactic resection procedures in 58 patients with intraventricular tumors (30 patients with third ventricular tumors and 28 patients with lateral ventricular tumors). The pathological findings of the tumors were as follows: colloid cyst in 27, giant cell astrocytoma in 5, central neurocytoma in 4, pilocytic astrocytoma in 4, meningioma in 3, subependymoma in 3, metastatic tumor in 3, oligodendroglioma in 2, ependymoma in 2, and miscellaneous tumors in 5 patients. Most presenting symptoms were nonlocalized--headache or cognitive dysfunction. All third ventricular tumors were approached via a frontal trajectory, and lateral ventricular tumors were approached according to the site and shape of the lesion. Total resection was achieved in 55 procedures. Overall outcome was excellent in 45 cases, good (some deficit but independent) in 5, and poor (dependent) in 3 (memory impairment, 2 patients; visual field cut, 1 patient). Two patients (3.4%) died postoperatively (one had a postoperative thalamic hemorrhage and pulmonary embolus; one had a subdural hygroma). In follow-up, three patients died from the extension of a malignant tumor or from primary cancer. Permanent morbidity was seen in three cases (5%). The authors believe computer-assisted volumetric stereotaxis is useful in removing intraventricular tumors. This technique allows us to find a safe trajectory and to locate and separate the tumor margin from the surrounding vital structures.

Adolescent↗
PubMed1991

The supply module: recouping lost revenue.

The authors describe how computerization helped to improve materiel management in the OR, including inventory control and purchasing, and how they acutally enabled them to recoup lost revenue.

Data Display↗
PubMedDate not supplied

Applying the supply module to case carts.

When Hinsdale Hospital in Hinsdale, Illinois, decided to shift the pulling of cases from the Surgery Department to the Sterile Processing Department, a number of computer system changes had to be implemented to facilitate a smooth, functional transition. Seventy percent of the inventory carried in Surgery was transferred to SPD. To eliminate a cumbersome and uncoordinated supply requisition and pulling process that had existed in the OR, all written information had to be manually entered into a computer supply requisition module, and corrections made based on clinician "mental notes". This took the guesswork out of pulling and billing cases, from SPD's point of view. Additionally, new item numbers were assigned to indicate whether particular supplies were located in the OR or SPD. Hardware in the OR and SPD were networked together so the departments could share information and print requisitions in both locations. Finally, a detailed procedure on pulling cases was written for SPD to ease the transition and provide practice continuity for all SPD workers.

Central Supply, Hospital↗