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At least 451 records · Page 25Linked to original sources
PubMed1983

[Role of medical information processing for quality assurance in obstetrics].

The paradigma of problem-orientated assuring of the professional quality of medical case is a kind of "control loop system" consisting of the following 5 steps: routine observation, identification of the problem, analysis of the problem, translation of problem solutions into daily practice and control as to whether the problem has been solved or eliminated. Medical data processing, which involves documentation, electronic data processing and statistics, can make substantial contributions especially to the steps of observation, identification of the problem, and follow-up control. Perinatal data collection, which has already been introduced in 6 Länder of the Federal Republic of Germany, has supplied ample proof of this. These operations were conducted under the heading "internal clinical assuring of quality with external aid". Those clinics who participated in this programme, were given the necessary aid in self-observation (questionnaires, clinical statistics), and they were also given comparative informative data to help them in identifying the problems (clinical profiles, etc.). It is entirely left to the responsibility of the clinics themselves--voluntary cooperation and guarantee of remaining anonymous being a matter of course -- to draw their own consequences from the collected data and to translate these into clinical everyday practice.

Electronic Data Processing↗
PubMed2006

Design and implementation of an electronic data recording and processing system for physics quality control checks in external beam radiotherapy.

Quality control (QC) of external beam radiotherapy equipment ensures that commissioning performance is maintained. Paper based data recording is still used for QC, but this is resource intensive in terms of data calculation and processing. Electronic systems of data recording have many advantages; for example, they facilitate the analysis of data on a regular basis, allowing the user to examine the "health" of each machine; they help review and audit local frequencies of each check and can possibly predict component failure. They also allow for secure calculation of results and automatic charting for routine trend analysis. Initially, data recording at our centre was paper-based for daily, weekly and monthly checks. This paper system has been successfully replaced with an electronic system for QC data recording and processing for linear accelerators and superficial units. The system makes use of personal digital assistants and networked laptops for online recording of data, and networked desktop PCs for offline work. The systems of data recording have been designed using the power of macros within Microsoft Excel, which automatically calculate each QC parameter and charts the data recorded for long-term analysis of trends. As of the beginning of 2006, these systems have been fully implemented. The benefits of implementing such a system are numerous, for example, central storage, backup and archiving of data, for greater security and reducing operator errors in calculations. Other benefits are discussed within the paper. In the future, we hope to develop similar systems of data recording for QC checks on other radiotherapy equipment.

Computers, Handheld↗
PubMed1977

[Automatic processing of laboratory data using a process computer at the Dresden Medical Academy].

The prerequisites for the use of electronic data processing apparatuses in the laboratory diagnostics are explained and principal demands are formulated which are to be made to a laboratory organisation system supported by electronic data processing on the side of the clinic. The description of the project "LOL 2" practised at the Medical Academy Dresden deals above all with the demands of the laboratory, the establishment of findings referred to series and patients and their transmission to the requirer using the teleprinting technics. The first step of the practical use of this project is also used in the district hospitals Cottbus and Görlitz. The aim of this development is a comprehensive information system for the communication process between ward and laboratory.

Academies and Institutes↗
PubMed1985

[Data processing in radiology: summary and prospects].

The technical aspects of radiology are particularly suitable for electronic data processing. In addition to automation of radiological apparatus and tumour registration, there are three areas in radiology particularly suitable for electronic data processing: treatment planning, dose calculations and supervision of radiotherapy techniques in radio-oncology. It can be used for word processing in the office and for documentation, both in diagnostic and therapeutic radiology, and digital techniques can be employed for image transmission, storage and manipulation. Computers for treatment planning and dose calculation are standard techniques and suitable computers allow one to spot occasional and systematic errors during radiation treatment and to eliminate these. They also provide for the automatic generation of the required protocols. Word processors have proved particularly valuable in private practice. They are valuable for composing reports from their basic elements, but less valuable for texts that are stereotypes. The most important developments are in digital imaging, image storage and image transmission. The storage of images on video discs, transmission through fibre-optic cables and computer manipulation of images are described and the consequences and problems, which may affect the radiologist, are discussed.

Computers↗
PubMed1977

[Central accounting as a model of laboratory diagnosis].

From the experiences in the field of scientific organisation of the last years results a laboratory-diagnostic model with an automatic laboratory, a district laboratory and larger central units, so-called coordination laboratories which work together with about 10 to 20 laboratories and guarantee an up-to-date diagnostic spectre for the whole territory. Apart from the increasing investigation frequency, a constant dilatation of the diagnostic spectre and improved quality control of structural conditions must be taken into consideration. The constructed model which demands the collaboration of all institutions meets these critical problems. A central balancing should also extend to the personal and technical apparative capacity. Apart from this the system is to be extended by further automation in the sense of a machine activity with improvement by control and regulation processes. An electronic data processing improves the functional capacity only when the analytic data processing has achieved a high level. The cooperation in the field of laboratory diagnostics is not only a task in scientific organisation, but in the same way also scientific problems are solved together. The requirements increasing in qualitative and quantitative respect may optimally be fulfilled only by the two partners, clinic and laboratory. With increasing independence the laboratories should in scientific and organizational respect remain a place of meeting for laboratory scientist and physician.

Clinical Laboratory Techniques↗
PubMed1995

The impact of computer implementation on nursing work patterns: study design and preliminary results.

This paper describes a three phase evaluation of nursing work patterns on two University Hospital Giessen medical wards and the influence of introducing electronic data processing into the nursing environment. Results of the first phase are presented. The first phase was a baseline evaluation prior to the introduction of any electronic data processing functions. Work sampling showed that, on average, 15% of a nurse's time was spent providing general nursing care, 35% on special nursing care, and 30% on administrative activities. The remaining 20% was used for activities not directly related to nursing. In addition, a survey was conducted, revealing that about one third of the nursing staff had had contact with computers prior to start of the study. The enthusiastic attitude toward using computers on the ward was striking. Nursing staff expected that their work would be easier after the introduction of computers, that electronic data processing would save time, and that the computers would be easy to use. The staff did not express such positive expectations for the use of bedside terminals or portable devices.

Attitude to Computers↗
PubMed1997

[Effects of the Health Structure Regulation on the form of documentation in clinics].

The requirements of the German Health Structure Law (GSG) are not matchable without the help of electronic data processing, especially regarding medical documentation in combination with the documentation for financial and calculation reasons. As a wide number of different and partly parallel keys are used, the electronic documentation has to be integrated in the clinical routine. Data have to be documented where they arise, by whom they are produced and unproductive double-documentation have to be avoided by any means. Investments in electronic data processing have to take into consideration the direct benefit for the user. This is a key to motivation and rises the validity of data.

Delivery of Health Care↗
PubMed1992

[Electronic data processing-assisted serial automation of current methods in blood group serology].

The introduction of special centrifugable racks with a transparent bottom into the conventional typing of blood groups in glass tubes facilitates the simultaneous work on and reading of a maximum of 32 complete ABO, Rhesus and Kell typings in one series. As a result of the facts that it is unnecessary to label the individual tubes and that the pipetting of serum and erythrocyte suspensions is done automatically and through the unmistakable classification of the samples by means of bar-coding, the manual work is reduced to about 50%. This modified typing method combines the advantages of the conventional typing method in glass tubes with the advantages of an efficient microplate technique. There is no qualitative loss in the implementation and reading of the analysis.

ABO Blood-Group System↗