Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Medical Informatics Applications”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 451 records · Page 25Linked to original sources

Computers and nursing diagnoses. Issues in implementation.

In summary, the issue of using computerized systems for nursing diagnosis is really a question of when and how, not if, because we look to technology to simplify our information processing requirements. In a society that is moving quickly to increase applications of computers, there are still many technical as well as professional issues that need to be addressed. How we define computerized information systems can define how we practice. It is critical then to recognize nursing's responsibility to use technology to emphasize a commitment to care that is both individualized and humanistic. As we look to technology to simplify our information processing requirements, the process of developing computer applications for nursing holds great promise.

Humans↗

Help is on the way!

Explore the source record for details and available documents.

Guideline Adherence↗

Future history: medical informatics in geriatrics.

With deference to Isaac Asimov's The Foundation, which is the inspiration for this series, we briefly describe the "present history" of medical informatics (the application of information technology in medicine) in geriatrics, and then project a "future history" of this same endeavor. The older patient often has multiple acute and chronic problems that require management by a variety of medical professionals in a variety of settings. Proper care necessitates efficient gathering, integration, and management of information by each professional in each setting. As medical informatics evolves, we project that barriers to information exchange (both between providers and between providers and patients) will continue to decrease while the quality and relevance of exchanged information will continue to increase. The nexus of care will be the electronic medical record (EMR), which will shed its current paper chart metaphor and adopt an industrial process metaphor based on tasks and tolerances or goals. The multidisciplinary management of geriatric patients will strike a new balance: doctors, nurses, allied health professionals, family, and patients will all participate in the management of the patient's care. The EMR will coordinate data from a variety of novel sources, including wearable sensors monitoring physiologic parameters, falls, diet, ambulation, and medication compliance. The highly organized data in the EMR will allow explicit decision support for computer-facilitated, evidence-based care; will empower midlevel providers and patients with an increased role in the care plan; and will promote the realignment of care from hospitals/clinics to the patient's home.

Aged↗

Sensor, signal, and image informatics - state of the art and current topics.

OBJECTIVES: The number of articles published annually in the fields of biomedical signal and image acquisition and processing is increasing. Based on selected examples, this survey aims at comprehensively demonstrating the recent trends and developments. METHODS: Four articles are selected for biomedical data acquisition covering topics such as dose saving in CT, C-arm X-ray imaging systems for volume imaging, and the replacement of dose-intensive CT-based diagnostic with harmonic ultrasound imaging. Regarding biomedical signal analysis (BSA), the four selected articles discuss the equivalence of different time-frequency approaches for signal analysis, an application to Cochlea implants, where time-frequency analysis is applied for controlling the replacement system, recent trends for fusion of different modalities, and the role of BSA as part of a brain machine interfaces. To cover the broad spectrum of publications in the field of biomedical image processing, six papers are focused. Important topics are content-based image retrieval in medical applications, automatic classification of tongue photographs from traditional Chinese medicine, brain perfusion analysis in single photon emission computed tomography (SPECT), model-based visualization of vascular trees, and virtual surgery, where enhanced visualization and haptic feedback techniques are combined with a sphere-filled model of the organ. RESULTS: The selected papers emphasize the five fields forming the chain of biomedical data processing: (1) data acquisition, (2) data reconstruction and pre-processing, (3) data handling, (4) data analysis, and (5) data visualization. Fields 1 and 2 form the sensor informatics, while fields 2 to 5 form signal or image informatics with respect to the nature of the data considered. CONCLUSIONS: Biomedical data acquisition and pre-processing, as well as data handling, analysis and visualization aims at providing reliable tools for decision support that improve the quality of health care. Comprehensive evaluation of the processing methods and their reliable integration in routine applications are future challenges in the field of sensor, signal and image informatics.

Diagnostic Imaging↗

Granularity, scale and collectivity: when size does and does not matter.

Bridging levels of "granularity" and "scale" are frequently cited as key problems for biomedical informatics. However, detailed accounts of what is meant by these terms are sparse in the literature. We argue for distinguishing two notions: "size range," which deals with physical size, and "collectivity," which deals with aggregations of individuals into collections, which have emergent properties and effects. We further distinguish these notions from "specialisation," "degree of detail," "density," and "connectivity." We argue that the notion of "collectivity"--molecules in water, cells in tissues, people in crowds, stars in galaxies--has been neglected but is a key to representing biological notions, that it is a pervasive notion across size ranges--micro, macro, cosmological, etc.--and that it provides an account of a number of troublesome issues including the most important cases of when the biomedical notion of parthood is, or is not, best represented by a transitive relation. Although examples are taken from biomedicine, we believe these notions to have wider application.

Animals↗

Extracting diagnoses from discharge summaries.

We have developed a program for extracting the diagnoses and procedures from the past medical history and discharge diagnoses in the discharge summary of a case and coding these using SNOMED-CT in the UMLS. The program uses a limited amount of natural language processing. Rather, it makes use of the relatively standard structure of the discharge summary, a small dictionary to divide the text into phrases, and the extensive collection of phrases for concepts in the UMLS to do the coding. With this approach the program finds 240 of 250 desired concepts with 19 false positives in 23 discharge summaries.

Diagnosis↗

VEGA--an open platform to develop chemo-bio-informatics applications, using plug-in architecture and script programming.

In this paper we present the expandability and flexibility features of the VEGA program (downloadable free of charge at http://www.ddl.unimi.it), for the development of custom applications, using it as a multipurpose graphical environment. VEGA can be customized using both plug-in architecture and script programming. The first is useful to add new features and functions, using homemade routines, written with the VEGA Plug-in Development Kit (SDK). With the second approach it is possible to design scripts in VEGA, using the REBOL language, in order to (1) add new functions or customize existing ones; (2) automate common procedures; and (3) allow network communications, by creating a bridge between VEGA and other applications (or other PCs) through the TCP/IP protocol.

Computational Biology↗

[Basic data in informatics illustrated by their application in surgery].

As an introduction to a study day devoted to informatic in surgery, some basis knowledges are summarized: architecture and function of computers, programmation language, data bases. They are illustrated by various applications made in the "Cliniques St Luc" te Brussel namely patient monitoring, artificial pancreas, office system and operating room management system. The future use of local area network is proposed in order to achieve medical department independence and the needed cooperation between all users of medical and hospital informatic.

Belgium↗

[A research on healthcare integrating model of medical information system].

System integration is inevitable since there are lots of heterogeneous medical information systems in the complicated medical environment. The current medical communication standards often focus on one aspect of the integration and do not provide a general scheme. Based on the analysis of the application of medical integration, the medical integration model HIM (Healthcare integrating model) is put forward, and the dataflow integration framework, function integration framework and interface integration framework in the HIM are designed subsequently. HIM provides a 3-D scheme for the integration of medical information systems, which not only contains the three aspects of integration application vertically, but covers the whole medical area horizontally.

Database Management Systems↗

Participatory design and an eligibility screening tool.

For most medical informatics software products, insufficient effort is spent on the design phase of production. However, poor design often leads to systems that are either not well accepted, or far less effective than they could be. In this paper, we describe the ideas of participatory design and discuss why these ideas are especially applicable to medical informatics systems. In particular, we present a case study in the area of clinical trial protocol management. We designed and developed a tool aimed at increasing accrual to clinical trial protocols at an oncology center. However, the design evolved over time, and features of this design were only discovered through iterative development and interaction with the users within the context of the workplace.

Clinical Protocols↗

The anesthesiologist's guide to personal digital assistants.

BACKGROUND AND OBJECTIVES: Personal digital assistants (PDAs) are being used more frequently by anesthesiologists. PDAs are pocket-sized electronic devices that, at their most basic level, store information. Basic features include calendar, phone directory, memo pad, and checklist. More advanced features are increasingly common and blur the distinction between PDAs and personal computers (PCs). This article reviews the main options for PDAs, purchasing tips, and software applications, especially as they apply to anesthesiologists.

Anesthesiology↗