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PubMedDate not supplied

Humabase+.

This program would be ideal for a physician practicing in a large group that maintains its own database for billing and is not planning to implement computerized records in the near future. If you have the time or the staff to enter the data, your records should be improved by this program. In addition, the search function will allow you to send warnings to patients who are taking a dangerous combination of drugs or whose current medication has been found to have a previously unknown side effect. If you are practicing alone or in a small group and either have a billing program or are considering one, the choice is more difficult. You must decide whether it is worth the effort to build a database that could be superseded if, for example, the billing program you chose had a superior clinical records capability. Many good billing programs already have this feature. The data in Humabase+ can easily be exported in a usable format, but there is no guarantee that the billing program could import these data. I would ask a potential dealer about this. If you already have a billing program without a clinical records capability, find out if the demographic data can be exported in a standard format. If so, they can be assimilated into Humabase+, and you can use both programs. On the basis of the above evaluation and warnings, you should take a good look at Humabase+. It is well done, and it fills a definite need. What's more, this is only Version 1. The author has expressed interest in maintaining the software through future revisions.

Ambulatory Care Information Systems↗
PubMedDate not supplied

Obstetrician: a protocol system for a family practice clinic.

Physicians often base their medical practices on bodies of rote medical knowledge. Proper use of this type of knowledge requires thorough and consistent application of large sets of memorized facts--a mental function that is often difficult for the unaided human intellect. Programs such as OBSTETRICIAN can assume this function. Incorporating these programs into medical record systems offers the best hope that busy practitioners will use them.

Clinical Protocols↗
PubMedDate not supplied

Evaluation and selection of systems for automating clinical operations.

Hospital automation, through the use of a clinical operations system, can provide access to current and accurate information, present information in more usable and understandable formats, and provide better documentation for hospital and third-party use. A properly designed and implemented clinical operations system will result in better patient care, more efficient labor utilization, better liability protection, and the financial survival of the institution.

Clinical Protocols↗
PubMed1990

[Development of a user-friendly laboratory information system].

We developed user-friendly laboratory information system based on the responses of users who were shown many versions of prototypes. This method was applied to the development of on-line computer systems used by laboratory staff, and resulted in a decrease of difficulty using the systems, an improvement in the productivity of laboratory staff, and a decrease in the time needed for developing the systems.

Clinical Laboratory Information Systems↗
PubMed1990

Computer multitasking with Desqview 386 in a family practice.

Computers are now widely used in medical practice for accounting and secretarial tasks. However, it has been much more difficult to use computers in more physician-related activities of daily practice. I investigated the Desqview multitasking system on a 386 computer as a solution to this problem. Physician-directed tasks of management of patient charts, retrieval of reference information, word processing, appointment scheduling and office organization were each managed by separate programs. Desqview allowed instantaneous switching back and forth between the various programs. I compared the time and cost savings and the need for physician input between Desqview 386, a 386 computer alone and an older, XT computer. Desqview significantly simplified the use of computer programs for medical information management and minimized the necessity for physician intervention. The time saved was 15 minutes per day; the costs saved were estimated to be $5000 annually.

Ambulatory Care Information Systems↗
PubMed1989

"Desktop knowledge": a new focus for medical education and decision support.

Physicians today are faced with "data overload" and, paradoxically, "information underload"--the inability to locate pertinent, needed knowledge in a sea of data with which they are inundated. Increasingly, the professional functions of the physician are becoming focused on the desktop workstation, in terms of its ability to provide "windows" into local databases and knowledge resources, and to serve as an access port to other networked resources. A challenge we now face is to develop means for structuring the vast potentially available knowledge resources in such a manner that access to pertinent knowledge can be facilitated, and to develop acceptable interfaces to the knowledge resources so that a user can effectively navigate through them. The complexity of this task is due to the nature of the knowledge resources--knowledge can be in a variety of forms, ranging from textual and pictorial material, to structured representations, to more dynamic embodiments in the form of procedures. In the Decision Systems Group we have focused on the development of a prototype desktop knowledge management environment known as Explorer-2, with the objective of providing a consistent interface for access to a wide variety of knowledge. Our accomplishments to date encompass the incorporation into the Explorer-2 environment of adaptations of textbook chapters and books, image data bases, simulations, and expert systems. Navigational aids are provided by a semantic net browser using both MeSH and augmented taxonomies and by a graphical overview map.(ABSTRACT TRUNCATED AT 250 WORDS)

Artificial Intelligence↗
PubMedDate not supplied

Multiwavelength oximeters.

We evaluated three oximeters from three manufacturers. We based our ratings on operator safety, ability to report all parameters, alarm features, and human factors design. All units are rated Conditionally Acceptable. They are Acceptable on the condition that users assume the responsibility for taking appropriate infection control measures to minimize exposure to potentially infectious blood samples.

Equipment Design↗
PubMedDate not supplied

CANDI. Development of the automated nursing assessment tool.

This article describes the results of the first phase of an interdisciplinary project to develop an expert system to aid in nursing diagnosis. The overall system, called CANDI (Computer Aided Nursing Diagnosis and Intervention), is reviewed briefly, and development of the automated (computerized) assessment guide is described in detail. Lessons learned from initial evaluation of the system, and the resulting modifications, also are discussed along with preparations for the next phase--development of the knowledge base.

Diagnosis, Computer-Assisted↗
PubMed1989

Construction of the diagnostic encyclopedia workstation. Computerizing pathology for the pathologist.

The combination of a personal computer and a laser-vision disc player is an adroit tool for storing and retrieving textual information in combination with pictorial information. This paper describes such a system (a "diagnostic encyclopedia workstation"), which provides information to the pathologist engaged in daily diagnostic practice. The system contains a considerable amount of descriptive textual information that might be useful in making diagnoses in histopathology, along with many illustrations; the text is presented in a natural language (English). The descriptive information is divided into 18 categories, including such topics as histology, macroscopy, immunopathology and clinical data; each topic has a separate display in the system. Also present are two types of "decision rules" for making diagnoses (confirmative criteria for a diagnosis under consideration and exclusive criteria for many other diagnoses) and a classifying structure. The present version of this system contains information on about 100 diagnoses in ovarian pathology, illustrated with about 3,000 color slides from about 140 cases. The information and pictures are immediately available. Further characteristics of this system are its flexibility, accessibility and user friendliness; it has been structured so that components of artificial intelligence may be added later.

Artificial Intelligence↗
PubMed1989

Information systems to support medical practice and scientific discovery.

In many educational applications of the computer, systems are designed to contain information or knowledge that is to be conveyed to the student or user via an interactive learning scheme. In contrast, most NLM systems strive merely to increase the user's access to the broad range of published scientific literature, or to link the user to appropriate factual databases. Providing or enhancing access is, of course, made more difficult than in didactic systems because of the relatively large size of the files that make up the bibliographic and factual databases. For example, the MEDLARS files contain over 12 million records, made up of roughly thirty billion online characters. Users send electronic queries to these files on-line via commercial value-added networks (24 hrs/day, 365 days/year), in total about 4 million queries per year. Of the 4 million, approximately half of the queries were (in the opinion of the users polled) prompted by questions that arose in caring for a particular patient. The remaining 2 million queries concerned research, teaching, and public policy.

Biotechnology↗
PubMed1989

Computers in a human perspective: an alternative way of teaching informatics to health professionals.

An alternative way of teaching informatics, especially health informatics, to health professionals of different categories has been developed and practiced. The essentials of human competence and skill in handling and processing information are presented parallel with the essentials of computer-assisted methodologies and technologies of formal language-based informatics. Requirements on how eventually useful computer-based tools will have to be designed in order to be well adapted to genuine human skill and competence in handling tools in various work contexts are established. On the basis of such a balanced knowledge methods for work analysis are introduced. These include how the existing problems at a workplace can be identified and analyzed in relation to the goals to be achieved. Special emphasis is given to new ways of information analysis, i.e. methods which even allow the comprehension and documentation of those parts of the actually practiced 'human' information handling and processing which are normally overlooked, as e.g. non-verbal communication processes and so-called 'tacit knowledge' based information handling and processing activities. Different ways of problem solving are discussed involving in an integrated human perspective--alternative staffing, enhancement of the competence of the staff, optimal planning of premises as well as organizational and technical means. The main result of this alternative way of education has been a considerably improved user competence which in turn has led to very different designs of computer assistance and man-computer interfaces. It is the purpose of this paper to give a brief outline of the teaching material and a short presentation of the above mentioned results.(ABSTRACT TRUNCATED AT 250 WORDS)

Attitude to Computers↗
PubMedDate not supplied

Super graphics.

Explore the source record for details and available documents.

Computer Graphics↗
PubMed1989

A microcomputer-based, net-lending interlibrary loan system.

A microcomputer-based, net-lending interlibrary loan system was developed at Lane Medical Library, Stanford University. The system, designed to generate the monthly billing invoices and all necessary statistical reports, has reduced the time required for logging-in procedures and compilation of monthly, quarterly, and annual statistics. User menus, help screens, and choice fields were developed explicitly for library staff who have little or no computer experience. The program was written using the DataEase database management software running on IBM PC, XT, AT, or compatible with a minimum of 512K RAM. Described are features of this automated interlibrary loan management system and its use in a net-lending interlibrary loan department. It focuses on data entry in the "Library Directory" and "ILL Log Sheet," details of billing invoices, and statistical reports, and flexibility in modifying tax rates, borrowing fees, and other parameters.

Accounting↗