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PubMed1994

Educating executives to integrate information management with quality improvement: a case study.

BACKGROUND: Hamot Health Foundation has been committed to and active in continuous quality improvement (CQI) since 1990. These activities have progressed from introductory quality education to application of practical CQI initiatives with the overall objective to improve the quality of patient care. During 1993, the CQI process began to focus on identifying processes requiring care at Hamot. It took shape as a five-step action planning process that focused on data to identify goals and areas for improvement. To accomplish our goal of improving the delivery of care by trimming unnecessary processes, educating Hamot's leaders in information management and decision support became a critical component in the quality improvement effort. CASE STUDY: This article describes the educational program established for vice presidents and service line managers who report to the executive vice president. It also describes how the program was designed to stimulate the use of decision support tools to meet organizational objectives. As a result of this program's success, all service lines are using decision support to support continuous quality improvement.

Computer User Training↗
PubMed1998

Essentials: going online.

The moment has arrived for you to go online! This article provides an overview of online access and Internet services. Resources are suggested and hints are offered to get the novice started on the information highway. Enjoy your journey!

Computer User Training↗
PubMed1998

Computer and information technology: software.

You have that new computer and you are ready to start computing, right? Not quite. There is another essential to get started--software. This article focuses on software necessary and nice for your computer, and resources that can help you in your quest for creating the best possible and easiest to use computer system. Once you have gotten everything installed and functioning, you will be ready to take the next step--going online. In the next issue of the Journal we will get you online and traveling on the information superhighway. Happy computing!

Computer User Training↗
PubMed1996

Computer technology and nursing: demystifying cyberspace.

This is the first in a series of articles which aims to explore the impact of computer technology on nursing and nursing practice. In this article, the history of the development of computers is summarised and terminology associated with computer use defined and explained, as well as the basic uses of computer programs. In subsequent articles the development of health-information systems will be explored, along with their impact on nursing practice. In addition, the use of computer technology to inform all areas of nursing practice and education will be discussed in light of the voluminous information now available worldwide, literally at one's fingertips, via the Internet and the World Wide Web.

Computer Systems↗
PubMed2004

How to design computerized alerts to safe prescribing practices.

BACKGROUND: Medication errors and preventable adverse drug events are common, and about half of medication errors occur during medication ordering. This study was designed to develop and evaluate medication safety alerts and processes for educating prescribers about the alerts. METHODS: At Kaiser Permanente Northwest, a group-model health maintenance organization where prescribers have used computerized order entry since 1996, qualitative interviews were conducted with 20 primary care prescribers. RESULTS: Prescribers considered alerts helpful for providing prescribing and preventive health information. More than half the interviewees stated that it would be unwise to let clinicians control or avoid safety alerts. Common frustrations were (1) being delayed by the alert, (2) having difficulty interpreting the alert, and (3) receiving the same alert repeatedly. Most prescribers preferred small-group educational sessions tied to existing meetings and having local physicians conduct education sessions. DISCUSSION: The findings were used to design a strategy for introducing and promoting the interventions, modifying the alert text and tools, and focusing the education on how clinicians could use the alerts effectively.

Attitude of Health Personnel↗
PubMedDate not supplied

Information literacy as the foundation for evidence-based practice in graduate nursing education: a curriculum-integrated approach.

As part of a system-wide initiative to advance evidence-based practice among clinicians, graduate students, and educators, the New York University Division of Nursing embarked on a curricular initiative to integrate components of information literacy in all core courses of the master's program. Increasing competency in information literacy is the foundation for evidence-based practice and provides nursing professionals with the skills to be literate consumers of information in an electronic environment. Competency in information literacy includes an understanding of the architecture of information and the scholarly process; the ability to navigate among a variety of print and electronic tools to effectively access, search, and critically evaluate appropriate resources; synthesize accumulated information into an existing body of knowledge; communicate research results clearly and effectively; and appreciate the social issues and ethical concerns related to the provision, dissemination, and sharing of information. In collaboration with the New York University Division of Libraries' Health Sciences Librarian, instructional modules in information literacy relevant to each of the 5 core nursing master's courses were developed, complemented by a Web-based tutorial: http://library.nyu.edu/research/health/tutorial. The Web site is multifaceted, with fundamentals for the beginner, as well as more complex content for the advanced user. Course assignments were designed to promote specific competencies in information literacy and strategies for evaluating the strength of the evidence found. A survey of information literacy competencies, which assessed students' knowledge, misconceptions, and use of electronic information resources, was administered when students entered the program and at 1-year intervals thereafter.

Computer Literacy↗
PubMed2004

Support needed to create psychiatric advance directives.

Psychiatric advance directives (PADs) inform treatment during periods of compromised decision-making. We report consumer desire and need for support to create PADs among 106 adult outpatients with severe and persistent mental illness. PADs were completed using computer software and flexible peer support. All participants were able to complete PADs. However, nearly all participants needed support using the software, or clarification of PAD information. Types of support needed may vary depending on PAD creation methods. While one-third of participants wanted support from case managers to complete PADs, the appropriate level of clinician support is not clear-cut, and should be at consumers' discretion.

Adult↗
PubMed2002

Internet experts' planning of explanations for laypersons: a Web experimental approach in the Internet domain.

How flexible are Internet experts in taking the perspective of laypersons? A Web experimental approach is presented that examines the Internet experts' perspective taking in planning explanations for laypersons. The Internet was the topic to be communicated and it also provided the means to implement the experimental method. Participants rated how extensively they would treat some specific concepts when explaining a topic such as the WWW. Independent variables were the addressee's intention, their level of domain knowledge, and the importance of the concepts to be evaluated. The results show that the experts preferred planning strategies that integrated all three types of information. Though their planning decisions were mainly guided by conceptual constraints, the Internet experts also took into account information about the addressee's intention and prior knowledge.

Adult↗
PubMed2002

Information and communication technology among undergraduate dental students in Finland.

Use of information and communication technology (ICT) is rapidly increasing in medical and dental education. The aim of the present study was to determine the knowledge, skills and opinions of dental undergraduate students regarding ICT and to analyze possible shifts in the acquisition of these resources. For these purposes a survey of all undergraduate dental students at the University of Oulu, Finland, was conducted during the spring term 2000. All the students in the 5 years of study (n = 140) were asked to answer a questionnaire presented during a lecture or demonstration. An overall response rate of 95% was achieved. The frequencies and percentage distributions of the items were analyzed separately for each year (1-5). All the students in the faculty are provided with personal e-mail addresses at the beginning of their studies and special emphasis has been laid on the utilization of their ICT knowledge and skills. An overwhelming majority of the students, more than 95%, judged themselves to have good or satisfactory skills in word processing, but only a slight majority considered that they could manage some advanced operating system functions. Use of ICT services was high, as about 60% of the students used e-mail and one-third WWW services daily. Literature retrieval was widely employed, so that almost 80% of the students had used literature databases (including Ovid Medline and collections of electronic full-text articles), which were introduced and provided by the Medical Library when the students were in their second year. More than 50% had received educational material in electronic form often or sometimes, and almost 80% had communicated by e-mail with a faculty teacher. A clear trend (P < 0.05) was found for the younger students to use ICT services in general and for educational purposes more often than the older ones. In conclusion, e-mail and WWW have been widely adopted for both private and educational purposes by dental students in Finland and are employed together with WWW-based medical and dental publication databases. The younger students have more interest in ICT and better skills, which presents a challenge for dental education in the future.

Computer Literacy↗
PubMed1989

Children and computers. Approaching the twenty-first century.

The "effects" that various forms of "computer" use are likely to have on different children's learning, motivation, and social behavior have been a source of heated debate and continuing controversy. In this article, various aspects of this controversy are characterized, and sources of disagreement concerning educational computing are examined. Difficulties in the current state of empirical research in this area are then considered, and recommendations regarding directions for future research are proposed.

Attitude to Computers↗
PubMed1989

MEDLINE-for-Medics: an outline searching course for health-care professionals.

An online searching course for health professionals was initiated at a university medical school. A group of end users were taught to search the MEDLINE database on DATA-STAR and their subsequent online progress was monitored. The preliminary survey by questionnaire, pretraining interviews, the tutorial programme, course evaluation and end-user feedback were described. Logsheets showed that most end-user searches were for research purposes, although some were for patient care. The effects of CD-ROM on online end-user searching were discussed and it was suggested that direct online access to information might be a more appropriate medium for busy clinical and academic staff.

Academic Medical Centers↗