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At least 631 records · Page 35Linked to original sources
PubMed1994

Formalizing written communication by decentralized pharmacists with prescribers.

The development of a standardized drug information system is explained. The development of such a system provides increased communication, documentation, and quality assurance information. The pharmacist is now able to effectively and consistently communicate with the medical staff regarding pertinent patient information. This formalized drug information system also proves beneficial in containing drug costs for the patients and the hospital.

Communication↗
PubMedDate not supplied

Specimen processing: centralized or decentralized?

Specimen processing for the clinical laboratories of a large pediatric teaching hospital laboratory was centralized in 1991. A highly efficient service area evolved through reengineering and renovations and effected a 20% reduction in operating costs. Work flow analysis identified areas for improvements, renovations created a more efficient use of space, and staffing decreased from 18.4 to 8.5 FTEs without compromising service.

Centralized Hospital Services↗
PubMedDate not supplied

A decentralized trauma system design for a rural area.

Most trauma-care systems are based on an urban model in which patients are found in sufficient proximity to the trauma center to allow preferential triage. The roles of other hospitals in the community are limited. In rural areas, patients may be remote from the trauma center and may require initial stabilization at a closer, nontrauma "center" designated hospital. An inclusive trauma system design is more appropriate in such situations. The Emergency Department Approved for Trauma (EDAT) is a program implemented in a rural area of northeastern California that establishes minimum standards for nontrauma center designated hospitals in remote areas. It integrates these hospitals into the trauma system through transfer guidelines and agreements and participation in systemwide quality assurance/improvement programs. The EDAT program promotes both improved initial treatment of rural trauma patients and appropriate transfer of patients to designated trauma centers.

California↗
PubMed1991

Satellite registration program: a decentralized system to meet customer needs.

In summary, if you want to meet your patient, physician and ancillary service needs, then consider registration as a necessary transitional activity and then go about making it secondary to the reason the patient came for healthcare service. The complexities of data collection are for us to be concerned with, not the patient! Also, the physicians will appreciate your efforts on behalf of their patients. You, too, can have an effective Satellite Registration Program if you remember that flexibility, creativity and administrative support are essential to success! Good Luck!

Admitting Department, Hospital↗
PubMed1997

Establishing need for and designing information systems supporting decentralized services for the elderly: the case of Allegheny County, Pennsylvania.

Leaders of senior social services in Allegheny County, Pennsylvania, have reevaluated home-delivered meals (HDM) for the elderly in light of demographic and economic changes. A recommendation was the establishment of an integrated information system aiding policy and provider-level users in coordinating and planning numerous services, including HDM. The first step is the establishment of computerized geographic information and decision support systems. Further integration of a unified client database would enhance the capabilities of this information system in coordinating services for seniors. These possibilities, along with value-based and administrative challenges to constructing a countywide information system, are discussed.

Aged↗