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At least 631 records · Page 35Linked to original sources
PubMed2000

Using the Internet to facilitate computerized patient records.

This paper explores using the Internet to implement an electronic medical records system. It examines methods and technologies, security issues, current Web-based applications and system vendors, and describes how to implement a clinic-suitable system.

Computer Security↗
PubMed2006

Ethnicity recording in general practice computer systems.

BACKGROUND: Ethnicity data in general practice (GP) computerized medical records can be utilized to audit equity in health care. METHODS: We evaluated a patient profiling project targeted to improve ethnicity recording. RESULTS: Data extracted from 16 practices showed an increase in ethnicity recording from <1% before the intervention to 48% after. Recorded codes could be mapped onto the basic national statistics six-category ethnicity classification headings, and their proportions were similar to the 2001 census values. CONCLUSION: Recording of data using multiple coding hierarchies has reduced the utility of data as clinically important ethnic subgroups cannot be identified. Practitioners should be encouraged to use the single recommended ethnicity coding hierarchy.

Adult↗
PubMed1995

Impact of enterprisewide data.

The article provides an overview of initiatives relating to enterprisewide data collection. It discusses the meaning behind the term enterprisewide data and describes how health care entities are working to make the goal of enterprisewide data a reality by evaluating and employing such technologies as electronic data interchange, automated medical payment systems, and computerized patient records. It concludes with a discussion of data standardization in the health care industry and some issues that must be addressed by a health care entity as it strives to create an enterprisewide data system.

Abstracting and Indexing↗
PubMedDate not supplied

Computerized medical records and clinic function.

Formal studies of computerized information systems for ambulatory patients are rare. As part of an evaluation of the effects of such a system on clinic function, we divided the residents in our teaching clinic into a study group with access to COSTAR and a control group with access to conventional medical records alone. Nurses and clerical personnel in the clinic were allowed to use the computerized records only for patients of residents in the study group. We sampled the attitudes of nurses and clerical personnel toward use of the computer and performed detailed time studies of patient flow in the clinic. Responses to questionnaires reflected acceptance of computerization by the personnel sampled, who favored COSTAR records over conventional records, primarily because of the increased availability of information for telephone management and demand care. The residents never became facile users of COSTAR--a problem that we attribute to the infrequency of their clinic sessions. As a result, and because the workloads of residents using COSTAR were larger, waiting times were longer in clinics attended by these residents. Overall, the most intensive users of the computerized medical records were not the physicians. Improved productivity and better use of time among the nurses and clerical personnel were thought to outweigh the residents' perceptions.

Attitude to Computers↗
PubMed2006

From punched cards to computerized patient records: a personal journey.

OBJECTIVES: This paper presents the early history of the development of CPR in Sweden, the importance of international cooperation and standardisation and how this cooperation has been facilitated by IMIA, the European Union and the standards organisations. It ends with the lessons learned after 35 years of experience put together by the Swedish Institute for Health Services Development, SPRI, in a 5 year project initiated by the Swedish Government and with participation of most health care providers in the country. METHODS: Starting with the first attempts to use punched cards to store and use patient information for clinical use the author describes his troublesome and difficult road to a Computerized Patient Record that could be used both for the work with the patient and as a tool to follow up both the diagnostic and therapeutic processes and for clinical research. RESULTS: The most important results of the efforts to develop a computerized patient record in Sweden are published in many reports, among them three SPRI reports published in the late 1990s, and they are: Standardized information architecture, a common terminology, rules for communication, security and safety, electronic addresses to all units and users and an agreed upon patient and user identification. CONCLUSIONS: The future CPR must be problem oriented, capable of only adding new information instead of repeating already-known data and be available in real time regardless of geographic location. It must be possible to present the information in the CPR as 'views' where the healthcare provider has stated in advance the information needed for his patients. There can be a number of 'views' for different occasions.

European Union↗
PubMed2002

An open, component-based information infrastructure for integrated health information networks.

A fundamental requirement for achieving continuity of care is the seamless sharing of multimedia clinical information. Different technological approaches can be adopted for enabling the communication and sharing of health record segments. In the context of the emerging global information society, the creation of and access to the integrated electronic health record (I-EHR) of a citizen has been assigned high priority in many countries. This requirement is complementary to an overall requirement for the creation of a health information infrastructure (HII) to support the provision of a variety of health telematics and e-health services. In developing a regional or national HII, the components or building blocks that make up the overall information system ought to be defined and an appropriate component architecture specified. This paper discusses current international priorities and trends in developing the HII. It presents technological challenges and alternative approaches towards the creation of an I-EHR, being the aggregation of health data created during all interactions of an individual with the healthcare system. It also presents results from an ongoing Research and Development (R&D) effort towards the implementation of the HII in HYGEIAnet, the regional health information network of Crete, Greece, using a component-based software engineering approach. Critical design decisions and related trade-offs, involved in the process of component specification and development, are also discussed and the current state of development of an I-EHR service is presented. Finally, Human Computer Interaction (HCI) and security issues, which are important for the deployment and use of any I-EHR service, are considered.

Abstracting and Indexing↗
PubMed1996

Computers and medical information: an elective for fourth-year medical students.

The Computers and Medical Information elective is a collaborative effort to expose students to a variety of computer applications for medical information management. The course has a modular format so that students can work with a variety of people who are enthusiastic users of computer-based information systems. The elective emphasizes learning by doing. Faculty introduce concepts and systems and serve as guides in the use of systems. Students have rated the course positively and, after four years as an elective, some of the course's content has been integrated into the required curriculum.

Computer Communication Networks↗
PubMed1994

Education review: applied medical informatics--informatics in medical education.

The importance of informatics training within a health sciences program is well recognized and is being implemented on an increasing scale. At Chicago Medical School (CMS), the Informatics program incorporates information technology at every stage of medical education. First-year students are offered an elective in computer topics that concentrate on basic computer literacy. Second-year students learn information management such as entry and information retrieval skills. For example, during the Introduction to Clinical Medicine course, the student is exposed to the Intelligent Medical Record-Entry (IMR-E), allowing the student to enter and organize information gathered from patient encounters. In the third year, students in the Internal Medicine rotation at Norwalk Hospital use Macintosh power books to enter and manage their patients. Patient data gathered by the student are stored in a local server in Norwalk Hospital. In the final year, we teach students the role of informatics in clinical decision making. The present senior class at CMS has been exposed to the power of medical informatics tools for several years. The use of these informatics tools at the point of care is stressed.

Attitude to Computers↗
PubMed1993

ASTM E31.15 on health knowledge representation: the Arden Syntax.

ASTM subcommittee E31.15 on Health Knowledge Representation was formed to promote standards for defining and sharing health knowledge bases. Its first standard, the Ardan Syntax, is focused on knowledge bases that can be represented as a set of independent modules called Medical Logic Modules (MLMs). The standard is in clinical use and has generated significant interest in industry and academics. The Extensions task group plans to extend the syntax where appropriate, to expand to other types of knowledge bases. The Validation/Verification task group is approaching the enormous problem of evaluating knowledge bases and the process of sharing them.

Artificial Intelligence↗
PubMed1993

Development of standard healthcare EDI messages.

The development of standard healthcare messages requires a full understanding of user needs, an appropriate organisation structure for developing consensus and a suitable methodology. This paper presents the current state of development in the European Standardisation Organisation's Working Group on Healthcare Messages and Communications (CEN TC251 WG3).

Computer Communication Networks↗
PubMed1993

Development and current use of ASTM/HL7 messages for health care communications in the USA.

Two influential organizations in the development of medical data exchange standards in the United States of America are ASTM and HL7. A shared message structure has been adapted to diverse applications including hospital information systems and clinical laboratories. The basic approach is the exchange of ASCII messages. Messages segments relate to clinical entities and support a hierarchy of entities. Individual data fields are of variable length and bounded by delimiter characters. The feasibility of this approach has been confirmed by its adoption by a number of medical institutions and information system vendors.

Clinical Laboratory Information Systems↗