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At least 631 records · Page 35Linked to original sources
PubMed1998

[Structural and normative problems in recording medical facts in a structured social security system].

Medical expertising in the German structured social security system suffers from the fact that uniform standards and conditions have been worked out so far only very inadequately. The on-target accuracy of medical expertises is also hampered by the fact that experts are not sufficiently aware of the targets set by the various security systems. Sociomedical knowledge is hardly incorporated in the expertises. Due to the general lack of criteria and proportions the expert becomes the personal fate of the person to be expertised. This could be remedied in several ways: by improving the concepts laid down in section 96 of the German Social Code Book 10 as well as by a greater standardisation of medical services and last but by no means least by including "expertising" in the curriculum of the study of medicine at universities.

Eligibility Determination↗
PubMed2006

Emergency medical information system for transferring patients to the medical institute by triage-result.

The Objective of this study was to triage the emergency patients in a pre-hospital stage and transfer them to the appropriate medical institute by the triaged result. For this, considering the pre-hospital emergence situation, we selected the Manchester system as the triage. So we analyzed the components of the ambulance records in Korea, transformed MTS components according to analysis-results of the ambulances and applied them to the information system in using a C# web application. Then we made the emergency medical institute database with the distances of any selected places and institute-grade in the emergency medical system and connected the triage-result with the medical institute database. Through this study, the medical institute can be selected based on patient condition. In addition we also can expect the emergency medical institutes to be effectively managed.

Emergency Service, Hospital↗
PubMed2006

Promoting standardized nursing language using an electronic medical record system.

Paper-based medical record systems are becoming obsolete with the advent of electronic medical record (EMR) systems. With EMRs, patient data can be accessed instantly, patients can be tracked intelligently, and safeguards can help prevent medical errors. By integrating a universal nursing language, such as the Perioperative Nursing Data Set (PNDS), into EMR systems, nurses can document the nursing care they give to patients. This allows nurses to show the value of their role in the OR, promote nursing, and explain how their actions help meet National Patient Safety Goals. The transition to an EMR system for Jackson Health System, Miami, is discussed, including integration of the PNDS into the EMR system.

Documentation↗
PubMed2003

Installing and implementing a computer-based patient record system in sub-Saharan Africa: the Mosoriot Medical Record System.

The authors implemented an electronic medical record system in a rural Kenyan health center. Visit data are recorded on a paper encounter form, eliminating duplicate documentation in multiple clinic logbooks. Data are entered into an MS-Access database supported by redundant power systems. The system was initiated in February 2001, and 10,000 visit records were entered for 6,190 patients in six months. The authors present a summary of the clinics visited, diagnoses made, drugs prescribed, and tests performed. After system implementation, patient visits were 22% shorter. They spent 58% less time with providers (p < 0.001) and 38% less time waiting (p = 0.06). Clinic personnel spent 50% less time interacting with patients, two thirds less time interacting with each other, and more time in personal activities. This simple electronic medical record system has bridged the "digital divide." Financial and technical sustainability by Kenyans will be key to its future use and development.

Delivery of Health Care↗
PubMed2001

Use of the Medication Event Monitoring System to estimate medication compliance in patients with schizophrenia.

OBJECTIVE: To determine the feasibility of using the Medication Event Monitoring System (MEMS) to estimate medication compliance in patients with schizophrenia or schizoaffective disorder. SUBJECTS AND SETTING: Fourteen of 35 consecutive patients admitted to a psychiatric inpatient hospital with schizophrenia or schizoaffective disorder who met eligibility requirements and gave informed consent. INTERVENTION: After random assignment to either risperidone or typical antipsychotic treatment, medication upon discharge from hospital was dispensed in a bottle with a MEMS cap which recorded the number of bottle openings and the date and time of each opening. The first 6 patients were asked to return monthly for data downloading. The next 8 were asked to return weekly during the first month and every 2 weeks thereafter; they were also paid $5 for returning each bottle. OUTCOME MEASURES: MEMS data collected over a 6-month period and hospital readmission data. RESULTS: Patient medication compliance data were collected from 10 (71%) of 14 patients during the first month, from 7 (58%) of 12 (2 patients dropped out) during the second and from 5 (45%) of 11 (a third patient dropped out) during months 3-6. Mean compliance rates were 63% for the first month and ranged from 56% to 45% over the next 5. First-month compliance rates were significantly lower for those who were subsequently readmitted to hospital (n = 7) than for those who were not (p < 0.01). CONCLUSIONS: Electronic monitoring devices can be used to estimate compliance with medication regimens in patients with severe schizophrenic disorders, but there are methodological improvements that can be made to increase data recovery and compliance, and these are discussed.

Adult↗
PubMed1991

Framework for a new generation of medical information systems.

This paper describes the design philosophy underlying an information system for an outpatient specialty department. Flexibility, the ability to adapt the system to a specific hospital situation and to user desired tasks, now and in the future, are the main issues with which the design is dealing. This flexibility is supported in the functional design and in the way communication of data is handled. The use of standards is a key factor in structured data interchange. The system design is independent of any actual standard used. It can incorporate standards that are currently available, and anticipates those that will become available. The open system design is based on data interchange between functional elements within the system, and electronic data interchange with external systems.

Ambulatory Care Information Systems↗
PubMed1994

Getting the data in: three year experience with a pediatric electronic medical record system.

The Clinician's Workstation (CWS) has provided the full-functionality of an on-line electronic patient record for outpatient pediatric clinics over the past 3 years. The implementation of the CWS built upon a substantial effort in integration of data from various sources. This paper addresses the subsequent design issues which had to be resolved in order to enable both physician and transcriptionist-driven data entry and retrieval, notably selecting a feasible mixture of controlled vocabulary and free text. Some of the consequences of these design decisions on clinical care, clinical education, clinical and basic research are reviewed with examples from the last three years.

Computer Systems↗
PubMed2004

Wilderness emergency medical services systems.

Wilderness emergency medical services (WEMS) systems have components and requirements that are different from those of traditional EMS systems. These differences arise from the extremes of time and environmental exposure and the limited available resources that help define the wilderness environment. Although disaster systems combine wilderness and traditional EMS system components, most WEMS systems have had to develop independently on a localized level and in response to the need of a particular community or location. In many cases, volunteers provide much of the personnel and resources available to law enforcement agencies that are ultimately tasked with the responsibility of oversight for effecting rescues in a wilderness setting.

Disasters↗
PubMed2001

[Basic assessment of trust level in medical apparatus and instruments sales systems by medical organization].

Purchase of medical apparatus and instruments is a strict work of taking the patient as a consuming objection. To analyze the trust level in medical apparatus and instruments sales systems and to set up the method of trust level assessment before the purchase, is an important link of ensuring the reality of medical products and consumerism. According to the principle mentioned about, the present article analyses the basic content of assessing factors and their inter-relationship, summarizes their expressions, studies and sets up the mathematical modal and it method. All these are of some value to medical organization in choosing factory owners and their products while the purchasing.

Commerce↗