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At least 73 records · Page 4Linked to original sources
PubMed1994

Integrating voice, data, and paging technologies to enhance information services.

The University of California at San Francisco Medical Center has made a commitment to upgrade its information and telecommunications systems infrastructure. One of the several projects being undertaken by the Medical Center, the Intelligent Console Project, demonstrates how integrating different systems, databases and technologies can improve the quality and accessibility of information, while reducing costs and stream-lining administrative activities. The Intelligent Console acts as an interface mechanism for the several constituent systems and data-bases of the Medical Center and provides a single, front-end control console by which operators can support communications using standardized procedures. Much paperwork has been eliminated and operator training and scheduling streamlined. Equipment consolidation has also freed up space at the Medical Center.

Academic Medical Centers↗
PubMed1988

[Use of electronic data processing in the urologic clinic and practice--possibilities and perspectives].

The development, present status and future trends in the use of computers in urology in the Federal Republic of Germany are reviewed. The hardware, software required for hospital and private practice and the staff needed are discussed. Proposals are given for the installation and stepwise upgrading of computer systems, from simple text processing units to complex hospital communication systems. Finally new technologies that might considerably change the use of computers in urology are presented.

Computers↗
PubMed1998

Clinical event management using push technology--implementation and evaluation at two health care centers.

For two years, beginning in 1995, we developed and implemented a novel method for delivering patient information directly to clinicians. Using rules based logic to scan data bound for an electronic medical record, messages were automatically written that alert care providers to important patient information. These messages were transmitted electronically to either existing email accounts or to wide-screen pagers, or to both. This system now is operational at two medical centers. We describe the model and methods that led to its successful implementation and compare it to other ways of delivering patient information.

Attitude to Computers↗
PubMed1995

The impact of a wireless telecommunication system on time efficiency.

With the increased acuity of patients and the resultant complexity of care required, effective and efficient communication among patients, nurses, and physicians is a critical variable in patient outcomes. In recognition of the need for rapid communication between health professionals, University Hospital in Denver, Colorado, instituted a wireless telecommunication system on two medical-surgical nursing units. Evaluation research of this innovation in practice revealed a significant time savings by both nurses and clerical staff members. This time savings translates into improved patient care because skilled personnel have more time available for direct patient care.

Colorado↗
PubMedDate not supplied

Is the Australian hospital system adequately prepared for terrorism?

Australian hospitals need to be prepared to deal with mass casualties from terrorist strikes, including bomb blasts and chemical, biological and radiation injury. Injuries from bomb explosions are more severe than those commonly seen in Australian hospitals. In disasters involving mass casualties in urban areas, many of the injured make their own way to hospital, often arriving before the more seriously injured casualties. Major hospitals in Australia should plan for large numbers of undifferentiated and potentially contaminated casualties arriving with minimal warning. It is critical that experienced and trained senior medical officers perform the triage of casualties in emergency departments, with frequent reassessment to detect missed injuries (especially pulmonary blast injury). Hospitals require well developed standard operating procedures for mass casualty events, reinforced by regular drills. Preparing for a major event includes training staff in major incident management, setting up an operational/control unit, nominating key personnel, ensuring there is an efficient intra-hospital communication system, and enhancing links with other emergency services and hospitals.

Australia↗
PubMed1978

Distributed laboratory computing. Integration of a laboratory computer into a hospital information system.

The University of Iowa Hospitals and Clinics, a large teaching hospital and tertiary care referral center, has implemented a vendor-supplied laboratory computer package operating on a dedicated minicomputer. A high-speed communications link allows the laboratory computer to share patient administrative, census, and test result data with the central hospital information system on an interactive basis. Operational characteristics of the system are discussed, and special attention is given to the critical problems and advantages of interfacing two computers.

Computers↗
PubMed1998

Optimal use of communication channels in clinical event monitoring.

We argue that the optimal use of communication channels in clinical event monitors is an important design consideration for these systems. We review the state-of-the-art in selection of communication channels, including our current approach--allowing users to choose the communication channel by which the event monitor sends each notification. We describe a new approach that we are in the process of developing. In this new approach, we view event monitoring as the decision of whether and how to send new patient data to a clinician and apply the principle of maximum expected utility to this decision problem. Our initial experience with this approach suggests that notifying clinicians of normal patient data may be of high utility. We also found that methods for explanation in uncertain reasoning may be necessary in this approach.

Communication↗
PubMed2004

Information technology for detecting medication errors and adverse drug events.

It is estimated that over three-quarters of a million people are injured or die in hospitals each year from adverse drug events (ADEs). The majority of medical errors result from poorly designed healthcare systems rather than from negligence on the part of healthcare providers. In general, healthcare systems rely on voluntary reporting, which seriously underestimates the number of medication errors and ADEs by as much as 90%. This paper reviews the causes and impact of medication errors and ADEs. It also reports studies that have used information technology (IT) to detect and prevent medication errors and ADEs. Significant reduction of medication errors and ADEs requires systemic implementation of IT, improvements in the reporting of errors, and integration of the components of the healthcare systems' information systems. At the present time, most healthcare systems should be able to use IT to detect and prevent ADEs.

Adverse Drug Reaction Reporting Systems↗
PubMed1994

A computerized dispatch system that really delivers.

In 1990, Victoria Hospital in London, Ontario undertook a review of its Central Portering Department. The department's name was changed to Distribution Services and its need for more efficient servicing of customers led to the search for a computer system to replace the manual dispatch operation. After failing to find an existing system, the hospital contracted to develop its own system, called Vic Tracker. The system categorizes and prioritizes requests and produces various activity reports. Response time has improved 50% on average, and improved efficiency and a pre-booking feature has resulted in a decrease of approximately 100 calls per day.

Computer Systems↗