Tech talks: Look Ma--No Wires!
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A pediatric trauma center leverages its wireless infrastructure to help improve patient outcomes with innovations including a point-of-care medication administration system.
We have recentely built a cluster and backup system based on a SAN + NAS integrated storage system at a low price. The integration of SAN + NAS provides a storage system of fine quality, high reliability and high stability for hospitals. The article mainly introduces the choice of the project, the design of SAN + NAS integration and its implementation.
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Infrared wireless communication offers medical equipment designers features such as data-transfer security and noninterference with clinical equipment. This article explores the advantages of the technology over other wireless communication systems.
A checking form was introduced in order to test the completeness of electronic and paper patient's charts in a radiotherapy department which had introduced record-and-verify system (RVS) and to improve tha staff performance. The chosen items for the electronic chart were 9 and 5 for paper chart. 223 patients were reviewed in two phases. The data analysis was based on a scoring method, attributing a positive score (+1) to the operator's good behaviour, a negative score (-1) to the lack of data input and a neutral score (0) to the inapplicable situation. The average global score increased from 0.4 to 0.7: in A (lowest complexity) category from 0.37 to 0.64, in B category from 0.4 to 0.89, in C category from 0.48 to 0.61.
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The applications of patient archiving and communication systems have increased lately, particularly since the medical imaging companies began to distribute the software along with machines. These systems are very important in developing clinical work, particularly in critical care, for example following cardiac surgery. This paper describes these systems and explores how they work, as an example of the application of information technology in developing clinical work, and critical care in particular.
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The Queen's Medical Center implemented a computerized operating room management system in 1987 that includes surgery scheduling, intraoperative recording, and resource tracking. In addition to the important functional components, the system provides management with a better tool for decision-making. The purpose of this article is to describe this implementation. Background is provided to identify the manual system's deficiencies followed by the anticipated benefits of the computer system. The paper concentrates on Queen's implementation experiences in coding the surgical procedure information, confronting staff anxiety, managing the changing roles of the staff and providing adequate resources. Minimum requirements for a successful implementation include designating an effective project leader, assigning system responsibilities to the user, relieving all operational responsibilities from key members of the project team and providing adequate resources to support the system.
At the Indiana University Hospital (IUH) site on the Indianapolis campus, HL7 version 2.1 is being implemented via a TCP/IP LAN, (using the "Minimal" Lower Layer Protocol). HL7 is currently being used to convey record-oriented lab results from the local clinical laboratory system to a clinical database system via an intelligent router, which also provides store and forward capabilities. The database application displays the lab results in a variety of configurable formats to clinical users.
This paper concerns the implementation of a complex internetwork in late 1989 through early 1990. The purpose is to discuss the methods and approaches employed. The context is that as technology improves and computer science advances, the same problems are re-solved over and over for slightly different environments. The perspective is that the methods and approaches will remain viable while the hardware and software changes.
The many challenges faced by health sciences libraries of all types and sizes often require innovative solutions. When an innovative solution involves calculated risk taking, the approach is called intrapreneurial. At the University of Miami School of Medicine, an intrapreneurial approach solved the fiscal problems of the biomedical communications unit. The Louis Calder Memorial Library inherited these problems when the Department of the Library and Biomedical Communications was created in the early 1980s. In this paper, two intrapreneurial programs are described, and the benefit and suitability of this management style to information services are demonstrated.
The MELVYL MEDLINE project resulted in the addition of a full five-year subset of MEDLINE to the University of California's (UC) MELVYL online union catalog. As one of the nation's largest MEDLINE end-user searching systems, MELVYL MEDLINE provides online bibliographic access to the biomedical journal literature for all UC personnel at over seventy library sites or by remote access. This paper summarizes the project's accomplishments, reports MELVYL MEDLINE use and its impact on library services, and provides insights for other end-user search systems. The project serves as a model for adding databases to the MELVYL catalog and demonstrates the potential for use by other disciplines of a specialized database when readily accessible. Evaluation results report high user satisfaction and high usage. However, many advanced searching features of the interface are little used by searchers. Effects on library services include marked increases in reference transactions and interlibrary loans, with significant declines in mediated search services. Future MELVYL MEDLINE enhancements include matching search retrievals to journal locations, linkage to an online document delivery system, and consideration of building a superset of databases by combining MELVYL MEDLINE with citations from another database in the MELVYL catalog.
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