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At least 865 records · Page 48Linked to original sources
PubMedDate not supplied

[Productivity before and after installing a computerized system in a clinical laboratory].

A laboratory information system was installed on January 1991 in the clinical laboratory of the Instituto Nacional de Cancerologia. Our main objective was to speed up the administrative work and integrate its operations under one management. We evaluated the productivity before (1990) and after installing the system (1992), using the parameters proposed by the College of American Pathologists. In 1990 there were 30,764 patients who underwent 191,070 laboratory studies, resulting in 131 tests/clerk/day and 21 patients/clerk/day. In 1992 these figures were 43,679 patients, 245,280 tests, 168 tests/clerk/day and 30 patients/clerk/day. The productivity indexes showed a 41% increase in the number of patients and of 28% in the number of tests. In addition, the laboratory personnel started activities in teaching and research which had been non existent before, i.e. in 1992 they started three research projects and participated in three national or international scientific meetings. In summary, no additional personnel was required even though there was an increase in the workload, basically due to a more efficient organization of the work when using a computerized system.

Cancer Care Facilities↗
PubMed1994

Electronic communication.

This article is Part 1 of a three-part series on electronic communication for school nurses. In this issue, we will discuss the definition of electronic communication and the hardware and software needed to access electronic resources.

Humans↗
PubMedDate not supplied

[Health from the municipality: a strategy for development].

Taking into account some aspects of the evolution of the health-illness concept, and considering that health depends on four elements--human biology, environment, life styles and health promotion with emphasis on well-being--the intersectorial action, the participation of the population in their own health care and the reorientation of services through the development of local health systems, are evaluated. At the same time mention is made of the importance of the decentralization process and the district's participation in the democratization of the civilian life. Considering all these aspects, the possibility of implementing the healthy district strategy as an alternative and facilitating form of development and well being and as a way to distribute health more equitably, is proposed. To increment the effects of this strategy, support for the creation of a regional movement of healthy districts is suggested.

Health Promotion↗
PubMed1993

The CIO and the medical informaticist: alliance for progress.

To achieve the full potential of information technology, health care institutions must overcome organizational and political barriers that often overshadow scientific and technical barriers. The time has come for an alliance between the Chief Information Officer (CIO) and medical informatics specialists, or informaticists. Organizations that successfully accomplish this alliance will position themselves to take advantage of the enormous potential of information technology to manage today's cost-quality pressures. This article first reviews some of the recent developments in the way health care organizations manage information technology. It then describes the traditional, perhaps the natural state of affairs, in which there may be tension and conflict between medical informaticists and line managers of information systems (IS). Finally, the article makes a case for closer collaboration and cooperation between these groups, and provides a case study that illustrates one example of such an alliance.

Academic Medical Centers↗
PubMed1993

NetMenu: experience in the implementation of an institutional menu of information sources.

NetMenu is a program, developed at Yale, which enables straightforward access to online information systems. NetMenu has been deployed in several diverse settings within our medical center. In the hospital, NetMenu is functioning as a front-end for our clinical workstation providing access to the hospital information system, the clinical laboratory computer, a drug database and several bibliographic databases. The medical libraries are utilizing NetMenu for both medical education workstations and for scholarly information workstations. This paper describes our initial experience in the implementation, support, and maintenance of NetMenu as an institutional menu of information sources.

Academic Medical Centers↗
PubMedDate not supplied

Imaging: an innovative technology.

Imaging systems combine several technologies to bring the visual dimension to the information age. Computer literature identifies imaging technology as one of the top five fastest growing technologies for the 1990s, with a projected growth rate of 54% and revenues of $6.8 billion by the end of 1993 (Runyan, 1989). Acceptance and use of digital imaging systems have grown because of the maturation of some key technologies which underlie image processing and the increased demand for image and graphic applications in the commercial and scientific sectors. This article presents the historical development of imaging technology, along with a brief description of how the technology works. Current limitations and future possibilities of the digital imaging process are presented. Applications and implications of this technology also are discussed.

Diagnostic Imaging↗
PubMed1995

Development information systems for clinical laboratories and their integration into HIS.

The basic laboratory program module was developed using a summarized information model of a clinical laboratory's functionality. Then, information systems for laboratories of different specialties were quickly implemented by adaptation, addition, and tuning of this basic module. Integrating this system into an HIS considerably improved the interaction between clinical departments and laboratories.

Clinical Laboratory Information Systems↗
PubMed1995

Reorganization of the information technology program at a United States medical school: is there a lesson for academic medical informatics in Japan?

Reorganization of the information technology program at Baylor College of Medicine commenced with the goal of obtaining a client-focused organization instead of a classically departmental structure. Legacy organizations independently established by request or serendipity had gaps and overlaps in services and could no longer respond to new issues, such as integration of several hospitals, resource sharing of health care delivery, administration of a shared library, and an academic informatics program. The renewal of the information technology program has led to departments of Telecommunications, Enterprise Services, Client Services, and Medical Informatics, and has also allowed cross-departmental projects led by a technology architect. In contrast with that of Baylor, the approach of the Yamaguchi University School of Medicine in Japan may be construed as economic efficiency at the cost of client services. Effective client services by friendly and efficient staff groups is the most important factor for an academic information technology program, if the goal is to reorganize in anticipation of future challenges to the medical center.

Computer Systems↗
PubMed1995

Health informatics from theory to practice: lessons from a case study in a developing country.

Implementation of IT in developing countries has had successes and failures. The theory of successful implementation has mainly been researched in developed countries. There is now evidence that there are other issues that are of importance to developing country health systems. Case studies allow us to identify pitfalls that implementors can fall into. The implementation of a computerized Field Health Information System in the Philippines provides insight into some factors of importance. While there are similarities to issues in developed countries, there are also many differences.

Culture↗
PubMedDate not supplied

Health services organizations computer innovation. Ready or not?

Health services organizations (HSOs) have expanded into increasingly integrated delivery systems requiring more sophisticated health information systems (HISs) to support decision making. Computer innovations are required in most HSOs to support these HISs. Health services organizations decision makers are faced with many complex decisions during the computer innovation process. One of their most important decisions is judging HSO innovation readiness. Accurate judgments about HSO innovation readiness will have a direct impact on how successful decision makers are as computer innovators.

Automation↗
PubMed1997

[Digitalization, archival storage and use of image documentation in the GastroBase-II system].

"GastroBase-II" is a module of the clinical information system "KIS-ComSyD"; The main part is represented by structured data-text with an expert system including on-line image digitalization in gastroenterology (incl. endoscopic, X-ray and endosonography pictures). The hardware and software of the GastroBase are described as well as six-years experiences with application of digitalized image data. An integration of a picture into text, reports, slides for a lecture or an electronic atlas is documented with examples. Briefly are reported out experiences with graphic editors (PhotoStyler), text editor (WordPerfect) and slide preparation for lecturing with the presentation software PowerPoint. The multimedia applications on the CD-ROM illustrate a modern trend using digitalized image documentation for pregradual and postgradual education.

Expert Systems↗
PubMed1997

Use of relational database management system by clinicians to create automated MICU progress note from existent data sources.

We designed and built an application called MD Assist that compiles data from several hospital databases to create reports used for daily house officer rounding in the medical intensive care unit (MICU). After rounding, the report becomes the objective portion of the daily "SOAP" MICU progress note. All data used in the automated note was available in digital format residing in an institution wide Sybase data repository which had been built to fulfill data needs of the parent enterprise. From initial design of target output through actual creation and implementation in the MICU, MD Assist was created by physicians with only consultative help from information systems (IS). This project demonstrated a method for rapidly developing time saving, clinically useful applications using a comprehensive clinical data repository.

Database Management Systems↗