Effect of a remote order scanning system on processing medication orders.
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OBJECTIVE: In an effort to expedite after-hours teleradiology reports in an efficient and accurate manner with minimal usage of manpower, we have for the past 4 years used commercially available fax software running on a laptop computer placed beside the home-based teleradiology system. The software and laptop combination allows the radiologist to make a report rapidly by typing brief sentences in a fillable field or by selecting an applicable pretyped report from a menu. The report is then electronically faxed to single or multiple sites with a single mouse click. CONCLUSION: The system has drastically reduced the number of telephone calls between technologists and teleradiologists and has been well received by both technologists and emergency department staff and referring physicians.
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BACKGROUND: Poison centers are faced with the escalating costs of specialist staffing and increased investments in hardware and databases despite deficit funding. We developed an automated fax information system to access poison information from any fax machine without special training or equipment. METHODS: We provided a 3-month trial service of the fax system in conjunction with the regular operator-based service and analyzed the fax access log, followed by a questionnaire to the 2204 affiliate members regarding the use of the fax. RESULTS: A total 657 accesses to the fax system were made, of which 105 (16%) were unsuccessful; 342 (52%) were made to retrieve the user's manual, 85 (13%) to retrieve the index pages, and 230 (35%) to retrieve documentation on specific substances. The most frequently accessed items concerned disc battery ingestion (13.5%), salicylates (10.3%), mamushi viper (7.1%), acetaminophen (5.8%), and sodium hypochlorite (3.8%). The questionnaires were returned by 666 (30.2%) members; 93 (14%) had actually used the fax system with the average frequency of 1.8 times/user, 63% (59/93) of the respondents considered the service satisfactory, and 33% (31/93) said it was somewhat unsatisfactory. CONCLUSIONS: The automated fax information system was accepted and handled by users with only minor difficulty. A facsimile information service may have a valuable role in providing poisoning information and has potential benefits in cases of environmental disasters.
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OBJECTIVE: To describe the development, implementation, and assessment of an Internet- and fax-based endocrinology curbside consultation service. METHODS: An Internet- and fax-based endocrinology consultation service was designed by developing a simple Web site so that requesting physicians could complete a form about the patient. Community and academic-based primary-care physicians were invited to use the service. One month after each consultation, a follow-up questionnaire about the effectiveness and use of the Internet and fax consultation service was sent to each physician who had requested the consultation. RESULTS: During the 5-month period in which the service was offered, 67 physicians requested a total of 85 "formal" endocrinology curbside consultations. Of these 85 requests, 46 were by e-mail, 31 by fax, and 8 by telephone. Follow-up questionnaires were returned by 61 of the 67 physicians who used the service. One hundred percent of the physicians found the service to be useful, and about 33% noted formal consultation had been avoided. In approximately 55% of the consultations, physicians indicated that the response caused them to alter the treatment of their patient. Consultation questions encompassed the full spectrum of endocrinology. The issues were approximately equally distributed among test interpretation, medication, and management. CONCLUSION: We successfully designed and implemented an Internet- and fax-based endocrinology curbside consultation service. This form of consultation was used by physicians and brought about change in the management of their patients.
OBJECTIVE: To assess general practitioners' perceptions of the effectiveness of facsimile notification of their patients being admitted from the emergency department (ED), and its adequacy in terms of patient confidentiality. DESIGN: Questionnaire survey, before and after the initiation of facsimile notification. SETTING: A provincial community of approximately 120,000 residents in Victoria. MAIN OUTCOME MEASURES: Changes in GPs' ratings of communication with the ED; acceptability of facsimile notification; and concerns about patient confidentiality. RESULTS: 77 of 85 GPs participated; only 44 (57.1%) returned both questionnaires. ED-GP communication ratings of "adequate" or better increased from 48% to 100% (P < 0.05). The proportion of GPs who were notified of all admissions increased from 0 to 41% (P < 0.05). The proportion of GPs who preferred facsimile for notification increased from 39% to 68% (P < 0.05). Most GPs found the initiative acceptable and reservations about confidentiality decreased from 36% to 16% (P < 0.05). 38 of the 887 patients admitted from the ED (4.3%) refused facsimile notification. CONCLUSIONS: Facsimile improves ED-GP communications and may, in turn, improve the quality and continuity of patient care. Informed consent should be obtained from all patients.
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The use of facsimile (fax) machines for the electronic transmission of physician's orders from nursing areas to a hospital pharmacy has become increasingly popular. Although the uses and benefits of fax machines are straightforward in this practice setting, namely a significant decrease in order processing turn around time, the problems that may develop are often not described in the literature. This article describes some of the set-up concerns, operational problems, forms considerations, staff training, paper costs, equipment needs, transmission volume, and equipment maintenance involved with fax systems.
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