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At least 955 records · Page 53Linked to original sources

Clinical results using informatics to evaluate hereditary cancer risk.

A 12-year medical informatics project is described whose goal was to create a distributable computer-based service to support the identification of hereditary cancer patterns and recommend concomitant protocols of patient care surveillance. Key elements of the successful implementation strategy are described as the service has been successfully utilized at more than a dozen other cancer centers. Multi-year clinical results are presented from the implementation of this service.

Adult↗

Making the most of health informatics projects: effective communication throughout the healthcare delivery organization and beyond.

The paper outlines some factors, which are usually not programmed into the schedule of procurement, that will maximize the potential for a successful health informatics systems implementation. The observations made are based on the implementation and support for procurements carried out by the author and colleagues in a number of UK healthcare situations, both hospital and non-hospital. The value of carrying out pre- and post-implementation reviews in order to quantify beneficial outcomes and a positive climate for subsequent developments is also discussed.

Attitude to Computers↗

Informatics and healthcare reform.

This paper examines how informatics has been applied in support of healthcare reform objectives, such as reducing the administrative burden on practitioners, reorienting health services to a community and client-based focus, and promoting intersectoral collaboration. It also discusses why some attempts have failed and resulting implications for the future.

Australia↗

[Medical informatics--decision support systems].

The paper describes medical informatics discipline and deals with decision support systems in more details. It describes the process of decision making using diagnostic and therapeutic decision making cycle and two sources of medical knowledge-scientific and empirical knowledge. It shows different approaches for development of computer supported decision systems and presents some examples of their use in medical practice.

Decision Making, Computer-Assisted↗

Use of nursing informatics in advanced nursing practice roles for building healthier populations.

Dynamic changes in health care delivery organization, financing, and role of the consumer present an unprecedented opportunity for advanced practice nurses (APNs) to provide quality care to individuals and aggregates that emphasize health promotion, disease prevention, and health care management at a reasonable cost. APNs can use nursing informatics to help build healthier populations. This article outlines the major information needs dictated by the complex changes in health care, the power of information, and the strategies for ensuring access to information by APNs to meet the goal of building healthier populations.

Databases, Factual↗

Informatics. Using the Internet for forensic sciences.

This article deals with the elementary concepts of the use of Internet informatics for communication of information between individuals having an interest in forensics. The use of the Internet for purposes of e-mail and news-group communication, Medline literature search, information search of the Internet for areas of interest, Web sites of interest to forensic-based personnel, and the availability of File Transfer Protocols are briefly discussed.

Computer Communication Networks↗

Anatomical reasoning in the informatics age: Principles, ontologies, and agendas.

Reasoning about anatomy shares historical scientific roots with formal logic and artificial intelligence. With advances in computer-based intelligent programming, high-level biological structural knowledge may be exploited directly for biomedical research, clinical tasks, and educational applications. We consider the special nature of anatomical domain knowledge, emphasizing the complex concepts and semantics that must be represented in the development of ontologies, formally structured databases of biological information. We review the evolution of the fundamental scientific principles of logic and artificial intelligence needed for building machines that can make use of anatomical knowledge. We look at methods for compiling ontologies and compare the structural designs of the Foundational Model of Anatomy and Open GALEN ontologies. We further consider issues related to mapping developing anatomy resources with other biological ontologies in genomics, proteomics, and physiology. Although early results are promising, considerable resources and continuing effort must be committed to completing and extending anatomical ontologies for the ultimate success of computer-based anatomical reasoning. Anat Rec (Part B: New Anat) 289B:72-84, 2006. (c) 2006 Wiley-Liss, Inc.

Artificial Intelligence↗

The public health informatics infrastructure: anticipating its role in cancer.

Cancer information and surveillance, historically conducted with manual data collection and submission, are viewed increasingly as inherently dependent on the effective application of information science. One challenge is to use information technology (IT) in a manner that improves cancer-related decision-making and ultimately the quality of care that is offered to patients with cancer. In this article we begin by envisioning a future view of IT-supported surveillance and care that can be made available for application in cancer and its management. We then ask what barriers need to be overcome and what forces are at work that may help us in our efforts to effect the necessary changes. Our future vision for surveillance and information, although appealing and widely shared, requires major cultural change, financial investment, and logistical planning. Competition in the medical marketplace, coupled with fiscal pressures affecting providers and health systems, suggests that leadership for regional and national coordination will need to come from elsewhere-and likely from governments.

Decision Support Techniques↗

Competence in nursing informatics among nursing students and staff at a nursing institute in Sweden.

BACKGROUND: Information technology (IT) has slowly been implemented in many health-care organizations (i.e. hospitals). The use of computers has advanced to home care and long-term facilities. Consequently, it is important that nurses are able to demonstrate competence and feel confident in the use of IT. Yet, research has reported that nursing students have varying degrees of competence and experience with IT. AIMS: The purpose of this study was to ascertain nursing students' and nursing educators' self-reported attitudes, skills and experiences using IT. METHODS: Data were collected through a written survey distributed and completed by 247 nursing students (45 of whom were registered nurses who participated in extension courses) and 52 staff members from the nursing faculty at a university in Sweden. RESULTS: Two-thirds of the students and 92% of the nursing educators had access to the Internet from their homes. Of the students, 71% identified their IT skills as being sufficient for their current or future work as a registered nurse. Nurse educators were less confident in the students' ability, reporting that only 29% of nursing students had sufficient IT skills. Comparatively, 48% of the nursing educators believed that they themselves had sufficient IT skills for their role as a nurse educator. CONCLUSIONS: It is important that nursing students have basic IT skills and are familiar with e-mail, word-processing and various databases on the World Wide Web. Findings indicate that participants had a deficit in these skills, suggesting the need to integrate IT into the nursing curriculum.

Adult↗