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Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

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At least 1,225 records · Page 68Linked to original sources
PubMed1998

Virtual electronic patient records for shared care.

Systems that primarily serve health-care organizations are changing into systems that support patient care. The core of this change is shaped by systems for computer-based patient records (CPRs), which are part of local or regional networks, giving access to data in different information systems. In principle, it should not matter where the patient data are located as long as data can be transferred to the physical location where patients and clinicians meet. Networking and electronic communication enable to realize an environment that makes all systems where patient data reside, acting as one integrated, virtual CPR-system from the user's perspective. The patient record itself needs not to be physically located at one place, but may be virtual. A development in this direction is the European 14C project, which aims at integrating patient record data, images, and biosignals from whatever system they are stored and on whatever computer they are processed in the network.

Computer Communication Networks↗
PubMed1999

Working your private Web: the ins and outs of intranets.

There is a variety of good reasons for hospitals to consider setting up their own intranets. The most common motivations are the needs to reduce paperwork and have ready access to data. Careful attention to design standards will make it easier for users to make the most of their intranet. A consistent "look" makes pages more user-friendly, as well as providing for easy navigation. Intranet content can very with the hospital. Some see problems with putting individual patient data on the intranet. Setup costs can vary with the hospital. For some, the costs may be minimal.

Computer Communication Networks↗
PubMedDate not supplied

[Neurology and Internet].

The internet currently offers a powerful, but underused, substructure for fluid contact between neurologists all over the world. For improved exploitation of these resources, Thematic Virtual Communities are necessary to organize the information and to make available the tools which the necessary for the best use of it. The internet represents a great advantage for investigation and also for clinical practice, since it permits free, universal access to data bases and the interchange of texts, images and videos. Thus it facilitates multicentric trials, the circulation of scientific journals, long-distance education and telemedicine.

Humans↗
PubMed1999

Intranets are the key to new database strategies.

Health care organizations are finding that easy-to-use intranets can improve access to data. Because intranets are easier to navigate than other networks--and often less expensive--many provider and payer organizations are reorienting their database plans. But some organizations move too fast with new plans and have difficulty standardizing enterprisewide data, threatening intranet viability.

Computer Communication Networks↗
PubMedDate not supplied

A new approach to the film library: time-unit filing.

The installation of a new radiology information system (RIS) at Children's Hospital Medical Center of Akron in Akron, Ohio, took the radiology department into a new world of technology, but raised issues we never anticipated. The major problem the new RIS forced the department to overcome was how to eliminate the film file's reliance on a proprietary radiology numbering system. Previously, the department had used its own numbering system--a proprietary x-ray number--to file film jackets and had used the hospital-issued medical record number to access patient and payer information from the hospital information system. It became clear that we should use a single number--the medical record number--to access all data, but we wondered how that would affect our film file room. An RIS consultant suggested that we consider filing films by last date of service, a system called "time-unit filing." Time-unit filing means keeping the most recent two-weeks worth of films in the main file room. They are organized by gender in blue or pink jackets and marked alphabetically by the patient's last name in a way that makes mis-files easy to see. If a patient's film jacket is activated again, it is refiled in the current two-week time unit. Inactive jackets remain in their two-week time unit indefinitely. Time-unit filing has had many benefits for the radiology department at Children's Hospital Medical Center of Akron: fewer mis-files, less time needed for filing and searching, and successful implementation of the new RIS.

Evaluation Studies as Topic↗
PubMed2000

[Surveillance of laboratory based infections by biological and medical analyses: review of the literature].

Infectious disease surveillance is one of the priorities of public health programmes. This review aims to describe laboratory-based infection surveillance systems. The following surveillance networks are described: the Belgian microbiology network, AIDS surveillance in Philadelphia, EPIBAC, and the Salm-Net network. Laboratory-based surveillance provides the advantage of constituting an easily accessible computerised data bank that allows for studying age-old tendencies and evaluating the effectiveness of certain prevention programmes. The main inconveniences remain with the difficulty of eliminating duplications as well as the lack of clinical information. These difficulties can be surmounted by improving communication systems among the diverse participants in the network with electronic mail. Such surveillance systems will facilitate information exchanges at both the national and international level.

Acquired Immunodeficiency Syndrome↗
PubMed1999

Toward Routine Automatic Pathway Discovery from On-line Scientific Text Abstracts.

We are entering a new era of research where the latest scientific discoveries are often first reported online and are readily accessible by scientists worldwide. This rapid electronic dissemination of research breakthroughs has greatly accelerated the current pace in genomics and proteomics research. The race to the discovery of a gene or a drug has now become increasingly dependent on how quickly a scientist can scan through voluminous amount of information available online to construct the relevant picture (such as protein-protein interaction pathways) as it takes shape amongst the rapidly expanding pool of globally accessible biological data (e.g. GENBANK) and scientific literature (e.g. MEDLINE). We describe a prototype system for automatic pathway discovery from on-line text abstracts, combining technologies that (1) retrieve research abstracts from online sources, (2) extract relevant information from the free texts, and (3) present the extracted information graphically and intuitively. Our work demonstrates that this framework allows us to routinely scan online scientific literature for automatic discovery of knowledge, giving modern scientists the necessary competitive edge in managing the information explosion in this electronic age.

Journal Article↗
PubMed2000

Information needs and uses of the public health workforce--Washington, 1997-1998.

Substantial efforts have been made to ensure that state and local public health agencies have the information technology and training needed for public health communications, information access, and data exchange. Numerous public health-related data and information resources are available on the World-Wide Web (e.g., MEDLINE, MMWR, CDC Prevention Guidelines Database, and Emerging Infectious Diseases); however, little systematic work has been done to understand the information needs of the public health workforce. To identify these needs and patterns of use and to set priorities for developing new online public health information resources, the University of Washington School of Public Health and Community Medicine (UW SPHCM) and the Washington State Department of Health (WSDoH) held structured and facilitated discussions with segments of the local public health workforce in Washington during 1997-1998. This report summarizes the results of those discussions, which indicate that different segments of the public health workforce have different information needs.

Congresses as Topic↗
PubMed2002

Transforming health information management through technology.

No one would deny the need to transform health care. Information technology is capable of transforming health care organizations and delivering measurable value. However, these organizations will have to deploy effective, proactive strategies for managing information and adapting to the opportunities the technology offers. If, for example, an organization wants to become paperless, its information strategy must include appropriate tools to store and access unstructured data components of the medical record as well as structured data. An Electronic Document Management System (EDMS) is a critical element of this strategy. Also, a plan for managing change must be developed to mitigate technology risks. This can be realized through the development of a clear vision of the future and strong leadership, among other key items.

Cost Control↗
PubMed2003

[Health and development of adolescents and young adults in Latin America and the Caribbean: challenges for the next decade].

Adolescents and young adults make up 30% of the population of the Americas. Their health is a key factor in the social, economic, and political development of the region. Nevertheless, their needs are frequently excluded from governments' public and political agendas. The Pan American Health Organization (PAHO) advances a new conceptual framework focusing on human development and health promotion within the context of family and community, and of social, political, and economic development. The challenge in the near future is to use this framework for establishing comprehensive programs, collect disaggregated data, improve access to services, adolescents' environs, the ties between schools, families and communities, as well as improve and support the transition to adulthood through youth participation and interinstitutional and intersectoral collaboration.

Adolescent↗
PubMed2003

[Medicine should be evidence-based, surgery too].

UNLABELLED: SURGERY TOO: The concept of evidence-based medicine, in vogue for several years, must also apply to surgery, even if the latter has specific characteristics. ADVANTAGES OF EVIDENCE-BASED SURGERY: The advantages are related to the expansion of surgeons' critical eye and their questioning of the scientifically unfounded dogmas. CONSTRAINTS OF EVIDENCE-BASED SURGERY: The constraints are not only basically material with the need to have access to data banks, which often costs money, but also methodological with the need to assess the scientific quality of the articles found in the literature. LIMITS OF EVIDENCE-BASED SURGERY: These are related to the rarity of randomized trials and meta-analyses in the surgical literature and therefore, regarding surgery as opposed to other medical domains, to the reduced level of evidence. Hence,to develop good quality, so-called "pragmatic" and prospective trials is needed. DANGERS OF EVIDENCE-BASED SURGERY: The greatest danger is the fact that the evidence-based approach is either misunderstood or misconstrued, particularly since it integrates in the scientific data the surgeons' decision, the clinical context or even the patients' preference. CONCLUSION: Evidence-based surgery is not a fleeting fancy. Today, it is a well-established fact, the aim of which is to treat the patients according to the most fitting scientific data.

Databases as Topic↗
PubMed2002

A multi-professional short-term group intervention for informal caregivers of patients using a home palliative care service.

Informal carers of home palliative care patients have high unmet needs. However, interventions for carers are few. This research-based short-term group intervention addresses the information and support needs of carers. Multiprofessional informal teaching is combined with peer support. The intervention was designed by integrating the findings from a qualitative study and the evidence on needs and interventions, in order to address the key issues of feasibility, acceptability, and accessibility. Qualitative data from attendees showed that identifying with other carers and validating feelings, asking questions of professionals, and providing each other with support and encouragement were valuable outcomes from the group.

Adaptation, Psychological↗
PubMedDate not supplied

A pilot project to detect and forecast harmful algal blooms in the northern Gulf of Mexico.

More timely access to data and information on the initiation, evolution and effects of harmful algal blooms can reduce adverse impacts on valued natural resources and human health. To achieve this in the northern Gulf of Mexico, a pilot project was initiated to develop a user-driven, end-to-end (measurements to applications) observing system. A key strategy of the project is to coordinate existing state, federal and academic programs at an unprecedented level of collaboration and partnership. Resource managers charged with protection of public health and aquatic resources require immediate notice of algal events and a forecast of when, where and what adverse effects will likely occur. Further, managers require integrated analyses and interpretations, rather than raw data, to make effective decisions. Consequently, a functional observing system must collect and transform diverse measurements into usable forecasts. Data needed to support development of forecasts will include such properties as sea surface temperature, winds, currents and waves; precipitation and freshwater flows with related discharges of sediment and nutrients; salinity, dissolved oxygen, and chlorophyll concentrations (in vivo fluorescence); and remotely-sensed spatial images of sea surface chlorophyll concentrations. These data will be provided via a mixture of discrete and autonomous in situ sensing with near real-time data telemetry, and remote sensing from space (SeaWiFS), aircraft (hyperspectral imagery) or land (high-frequency radar). With calibration across these platforms, the project will ultimately provide a 4-dimensional visualization of harmful algae events in a time frame suitable to resource managers.

Aircraft↗
PubMed2004

Medicare gets much-needed shot in the arm.

The recently passed Medicare bill includes many provisions that will help to improve the nation's healthcare system: Allowing the private sector to deliver the prescription drug benefit by competing for consumers will result in greater choice at lower cost. Offering the option of health savings accounts promises to bring affordable coverage to the uninsured and will encourage healthcare consumers to make cost-conscious healthcare purchasing decisions. Giving hospitals an incentive to report outcomes will give consumers, for the first time, access to data they can use to make informed choices about healthcare providers.

Aged↗