Just the fax, ma'am. A Denver PPO automates treatment authorizations, speeding and standardizing the entire process.
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High response rates in surveys of physicians are difficult to achieve. One possible strategy to improve physicians' survey participation is to offer the option of receiving and returning the survey by fax. This study describes the success of the option of fax communication in a survey of general practitioners, family physicians, and pediatricians in Arkansas with regard to pediatric asthma. Eligible physicians were given the choice of receiving the survey by telephone, mail, or fax. In this observational study, physicians' preferences, response rates, and biases for surveys administered by fax were compared with mail and telephone surveys. The overall survey response rate was 59%. For the 96 physicians completing an eligibility screener survey, the largest percentage requested to be surveyed by fax (47%) rather than by telephone (28%) or mail (25%). Faxing may be one strategy to add to the arsenal of tools to increase response rates in surveying physicians.
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PURPOSES: In Japan, surveillance of infectious disease has been enforced since 1981. Facsimile and Internet have become popularized recently, and in the present study we investigated the means of obtaining related information primary care physicians. METHODS: Questionnaires were mailed to 117 hospitals and 1,162 clinics in Mie prefecture. Responses from 76 hospitals (65.0%) and 689 (59.3%) clinics were received. RESULTS: Approximately 80 percent of primary care physicians obtain information about this survey by bulletin. They desire to obtain the latest information to aid diagnosis. More than 90 percent of them have facsimile, and 37.6 percent of them have access to Internet. The majority of them prefer to receive information by facsimile. CONCLUSION: Therefore, facsimile is the most powerful media for such information transfer at present.
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PURPOSE/OBJECTIVES: To focus on nursing documentation and expanding technologies (e.g., facsimile, telephone, e-mail, computer charting) that offer different ways to record, deliver, and receive patient records and avoid nursing liability for inadequate or inaccurate documentation. DATA SOURCES: Nursing, non-nursing healthcare, legal journals, case law, and related Internet sources. DATA SYNTHESIS: To avoid liability for inadequate or inaccurate documentation, nurses must be aware of the major issues involved in documentation litigation. New technology is altering how healthcare documentation is done and raising new confidentiality issues. CONCLUSIONS: Nurses should follow their facility's guidelines and principles for documentation of patient care, especially when using more advanced technologies. IMPLICATIONS FOR NURSING PRACTICE: Educating nurses about the principles of documentation and the importance of implementing risk-reduction practices will help guard against liability and ultimately improve patient care.
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DEA is finalizing, without change, the interim rule with request for comment published in the Federal Register on July 25, 2000 (65 FR 45712). The interim rule amended Title 21, Code of Federal Regulations (CFR) 1306.11(g) to clearly articulate that prescriptions for Schedule II narcotic substances for patients enrolled in hospice care certified by Medicare under Title XVIII or licensed by the state may be transmitted by facsimile. No comments to the interim rule were received. This final rule makes the clarification permanent.
To improve the efficiency of the preliminary experiments for the JEM, the telescience capabilities have been implemented into the parabolic flight experiments on the small jet plane. In this paper, we will describe the results of the 1st telescience support experiments using the two commercial airline telephone system. In the experiments, these lines have been used not only for the voice communication, but also for the data transfer, such as FAX, still TV image transmission, and data transfer. Utilizing these capability, human physiological experiment was tested as the sample experiment. The parabolic flights were done in the two major training/testing area, that are C & K area.
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BACKGROUND: Implementation rates of interventions known to be beneficial for people with diabetes mellitus are often suboptimal. Computer-aided decision support systems (CDSSs) can improve these rates. The complexity of establishing a fully integrated electronic medical record that provides decision support, however, often prevents their use. OBJECTIVE: To develop a CDSS for diabetes care that can be easily introduced into primary care settings and diabetes clinics. THE SYSTEM: The CDSS uses fax-machine-based optical character recognition software for acquiring patient information. Simple, 1-page paper forms, completed by patients or health practitioners, are faxed to a central location. The information is interpreted and recorded in a database. This initiates a routine that matches the information against a knowledge base so that patient-specific recommendations can be generated. These are formatted and faxed back within 4-5 minutes. IMPLEMENTATION: The system is being introduced into 2 diabetes clinics. We are collecting information on frequency of use of the system, as well as satisfaction with the information provided. CONCLUSION: Computer-aided decision support can be provided in any setting with a fax machine, without the need for integrated electronic medical records or computerized data-collection devices.
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A medication order for warfarin sodium was sent by facsimile transmission with a decimal point and trailing zero. The order was incorrectly transcribed as a ten-fold overdose and would almost certainy have been fatal if administered as transcribed. Other hazardously written medication orders are presented with guidelines for safer ordercomposition.
In July 2000, the first group of graduates entered compulsory community dental service. The aim of this study was to document the experiences of the community dentists in their first year of placement. A cross-sectional, descriptive study was carried out among 171 community dentists. A structured questionnaire divided into nine sections: demography, the allocation process, accommodation and living conditions, dental clinic facilities--equipment and materials, work environment, income, sense of achievement, intellectual fulfillment. Thirty five per cent of the sample responded. Of the respondents 54% could speak the local language; almost half (45%) felt that the allocation process was not handled efficiently and 40% said that they needed more information; 60% were placed within 20 km of the nearest town; 26% did not have access to telephone or fax and only 52% were provided with accommodation. Twenty six per cent described the condition of the clinics as poor. Almost a quarter of the respondents indicated that they did not have full sets of instruments. Ten per cent did not have an autoclave nor a high-speed handpiece. Fifty seven per cent did not have oxygen and half the clinics did not have any emergency equipment. Fifty per cent reported that equipment broke down often and an equal number that it was not fixed promptly. More than 90% indicated that they needed a short course to help with repairs. Almost two-thirds said that they enjoyed their work environment. Fifty three per cent had supervision, but 30% felt that they did not need supervision. Although 75% felt that their professional competence had been enhanced, more than three-quarters indicated that they had lost some of their clinical competence in one or other area. While 58% felt that there were many opportunities to improve clinical skills, almost two thirds felt that they were over-skilled for the job. Three-quarters of the respondents indicated that the year had been fulfilling and worthwhile. Problem areas centred around the adequacy of the information provided, accommodation and breakdown of equipment. With the next community service placement, it would be useful if the experiences and lessons of the first year could be taken into account.
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