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Results for “Medical Informatics Computing”

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 1,315 records · Page 73Linked to original sources
PubMed1999

Healthconnect: clinical grade patient-physician communication.

A critical mass of Internet users is leading to a wide diffusion of electronic communications within medical practice. Unless implemented with substantial forethought, these new technological linkages could disturb delicate balances in the doctor-patient relationship, threaten the privacy of medical information, widen social disparity in health outcomes, and even function as barriers to access. The American Medical Informatics Association (AMIA) recently published recommendations to guide computer-based communications between clinicians and patients. This paper describes the motivations for and the design of HealthConnect, a web-based patient-doctor communications tool currently in use at Children's Hospital, Boston. Structural and process-oriented features of HealthConnect, as they relate to promotion of adherence with the Guidelines, are discussed.

Communication↗
PubMed1995

European standards development in healthcare informatics: actual and future challenges.

This paper focuses on the current and future standardisation activities in CEN TC251 (European Standardisation Committee, Technical Committee on Medical Informatics). The progress of the Committee's standards development is summarized per working group. The main challenges of the next years are enumerated: coordination across working groups and project teams, quality management, and international harmonisation (especially with the USA).

Accreditation↗
PubMed1998

G7: a framework for international cooperation in medical informatics.

The world's major economic powers, the G7, have initiated a collaborative International research and demonstration program to exploit the benefits of information and communications technology for society. The Global Healthcare Applications Project (GHAP) is investigating a variety of informatics applications in disease specific domains, telemedicine, and multilingual textual and image database systems. This paper summarizes the nine GHAP sub-projects undertaken to date, with emphasis on those in which the U.S. is a participant. The growing use of smart card technology, especially in Europe, is adding new impetus for similar medical and health experiments in the U.S. A pilot project now underway in several Western states is described.

Computer Communication Networks↗
PubMed1994

The J. Otto Lottes Health Sciences Library and the Microcomputer Learning Laboratory.

Opened in 1985, the J. Otto Lottes Health Sciences Library at the University of Missouri-Columbia has adapted to changes in information technology by installing a fiber optic backbone, establishing local area networks and file servers with databases and software programs, establishing a microcomputer learning laboratory, and responding to the needs of a problem-based learning curriculum. The library works cooperatively with the Medical Informatics Group, which is housed in the library and runs the micro laboratory, to support student and faculty computing.

CD-ROM↗
PubMed2005

A multimedia educational system to teach epidemiology.

An educational system has been developed which consists of a module to help both teachers to design courses with different levels of knowledge regarding epidemiology and students to get acquainted with the field of epidemiology.The software development product Director was used to develop the software application. The capacity required to install the software is 130MB although each individual component is not greater than 1.2 megabytes in order to facility its handling. The user interface of the system employs colour, text, complementary voices and animation. Moreover, exercises have been designed to facilitate the learning process and to allow students and teachers to interchange information with it.The system has been evaluated by a number of 65 students both graduate and undergraduate. Half of them were attending the undergraduate course in Nursing. The rest were graduate students attending a Master's Course in Health Informatics and Health Management. The first group of students had some prior knowledge of Epidemiology. The latter group had different levels of knowledge (none, little prior knowledge or an intermediate level of knowledge), of Epidemiology. The scope of this research is to prove the efficiency of Multimedia in teaching the rather difficult subject of Epidemiology.

Computer-Assisted Instruction↗
PubMedDate not supplied

[The computerized clinical record. Myth and reality].

The state of the art in medical informatics is presented, in science as well as in the technological field. After the inventory of the solutions provided it is postulated that informatics and medicine are inevitable partners, but it is a globally positive marriage.

Computer Systems↗
PubMed1999

Digital dentistry in the computer age.

BACKGROUND AND OVERVIEW: Computers are becoming an integral part of the practice of dentistry. Smaller, smarter and more ergonomic computing devices will support an increasing proportion of dental practice activities. Technology will make practice management more efficient, mainly by reducing transactional overhead. Educational software and intelligent assistants will increasingly support the needs for decision making in clinical practice. Research will benefit from automated tools for data acquisition, management and analysis. CONCLUSIONS: Dentistry must actively shape the application of technology. It can do this by developing a cadre of experts in dental informatics, relying on sound research principles, effectively disseminating best practices and developing strategic objectives for the implementation of technology. CLINICAL IMPLICATIONS: Computer technology is an essential ingredient for state-of-the-art patient care. Dentists must stay current with this rapidly developing field to make appropriate choices in their use of technology.

Computer Communication Networks↗
PubMed1998

Information technology and the clinical curriculum: some predictions and their implications for the class of 2003.

Information technology, medical knowledge, and medical practice are on a collision course. The consequences of the impact will change the way physicians work, the way medical knowledge is processed, packaged, and distributed, and the way patients obtain medical care and information. Today's educators need to design an information technology curriculum to prepare students for this emerging world of practice. Computer labs, based on today's complex and unreliable desktop systems, are not the answer. What is needed by students who entered medical school in 1997-98 is an informatics curriculum that is based on the real-world requirements of 2003 and beyond. The authors draw upon academic studies and their own clinical and industry experiences to outline some predictable elements of what lies ahead. Their predictions--ubiquitous, simple network computing and "power tools" for managing medical knowledge--have implications for how schools cover such educational topics as patient confidentiality, systems thinking and error management, and knowledge resource evaluation.

Computer Communication Networks↗
PubMedDate not supplied

Medical informatics and the science of cognition.

Recent developments in medical informatics research have afforded possibilities for great advances in health care delivery. These exciting opportunities also present formidable challenges to the implementation and integration of technologies in the workplace. As in most domains, there is a gulf between technologic artifacts and end users. Since medical practice is a human endeavor, there is a need for bridging disciplines to enable clinicians to benefit from rapid technologic advances. This is turn necessitates a broadening of disciplinary boundaries to consider cognitive and social factors pertaining to the design and use of technology. The authors argue for a place of prominence for cognitive science. Cognitive science provides a framework for the analysis and modeling of complex human performance and has considerable applicability to a range of issues in informatics. Its methods have been employed to illuminate different facets of design and implementation. This approach has also yielded insights into the mechanisms and processes involved in collaborative design. Cognitive scientific methods and theories are illustrated in the context of two examples that examine human-computer interaction in medical contexts and computer-mediated collaborative processes. The framework outlined in this paper can be used to refine the process of iterative design, end-user training, and productive practice.

Cognitive Science↗
PubMed2002

Discovery informatics: its evolving role in drug discovery.

Drug discovery and development is a highly complex process requiring the generation of very large amounts of data and information. Currently this is a largely unmet informatics challenge. The current approaches to building information and knowledge from large amounts of data has been addressed in cases where the types of data are largely homogeneous or at the very least well-defined. However, we are on the verge of an exciting new era of drug discovery informatics in which methods and approaches dealing with creating knowledge from information and information from data are undergoing a paradigm shift. The needs of this industry are clear: Large amounts of data are generated using a variety of innovative technologies and the limiting step is accessing, searching and integrating this data. Moreover, the tendency is to move crucial development decisions earlier in the discovery process. It is crucial to address these issues with all of the data at hand, not only from current projects but also from previous attempts at drug development. What is the future of drug discovery informatics? Inevitably, the integration of heterogeneous, distributed data are required. Mining and integration of domain specific information such as chemical and genomic data will continue to develop. Management and searching of textual, graphical and undefined data that are currently difficult, will become an integral part of data searching and an essential component of building information- and knowledge-bases.

Artificial Intelligence↗
PubMed2004

Developing an interaction-centered evaluation tool for distance education.

Web-based distance instruction is growing in popularity. As more courses and programs go online, instructional methods and technologies are changing to meet new demands. These courses and instructional methods need be evaluated to determine their quality and to aid in their development. An instrument that measures the quality of student interaction within courses could play a useful role in this evaluation. The objective of this project was to produce an interaction-centered evaluation tool for distance education. We developed items for the evaluation tool based on a review of the literature and interviews with distance education faculty. We then conducted a measurement study to determine the instrument's validity and reliability. Fifty-five students in seven medical informatics courses participated in this study. Questionnaire items were included or rejected based on their fit with underlying theoretical constructs. In conclusion, the Web-based evaluation tool developed in this project measures student perception of quality of course interactions with demonstrated validity and reliability.

Computer-Assisted Instruction↗
PubMed1995

Summative evaluation of a baccalaureate nursing informatics curriculum.

This paper describes the fifth stage in the process of designing, implementing and evaluating the nursing informatics courses incorporated into a baccalaureate nursing program. The challenge is to construct an evolving nursing informatics curriculum so as to provide nursing professionals with the foundations for affecting health care delivery. The basic components of the curriculum framework are information, technology, and clinical care process. Information on the two groups of graduates who have completed the four course sequence and the one group of graduates who have been in practice will be discussed.

Attitude to Computers↗
PubMed2005

Parents as partners in obtaining the medication history.

OBJECTIVE: Patient-centered information management may overcome barriers that impede high-quality, safe care in the emergency department (ED). The utility of parents' report of medication data via a multimedia, touch screen interface, the asthma kiosk, was investigated. Our specific aims were (1) to estimate the validity of parents' electronically entered medication history for asthma and (2) to compare the parents' kiosk entries regarding medications to the documentation of ED physicians and nurses. METHODS: We enrolled a cohort of parents to use the asthma kiosk and tested the validity of this communication channel for medication data specific to pediatric asthma. Parents' data provided via the kiosk during the ED encounter and the documentation of ED nurses and physicians were compared with a telephone-based interview with the parent after discharge that reviewed all asthma-specific medications physically present in the home. Treating clinicians in the ED were blinded to the parents' kiosk entries. RESULTS: Sixty-six parents were enrolled and 49 of 66 (74.2%) completed the gold standard interview. When analyzed at the level of individual medications, the validity of parental report was 81% for medication name, 79% for route of delivery, 66% for the form of the medication, and 60% for dose. Parents' report improved on the validity of documentation by physicians across all medication details save for medication name. Parents' report was more valid than nursing documentation at triage for all medication details. CONCLUSION: Parents can provide an independent source of medication data that improves on current documentation for key variables that impact quality and safety in emergency asthma care.

Anti-Asthmatic Agents↗
PubMed1995

[Evaluation of a computer system by nursing students].

This study was undertaken to investigate the opinion of nursing undergraduate students of the first year about the discipline "Informatic applied to health". Data were collected using a questionnaire with open and closed questions applied through three consecutive years (1989, 1990, 1991). The results showed that undergraduate students considered this course important. Student's expectations were related to the necessity to get familiar with computers. The mentioned critiques were related to the necessity of more time and equipments to support a better learning process.

Attitude to Computers↗
PubMed2004

Towards clinical bioinformatics: advancing genomic medicine with informatics methods and tools.

OBJECTIVES: To summarize the challenges facing clinical applications in the light of growing research results in genomic medicine and bioinformatics. METHODS: Analysis of the contents of the Yearbook of Medical Informatics 2004 of the International Medical Informatics Association (IMIA). RESULTS: The Yearbook of Medical Informatics 2004 includes 32 articles selected from 22 peer-reviewed scientific journals. A special section on clinical bioinformatics highlights recent developments in this field. Several guest editors review the promises and limitations of available methods and resources from biomedical informatics that are relevant to clinical medicine. Integrated data and knowledge resources are generally regarded to be central and key issues for clinical bioinformatics. Further review papers deal with public health implications of bioinformatics, knowledge management and trends in health care education. The Yearbook includes for the first time a section on the history of medical informatics, where the significant impact of the Reisensburg protocol 1973 on international health and medical informatics education is examined. CONCLUSIONS: Close collaboration between bioinformatics and medical informatics researchers can contribute to new insights in genomic medicine and contribute towards the more efficient and effective use of genomic data to advance clinical care.

Computational Biology↗