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PubMed1997

Health Cards '97.

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Computer Communication Networks↗
PubMed1997

Telematics for clinical guidelines: a conceptual modelling approach.

PRESTIGE is a project for applying telematics to assist the dissemination and application of clinical practice guidelines and protocols. Previous publications have described PRESTIGE's technical approach, including the use of a generic model for representing the knowledge content of clinical guidelines. This approach offers the possibility of 'plug-and-play' electronic distribution of clinical guidelines produced by multiple authoring bodies for use on multiple healthcare clinical management software platforms. A recent joint workshop held with the Section on Medical Informatics, Stanford University School of Medicine compared the European consensus approach developed in PRESTIGE with a parallel series of projects for computer-assisted protocol-based healthcare undertaken at Stanford and other American centres over the past, which confirmed the convergence and complementarity of our approaches, and holds out prospects of world-wide standardization in healthcare protocol knowledge representation. This paper summarises PRESTIGE conceptual model set which is the design of the project's approach.

Artificial Intelligence↗
PubMed1997

Survey among physicians by means of dynamic access to an Internet information server database.

Current database management systems, client-server architecture and the internet infrastructure are simplifying the exchange of information. Large and widespread electronic medical record systems are accessible via platform-independent browsing applications. The following brief summary shows one of the manifold conceivable applications of these technologies in medicine. It describes a survey among physicians with the scope of quality assurance in medicine. The dynamic, platform-independent, world-wide access to databases offers interesting aspects in medical informatics.

Computer Communication Networks↗
PubMed1997

An example of usability measurement in clinical software procedures.

As a consequence of the dramatic improvements achieved in information technology standards in terms of single hardware and software components, efforts in the evaluation processes have been focused on the assessment of critical human factors, such as work-flow organisation, man-machine interaction and, in general, quality of use, or usability. This trend is particularly valid when applied to medical informatics, since the human component is the basis of the information processing system in health care context. With the aim to establish an action-research project on the evaluation and assessment of clinical software procedures which constitute an integrated Hospital Information System, the authors adopted this strategy and considered the measurement of perceived usability as one of the main goals of the project itself: the paper reports the results of this experience.

Attitude of Health Personnel↗
PubMed1993

Computer-based medical terminology and knowledge representation.

This paper briefly summarizes the characteristics of a computer-based medical terminology constructed by the author. Its size is around 140,000, systematized by meaning using a single attribute as key: similarity among instances covered by the term. This systematization resulted in a single hierarchical tree. Initial term typing was based on the knowledge patterns of the terms, represented by the arcs (relationships) among terms (nodes). Six different types of medical terms could be identified. For coding of a medical term, its position on the hierarchical tree was used, the semantic address. It is recommended that the semantic address should be used for worldwide compatibility.

Artificial Intelligence↗
PubMedDate not supplied

Future directions for research in laboratory medicine: the findings of a Delphi survey of stakeholders.

In July 1995, we asked 101 experts to anticipate future areas for research in clinical laboratory medicine using a modified Delphi survey approach. The panel included academicians, clinical laboratory professionals, laboratory managers, practicing physicians public health officials, hospital administrators, and representatives of manufacturing industries, managed care organizations, commercial laboratories, and government health agencies. The participants predicted fewer laboratories, more automation, and fewer skilled staff needed in the future. The consensus was that laboratory quality assurance will focus on patient outcomes and be benchmarked against peer groups. They agreed that quality assurance routinely will be integrated into testing kits. Measures derived from medical informatics, such as outcomes analysis and utilization statistics, will become a standard feature of health care. A major area of concern was the effect that reorganizing health care and striving for cost containment will have on laboratory services. These views were consistent with those expressed by participants at a CDC conference on the frontiers of laboratory medicine research held shortly after the study was completed. These topics by now are familiar to most laboratory professionals, and we urge them to explore the many research issues raised with their colleagues in their clinical laboratories, health-care organizations, and industry.

Attitude to Health↗
PubMed1999

Application of grounded theory to content definition: a case study.

Successful implementation of a clinical information system requires clinician involvement throughout the process of content definition and system development to ensure acceptance of the automated care process. In these times of downsizing, however, clinicians are not always able to participate fully in the dontent definition phase of system development and often become frustrated with their inability to obtain the patient information they need from the system. The qualitative research principles of grounded theory afford clinicians the opportunity to participate in content definition for information systems. This article presents a case study of the application of grounded theory to develop systematically the content definition for a clinical information system in preparation for implementation on four medical-surgical units.

Abstracting and Indexing↗
PubMed1994

The Appropriate Use of Computers and Telecommunications in Medicine.

Although health care financial and administrative functions have been aided by computers for some time now, clinical practice has remained relatively unaffected. The author examines why clinicians have not made wide use of information systems, discusses technologic developments expected in the near future, and describes how medical informatics can have a positive effect on clinical practice.

Journal Article↗
PubMed1998

The evolution of health-care records in the era of the Internet.

Health-care records are evolving as the rationale for their automation becomes ever more persuasive. Promoting that evolution are local and wide-area networking as they demonstrate that computer-based medical and health records will be more than mere electronic versions of the traditional paper record. System integration has emerged as a key element in the reinvention of environments for patient data management and health promotion. The ability to achieve the future vision of integrated health records depends in part on current research initiatives related to the role of the global information infrastructure in supporting health and health care.

Computer Literacy↗
PubMed1998

Curriculum development and courseware implementation using World Wide Web technology.

The curriculum development of medical informatics related courses and their adoption into the faculty curriculum is one of the main tasks of the present day educators. To this end the Internet technology has supported this task. The Internet was born in December of 1969 and has grown phenomenally since. Its graphically interactive, user-friendly modality, the World Wide Web (WWW), is younger and growing even more explosively. By its nature, the WWW is a tool ideally and uniquely suited for the advancement education. This paper describes the design, development and the implementation of a Web Site for supporting the education of the students in the Faculty of Nursing at the University of Athens. The application will be used also in the European project Nightingale.

Computer-Assisted Instruction↗
PubMed1999

Healthcare in a networked world.

In this essay a medical informatics expert reflects on what the history and future of the Internet means to the way we do business and how we relate to each other. It is not just a matter of more of the same faster; the nature of work changes, the value of services change, and participation in community becomes natural. Ironically, the informality and impersonal nature of the Internet is making it that much more important to know who one is dealing with.

Computer Communication Networks↗