Management Support System: automation of patient appointments in the U.S. Army.
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Appointments and Schedules↗
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Results for “Office Automation”
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Do you have an appointment? Automated systems ease the load for patient schedulers, and that's just the beginning.
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Appointments and Schedules↗
Everyday automation. Technology can handle the repetitive tasks, giving you more time and fewer errors and expenses.
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California↗
Automating financial and clinical operations: tough questions and good advice.
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Efficiency, Organizational↗
[Automated work station for an economist].
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Computers↗
The computer-based oral health record: exploring a new paradigm.
The paper-based clinical chart, adequate for the days of primarily acute dental care, falls short in today's era of chronic dental care. The computer-based oral health record has the potential for active function in patient management, decision support and quality evaluation. This article discusses the use of the computer in information management, including risk management, search and query, data manipulation, automated data input and patient education; and decision support through knowledge couplers.
Decision Support Systems, Management↗
The impact of physician vs automated blood pressure readings on office-induced hypertension.
Blood pressure (BP) readings in the doctor's office are frequently higher than home or ambulatory values. This study examines the role of the physician in the aetiology of the 'white coat' effect, by comparing standard readings taken by the family physician of 27 treated hypertensive patients with readings taken by an automated BP recording device, with the patient alone in the examining room during the same office visit. The physician and automated readings were each compared to the mean awake ambulatory BP. Mean (+/-s.e.m.) routine office BP (mm Hg) recorded by the patient's physician (155+/-4/80+/-2) was similar to the mean value obtained using the automated BP recording device (157+/-3/83+/-2). The mean awake ambulatory BP was 145+/-3/78+/-2 with the systolic value lower (P < 0.05) than either the physician or automated reading. Self-measurement of BP by the patient in the office setting does not reduce the magnitude of the white coat effect.
Aged↗
How to select the right practice management system.
With health care "reforms" looming, physicians who plan to automate their practices--or upgrade an existing system--will want to start now. Otherwise, physicians who wait until the dust settles may find themselves facing two major projects: government mandated changes and computerization.
Health Care Reform↗
Providing automated external defibrillators to urban police officers in addition to a fire department rapid defibrillation program is not effective.
OBJECTIVE: The aim of this study was to determine if providing automated external defibrillators (AEDs) to urban police officers would increase the proportion of patients with out-of-hospital cardiac arrest (OOH-CA) who were discharged alive from the hospital. METHODS: This prospective, controlled study was conducted in a city with about 332,000 persons. The EMS system included paramedic ambulances and fire department based first responders equipped with defibrillators, but police officers did not respond routinely to medical emergencies. Between March 1997 and February 1999, all OOH-CAs in four police districts were identified and followed until death or hospital discharge. All 35 police cars in one police district were provided with AEDs, and all police officers in that district were trained in CPR and the use of AEDs. Police and fire first response units were dispatched simultaneously in district 3 (intervention group). Fire first response was dispatched without police in districts 2, 4, and 5 (control group). RESULTS: A total of 645 OOH-CAs occurred over the 2 years. Sixty-two were outside of the study area. Two did not have accurate address information to determine the police district. Of the remaining cases, 154 (27%) occurred in the intervention district and 427 (73%) were in the control area. Survival to hospital discharge was similar; it was 11/154 (7.1%) in the intervention and 16/427 (3.8%) in the control districts (odds ratio=1.98; 95% CI 0.90--4.36). Survival to hospital discharge for witnessed OOH-CA events occurring prior to EMS arrival and found to be in ventricular fibrillation or ventricular tachycardia was 4/27 (15%) in the intervention area and 9/73 (12%) in the control area (odds ratio=1.2; 95% CI 0.4-4.4). CONCLUSION: Equipping police cars with AEDs in an urban area where the fire department-based first response system also carries defibrillators did not improve the hospital discharge survival rate for victims of OOH-CA.
Automation↗
The computer-based patient record: the role of the hospital epidemiologist.
Despite advances in computers and software for data analysis, hospital epidemiologists still must use manual methods for data collection. To automate infection control surveillance fully, healthcare institutions need computerized medical records; however, very few institutions currently have such a system. Healthcare institutions appreciate the need for automation, but frequently do not see a clear path to the desired outcome. In this article, we outline the important issues that hospital epidemiologists must understand if they wish to help their institutions to computerize their medical records.
Hospital Information Systems↗
Development and application of computer software for cell culture laboratory management.
Prototype computer software for a Cell Culture Laboratory Management System (CCLMS) has been developed to relieve cell culture specialists of the burden of manual recordkeeping. Conventional data archives in cell culture laboratories are prone to error and expensive to maintain. The reliance upon cell culture to provide models for biochemical and molecular biological research serves to magnify errors at great expense. The CCLMS prototype encapsulates a modular software application that manages the many aspects of cell culture laboratory recordkeeping. A transaction-based database stores detailed information on subcultures, freezes and thaws, prints waterproof labels for culture vessels, and provides for immediate historical trace-back of any cultured cell line. Linked database files store information specific to an individual culture flask while removing redundancy between similar groups of flasks. A frozen cell log maintains locations of all vials within any type of cryogenic storage unit, locates spaces for newly frozen cell lines, and generates alphabetical or numerical reports. Finally, modules for maintaining cell counts, user records, and culture vessel specifications to support a comprehensive automation process are incorporated within this software. The developed CCLMS prototype has been demonstrated to be an adaptable, reliable tool for improving training, efficiency, and historical rigor for two independent cell culture facilities.
Animals↗
[Automation: efficiency and quality].
More than one half of the Dutch dentists uses a p.c., but many of them just for invoicing. Efficiency and quality in daily practice will increase by utilizing all possibilities of the p.c. In this article the advantages of networks are described and a more 'integrated' use of this powerful instrument, for instance by coupling with expert systems, is encouraged.
Computer Communication Networks↗
[Methodology of supplying the work place of medical workers with computers].
The new approach to the construction of the problem-orientated automated working places of the main-modular structure, suggested by the authors, solves not only the concrete problems of the clinical subdivision in collecting, storing and processing information but can also be the basis of the information system of a health care facility as a whole (e.g. diagnostic centers of various purpose, specialized clinics and outpatient polyclinics).
Electronic Data Processing↗
Simplified user poll and experience report language (SUPER): implementation and application.
Biological computing is generally organized as stand-alone implementation on a PC-type computer or on a central facility (e.g. a university computer center). Services provided by central facilities need to be tailored to the user community. Unless very work-intensive individual contacts are used, the feedback must be collected with generalized tools, such as questionnaires distributed in the form of a newsletter. We have developed a method to have such polls automated and tailored, as well as having multiple-choice questions combined with branching after fundamental questions. As the evaluation of the results needs to know the questions asked, we have also included a method to process the answers and give detailed tables on the answers. SUPER was applied in a poll to query the academic usership in Switzerland on the usage of molecular biology databases.
Evaluation Studies as Topic↗
Introduction of an automated medical record at an HMO clinic.
In May 1993, CIGNA Healthcare of Arizona implemented a comprehensive automated medical record system in a pilot project performed at a primary care clinic in Chandler, Arizona. The system, EpicCare, operates in a client-server environment and completely replaces the paper chart in all phases of medical care. After six months of use by 10 medical providers and a 50-member staff, the system has been approved by clinicians, staff, and patients.
Arizona↗
Informed decisions by clinicians are fundamental for EPR implementation.
Most often the investment in electronic patient records (EPR) is decided upon on the basis of descriptions of all the advantages this new technology will bring. We argue that an exchange of a paper-based patient record (PPR) with an EPR is an efficient way to automate manual routine work and distribute information but the real benefits from EPR depend on how clinicians use an EPR application to improve the quality of care. We introduce the 'price to pay' concept in order to illustrate that it takes a human effort to create better health care and that clinicians therefore play a very important role when implementing EPR systems.
Computer Literacy↗
Sex differences on a measure of conformity in automated teller machine lines.
Sex differences in conformity were examined as participants approached two ATMs, one of which was occupied by three confederates and the other immediately available. The number of men and women in the line in front of one of the ATMs was manipulated (3 men or 3 women), and an unobtrusive observer recorded the sex of each participant. The results indicated that women were more likely than men to wait in line to use the ATM regardless of the makeup of the line. Thus, the present study provides evidence in favor of the idea that sex differences in conformity are evident on a common task performed in a natural setting.
Accounting↗
[Possibilities of epidemiological studies via automated veterinary practice administration].
This study of the occurrence of tumours in dogs was carried out in order to see whether veterinary medical records can be used for epidemiological research. The relationship between tumour occurrence and breed, sex, and age was investigated by using the electronic tumourcards for 16049 dogs from three veterinary practices. Striking results include the difference in tumour occurrence between sprayed bitches (11.31%) and intact bitches (6.58%), and the high percentage of mongrels with a tumour (78.15%). Such unexpected results may be the result of selection processes underlying the composition of the population. Because these registers do not use a standard diagnostic classification system, it is difficult to identify all dogs with a specific diagnosis. This means that registers cannot be used for aetiological epidemiological research. However, they do contain valuable information for veterinary health care research and can be used as a source of cases for case-control studies, provided that a suitable mans of standardization is used.
Animals↗