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Microcomputers and database software for monitoring quality assurance activities.

A description of how one community hospital implemented a successful quality assurance program in radiology with the use of a personal computer and relational database management software is presented. The system has been well received and is easy to use and maintain. There are aspects of quality assurance beyond the double-reading method that are not addressed by this system. However, as we learn more about different quality assurance programs, the system has the capacity to evolve. The advertising literature is flooded with information about software packages that claim to meet all Joint Commission quality assurance requirements. Therefore, it is prudent to avoid making hasty purchasing decisions to accomplish a quick-fix solution to managing quality assurance activities. The Joint Commission recommends a systematic approach to defining needs and evaluating vendor products or services.

Database Management Systems↗

[The system design of an intraperitoneal perfusion machine for hyperthermic chemotherapy based on single chip microcomputer].

A new kind of method for intraperitoneal hyperthermic chemotherapy has been proved to be very effective for the therapy of gastrointestinal cancer. In this article is reported an intraperitoneal perfusion machine which is designed for instituting the treatment. The liquor of the chemotherapy drug is infused into the abdomen after being heated by heating system; the liquor flows out of the abdomen is abandoned. The temperature of heating and the velocity of flow are controlled by MCU, thus the temperature of the liquor of the chemotherapy drug in the abdomen can be adjusted to the most favarable temperature.

Abdominal Cavity↗

Epi Info: a general-purpose microcomputer program for public health information systems.

Epi Info is a general-purpose set of computer programs for word processing, database management, statistics, and graphics developed over the past five years at the Centers for Disease Control and the World Health Organization. The programs allow rapid questionnaire construction, data entry, and analysis during epidemic investigation. Both data entry and analysis can be programmed to provide customization and automatic operation for more permanent systems, such as those for disease or injury surveillance. Epi Info is in the public domain and copies may be freely distributed. It requires an IBM-compatible micro-computer with at least 512 kilobytes of memory. Translations into French and Spanish are in progress; a translation kit is available to facilitate translation into other languages.

Centers for Disease Control and Prevention, U.S.↗

[Microcomputer information systems designed to provide documentation about patients treated with dialysis].

A program specifically designed for PC/XT/AT compatible with IBM was written. This program is intended for collecting data on the patients treated with repeated dialyses. The system collects, edits, and surveys data according certain rules. It may print required data. It may also be extended by inclusion of the additional modules and adopted to other centres of dialysis. It is used for 2 years already and proved quite useful in the center of dialysis.

Data Collection↗

[Experience with a microcomputer-controlled blood bank administration system in the blood bank of the Hannover Medical University].

During the last three years two components of a modular administration system were implemented in the blood bank of the Medical University of Hannover (MHH). Considering the integration of the blood bank system to the central hospital information system of the clinic the aspect of independence and self-controlling by the blood bank was the most important point. This goal was reached by a couple of PC's which are compounded by a local area network (LAN). This LAN can communicate with the host of the computer center of the MHH. By this way the short staff capacity was not stressed more than absolute necessary by taking over all parameters of the central data base. On the other hand all functions for administrating the blood bank were in self-responsibility of the department. This concept of different modules has the possibility of using single parts like donor- or storage-system in other blood banks without implementing the whole system.

Blood Banks↗

Combined surgical audit by microcomputer involving units in four health regions.

General surgeons from hospitals in four well-separated health districts collected audit data about their patients using common software. They pooled their results in order to make comparisons between their practices. Data on 22,497 admissions including 17,473 operations were available. The data were found to be easy to collect and analyse using this program. There were significant differences in overall complication rates between the four centres, but these seem to be explained by differences in the emergency workload, case mix, and age range of the population treated. A study of inguinal hernia repairs and appendectomies showed low complication rates with no significant differences between centres, with the single exception of a higher incidence of wound problems in one centre. Because of the multiplicity of factors affecting them, complication rates could only be properly understood in a professional surgical context. Isolated figures would be open to damaging misrepresentation. Meetings between surgeons well armed with their own results seem to be the best way to forward the audit process.

Age Factors↗

Use of a microcomputer database system in a statewide effort for data collection in medical genetics.

The Genetics Office Automation System (GOAS) is a database management system for the collection and reporting of medical genetics data. We have previously reported on its implementation in a single university center [1,2]. We report here on its implementation in a coordinated data collection effort for the State of Missouri. We discuss the current status of the data collection activities and procedures to share data collected at an individual center with state, regional, and national data collection efforts.

Data Collection↗

Microcomputers and prevention of drug abuse.

In recent years, the psychological treatment of drug addiction has been dominated by an emphasis on learning theory and an interest in minimal and self-administered treatment. The computer provides the consummate medium for bringing these components together. This paper reports on two computer-assisted learning programs, one for the prevention of relapse in former heroin users and the other for the promotion of controlled drinking in early-stage problem drinkers. The need for this type of technology is supported by mounting evidence that drug and alcohol misusers prefer self-help to psychotherapy and that most addicts who manage to overcome their addiction do so on their own.

Adult↗