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At least 1,765 records · Page 98Linked to original sources
PubMed1979

[The uni-quatro camera - a new camera for documentation of monitor pictures (author's transl)].

A new camera system is described, which was devised to take pictures of monitor screens on special X-ray film, and it is compared with conventional methods of documentation. Quality of pictures obtained with this method is optimal, handling is quick and simple, and, in spite of that, the camera is smaller and less expensive than other multiformate cameras. Polaroid, special X-ray films and other films may be used interchangeable for all sorts of monitor screens. A report is given about the routine use of this system in ultrasonography.

Documentation↗
PubMed1975

[The use of anti-AHP as a test reagent on blood group documentation cards].

In principle it is possible to use anti-AHP upon bedside test cards for the purpose of blood group documentation. In accordance with the individual quality of the anti-AHP substance an optimal concentration has to be determined and retained. With regard to the rapidity of responses and their strength the anti-AHP involves advantages towards the human anti-A test serum. However, the reliability of reading the results will be slightly limited by the appearance of very fine pseudoagglutinates towards O and B blood corpuscles.

ABO Blood-Group System↗
PubMed1983

[Value of the routine documentation of wound infection and complication rates following general surgical interventions].

1430 patients who underwent general surgery were analysed in a prospective study. The examinations were aimed at showing how the results obtained were influenced by prophylactic antibiotic treatment, bowel preparation and suturing technique. Additionally, it was investigated whether the ordered steps were performed in an adequate manner. Finally the regular documentation of wound infection and complication rate could be found to contribute to improving the operative results by detecting avoidable complications.

Anti-Bacterial Agents↗
PubMed1980

[Computer-assisted documentation in anesthesia (author's transl)].

Details are given of a Dietz microprocessor with 48 K Bytes core memory for anaesthetic documentation. The experiences gained with this equipment over a period of two years are reviewed. The storage capacity is sufficiently large to allow its use by several persons for the processing of more than 20,000 anaesthetic records per year. The preparation of the anaesthetic record takes a skilled technician about two minutes. The prompt evaluation of the data and their presentation on either screen or print-out are the main advantages of this system. Information regarding the course of anaesthesia, complications, the identity of the anaesthetist are available instantly and at any time and can be referred to if organizational problems arise. The fact that all relevant data and criteria can be called up whenever wanted also acts as a spur to make use of the information. The system still needs some improvement to make it more efficient.

Anesthesiology↗
PubMed1981

[Documentation of central venous catheterization using a computer laboratory system (author's transl)].

Full documentation of every case of central venous catheterization is a prerequisite for reducing the incidence of failures and complications. A laboratory computer program already in use was modified for this purpose: the start of the operation is put in in "real time", abandoned or failed procedures or incomplete data are detected, and can be queried on the day of patient is discharged from hospital. Adverse effects are shown up at an early stage by the quarterly print-out. The program involves less work than a conventional system without computer. The experiences gained with this modified system in the course of one year (including the run-in period) are reviewed.

Catheterization↗
PubMed1981

Audit of dietary care shows better documentation needed.

A medical record audit of dietary prescriptions for sodium restriction examined the appropriateness of initial and discharge orders, the provision of patient dietary instruction, and the documentation of nutritional care.

Diet Therapy↗
PubMed1995

[Computer supported documentation of diagnostic results and interpretation of bone scintigraphy].

A PC software program with a graphical users platform was developed which enables the transfer of bone scintigraphy results to vectorgraphy-based skeleton images, and to implement a fully automatic anatomical localization definition of lesions. Documentation of the results is made possible by a complete, conventional structured medical letter. Additional information such as data on the patient, diagnostic methods and results, sacro-iliacal indexes, recommendations and remarks can be added to the scintigrams. By implementation of a database and PCX-interface, the system is open.

Bone Diseases↗
PubMedDate not supplied

[Study of the practicability of qualitative and quantitative documentation of outcome in inpatient psychotherapy].

The results of a study evaluating the practicability of two newly-developed documentation forms are presented (n = 336 inpatient psychosomatic-psychotherapeutic treatment episodes in 8 clinics). Parallel versions of the forms were completed by patients and therapists. The "ErgeDoku-A-Form" allows for the naming of up to five therapy goals determined at the beginning of therapy and evaluated in relation to their achieved quality at the end of therapy. The "ErgeDoku-B-Form" describes a variety of problem areas as well as questions related to medication and changes in data structure are presented. Results reveal high levels of acceptance in daily clinical practice (indicating clear and appropriate semantics) as well as highly significant relationships between patient and therapist evaluations.

Documentation↗
PubMed1994

[Structured documentation in gastroscopy: a method for improved quality assurance?].

To further improve quality assurance of gastrointestinal endoscopy, a computer assisted documentation system for gastroscopic data was assessed. In this context, for the structured written recording system, parameters "expenditure of time" and "acceptance by doctors" was evaluated. Contrary to free, unstructured data recording, the structured system employing predefined terms was able to promote doctors' acceptance of endoscopic terminology standards.

Attitude of Health Personnel↗
PubMed1994

Too important to miss out? Documentation of care in critical care nursing.

1. In critical care settings, time may be limited for the documentation of care in the care plan. 2. Implementation of the nursing process involves responsiveness both to clients' clinical needs and their informed choices. 3. The care plan is not wholly indispensable to individualised, holistic care, but is integral to the full professional implementation of the nursing process.

Critical Care↗
PubMed1994

[Docu-Rec: the recording of tooth-colored restorations with a computer-assisted documentation system].

A new computerized documentation system for tooth-colored restorations was established in a clinical setting of the University of Zurich School of Dentistry and evaluated during one year. Workstations (Apple) at the chairside being linked in a computer-net (Ethernet) were used for data acquisition. A newly developed software ("Docu-Rec", Zeller 1994) offered predefined and logically connected clinical and dental material parameters to the user allowing a rapid data entry. From February 1993 to January 1994, 14 dentists recorded a total of 598 tooth-colored restorations (491 Cerec inlays/onlays, 26 laboratory-fabricated inlays, 81 anterior composite resin restorations) by entering 56,810 parameters into the system. The average acquisition time for one restoration was 2 minutes. The system proved to be user-friendly and practical.

Adult↗
PubMed1994

[The value of various forms of therapy in a university child and adolescent psychiatric clinic and associated facilities. Methodological aspects and contents of therapy documentation within the scope of quality assurance].

This study is an extension of an investigation by the same authors in which the treatment provided by a university child psychiatry department and associated facilities was analyzed. First a system for the assessment of therapeutic measures for children and adolescents with psychiatric disorders and their families is presented. Then the frequency of use of the different forms of therapy in a sample of more than 10,000 referred children and adolescents is discussed. The statistical analysis was conducted separately for the different facilities (inpatient wards, outpatient clinic, day treatment ward, mobile child psychiatric service and child guidance clinic). The results show the relative importance of the different types of treatment in the field of child and adolescent psychiatry. Furthermore, they show how the frequency and intensity of use of the different treatment forms varies in the different facilities. In some treatment categories (e.g. pharmacological treatment) there are significant differences among facilities, whereas in others (e.g. parent counseling and family-oriented interventions) the rate of usage is about the same at all facilities. With regard to methodology, the question is discussed of how treatment effectiveness can be assessed and documented in a practicable and meaningful way.

Adolescent↗
PubMedDate not supplied

Documentation and discharge planning for elderly patients.

This paper is based on data collected from 326 elderly patients recruited in the course of a descriptive study of discharge planning in eight acute medical and surgical wards of a large teaching hospital. Evidence suggested various areas with potential for improved documentation: particularly the need for more detailed recording of baseline information about physical and mental abilities; housing; community services used; and involvement of the carers on whom the elderly patients relied. The study highlights the need to obtain, early on, full and accurate information to facilitate timely and effective discharge planning.

Activities of Daily Living↗
PubMed1994

[A simple and rapid method for photographic documentation of findings using the slit lamp].

UNLABELLED: The objective photographic documentation and follow-up examination of changes in the eye's anterior segment is gaining importance as part of the daily practice. Until now, however, it has been linked with specially designed and expensive photographic equipment. A large number of ophthalmic units around the world do not have access to any form of photography. The advances in videographics do not offer an adequate alternative concerning both fineness of the grain and price per picture. MATERIAL AND METHODS: After installation of a new slit-lamp camera adapter, it was possible to produce color prints and slides. A 35-mm SLR camera with a spot-metering system, a clear view-finder focusing screen, highly sensitive slide film (ISO 640/29 degrees) and a standard 50 mm lens was used. No additional light sources or flashes were necessary in this camera-slit-lamp combination. CONCLUSION: This system is suitable to take color photographs of good quality and makes ophthalmic photography readily available, particularly in circumstances where more sophisticated photographic equipment is not available. Because of the fast and easy installation and the additional use for gonioscopic or fundus photography this combination is profitable even for inexperienced photographers.

Anterior Eye Segment↗
PubMedDate not supplied

[Detection and documentation of masked blood stains with infrared technique].

On dark textiles the visualization of blood stains with the naked eye is either difficult or impossible. In experimental stains and in case work stains we have applied an infrared (IR) video camera in combination with a video printer. As an alternative, an IR goggle was used which could also be connected with a video printer. The results obtained on a variety of different stains and stain carriers are encouraging. Stains showing poor contrast usually become more contrasted. Stains which are partly masked can become complete. Masked stains can become visible. The system is not effective in all combinations of stains and carriers. But it solves a great proportion of formerly problematic cases. Documentation of results is quite easy if a videoprinter is used.

Blood Stains↗
PubMed1994

Organizing and documenting clinical standards.

The concept of clinical standards of care is not new, but it is one that often is difficult for nurse managers to implement and maintain as part of the daily practice within their Nursing Service. Written clinical standards of Nursing Service were reorganized and streamlined to respond comprehensively to JCAHO, legal, and professional practice requirements and to decreased professional nursing resources. The documentation system developed fulfills medical center requirements and uses non-repetitious, easily understood forms which clearly reflect role differentiation.

Documentation↗
PubMedDate not supplied

[Computer technology for the automatic processing of the physician's medical documentation].

In the authors' opinion for a computerized health documents processing to be attractive for practitioners it should grant them appreciable advantages and not demand special training. When creating such a technology the authors achieved the object by as close as possibly adaptation of case history schemes to concrete diagnosis. The universal schemes are noted to be less convenient for the medical practice.

Diagnosis, Computer-Assisted↗
PubMed1993

The nursing plan: innovative home health documentation.

In order to improve documentation, a home health agency task force analyzed and revised its current nursing care plan system. Nurses in the five-county service area were involved in all aspects of the development. The system combines nursing interventions and patient outcomes with the overall physician plan to generate a totally computerized treatment plan.

Diffusion of Innovation↗