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Results for “Hospital Communication Systems”

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At least 19 recordsLinked to original sources
PubMed1991

Network system: the integrated picture archiving and communication system with the hospital information system.

We describe the outline of Hokkaido University picture archiving and communication system (HU-PACS) and its network functions. HU-PACS processes 0.5 Gbytes of images daily through 10 acquisition devices. Functional integration of hospital information system (HIS) and PACS has been implemented. The HU-PACS can access common data base with HIS. Multi-image data-base systems provide fast throughput of image retrieval. The system is composed of 4 modules: (1) 2 image data-base systems (IDS), (2) 1 image management system (IMS), (3) image display terminals (IDT), and (4) 8 image acquisition nodes interfaced to 10 modalities and 1 film scanner. These 4 modules are connected by branch and loop type local area networks (LAN). HU-PACS has functions other than basic PACS functions. Images in optical disk library (ODL) are loaded onto magnetic disks (MD) in advance according to patient booking information, the images expected to be viewed are transferred to the local storage automatically, and the desired images can be pre-downloaded into local storage by instruction through HIS terminals.

Computer Communication Networks↗
PubMed1978

Distributed laboratory computing. Integration of a laboratory computer into a hospital information system.

The University of Iowa Hospitals and Clinics, a large teaching hospital and tertiary care referral center, has implemented a vendor-supplied laboratory computer package operating on a dedicated minicomputer. A high-speed communications link allows the laboratory computer to share patient administrative, census, and test result data with the central hospital information system on an interactive basis. Operational characteristics of the system are discussed, and special attention is given to the critical problems and advantages of interfacing two computers.

Computers↗
PubMed1975

[Criteria for the system selection in medicine (author's transl)].

The selection of an electronic data processing system for use in the medical field is in many cases complicated by the fact that the tasks have not yet been defined accurately in detail. Therefore, the technical system planning may only be carried out on the basis of an organization study which, among other things, is to provide bases for answering questions about the structure of this system, about the places where subsystems should operate in the hospital, and about the individual levels of implementation. When selecting the system, the criteria to be taken into consideration include the technical efficiency, organizational range of application, reliability, assistance by the manufacturer and, last but not least, the cost - bearing in mind that, in the medical field, the weights may be placed quite differently from the commercial field. With this planning consideration should also be given to the possibilities of utilization not basing on a system of one's own.

Computers↗
PubMed1976

[The data processing system in the Herford district hospital (author's transl)].

A problem analysis, independent of hardware, showed that the use of a multi-computer compound system is the most favorable solution for a general hospital. Together with the Federal Republic and the State of North Rhein-Westphalia, a hospital control system based on small computers by integration of the information flow of autarkic data processing subsystems was developed, and put into service. In this way communication and data management are carried out in one hierarchic high-ranking data processing subsystem, the data processing for medical technology (roentgendiagnosis radiotherapy, nuclear medicine, medical electronics, clinical chemistry laboratory) and administration in autarkic subsystems.

Electronic Data Processing↗
PubMed1991

Centralized telemetry monitoring: implementation and management.

Baptist Memorial Hospital in Memphis, Tennessee has implemented a newly designed cardiac arrhythmia monitoring system. Management engineers worked closely with nurses and physicians in the design process which led to development and implementation of a centralized telemetry monitoring system. Changes in the work distribution, improvement of the work environment, efficient use of nursing personnel and upgrades of monitoring equipment are several of the objectives addressed by this new centralized monitoring system. The backbone of the centralized telemetry monitoring system is an effective communication system that fully addresses staff needs during emergency situations. This paper presents the communication system features as well as the operational, functional and technical considerations necessary to support a centralized telemetry monitoring system. Some topics covered in detail include communication system selection, staff scheduling, selection, training, and supervision of staff members, ergonomic workstation design parameters and centralized telemetry monitoring system benefits. One benefit observed was that an additional 35 minutes per nurse per shift was made available to provide additional patient care activities.

Arrhythmias, Cardiac↗
PubMed1979

[Rapid and automatic acquisition and transmission of acid-base equilibrium parameters in a clinical biology laboratory (author's transl)].

The "pH-blood gas" department of our clinical biology laboratory was organized to meet rapidly and in the most reliable conditions possible the numerous and urgent analytical demands that had been confronting us. The structure was set up, therefore, in order to accelerate the speed at which blood samples could be transferred and make it possible to quickly and reliably obtain and transmit the results of the analyses. These necessities were satisfied thanks to the installation of a pneumatic tube allowing the rapid transfer of syringes, the utilization of automatic analysers, and the installation of a data processing system.

Acid-Base Equilibrium↗
PubMed1978

Dealing with specimen problems in a computerised clinical chemistry laboratory.

The use of a laboratory computer system to deal with specimen problems is described. Problems such as 'insufficient material' or 'haemolysis' are entered by reception staff or by bench workers so that resolution of the problem will not be overlooked; problems are then listed and dealt with by the duty biochemist. Specimens on printed worksheets are annotated 'urgent' where appropriate. Results obtained on-line, which are above top standard, automatically cause the specimen to reappear on the next worksheet marked 'dilution required'. Data relating to its use over a three-month period are presented together with some comments on the causation of specimen problems and their prevention.

Chemistry, Clinical↗
PubMed1991

Support systems, facilities and staffing of clinics in Mhala, Gazankulu--are they adequate?

A study comprising in-depth interviews of sisters in all 15 rural clinics in the Mhala district of Gazankulu showed them to experience major problems with support systems: radiophone communication was unreliable (and even absent in 3 clinics); transport was inadequate; the cold chain was not well maintained and essential drugs and equipment were absent (only 1 clinic had all the equipment to manage a neonatal resuscitation adequately). There were also serious deficiencies in facilities, lack of running water and electricity posing the most serious problems (resulting in deliveries and suturing of episiotomies by candlelight). Other pressing problems include inadequate waiting space and patient privacy. Staffing at the clinics fell well below what is required, yet the commitment of staff was often inspiring. The state of the clinics must be seen within the constraints of 'homeland' policy and the unequal distribution of the country's health care resources. Despite these limitations the clinic service can be improved. Recommendations are made for this, concentrating on improving support structures rather than on the more costly improvement of facilities.

Ambulatory Care Facilities↗
PubMed1992

Interrupted care. The effects of paging on pediatric resident activities.

OBJECTIVE: To determine the content and urgency of pages and their effect on the activities of pediatric residents. DESIGN: Prospective survey. SETTING: University-affiliated teaching hospital. PARTICIPANTS: Seventeen pediatric residents on regular pediatric services. INTERVENTIONS: None. MEASUREMENTS/MAIN RESULTS: On daily logs, interns recorded the activity interrupted by a page and rated the urgency and importance of the page. Almost half of all pages interrupted patient care activities, and 24% interrupted scheduled work rounds or teaching conferences. Interns reported that 34% of pages resulted in a change in patient treatment, but they rated 25% of all pages as unimportant. CONCLUSIONS: "Beepers" frequently interrupt pediatric residents involved in patient care activities and scheduled educational conferences. Studies of interventions aimed at decreasing unnecessary interruptions by pages are needed.

Burnout, Professional↗
PubMed1990

The M1 Kegworth aircraft disaster: experience in three hospital blood transfusion laboratories and the regional transfusion centre.

Eighty-eight survivors of an aircraft accident on the M1 motorway were taken to three major hospitals, two of which were teaching hospitals, in the immediate vicinity. We describe the effects of this on the three blood transfusion and haematology laboratories concerned and on the regional transfusion centre, describe how the work was processed, and list the lessons learnt.

Accidents, Aviation↗