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Proceedings. Symposium on Computer Applications in Medical Care最新文献

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Interaction and dialogue between the users and the patient record core of hospital information system: looking for a solution. 医院信息系统用户与病案核心的交互对话:寻找解决方案。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
M C Mazzoleni, G Franchi, R Marconi, M Cortesi, P Baiardi
{"title":"Interaction and dialogue between the users and the patient record core of hospital information system: looking for a solution.","authors":"M C Mazzoleni,&nbsp;G Franchi,&nbsp;R Marconi,&nbsp;M Cortesi,&nbsp;P Baiardi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The lack of good user interface, in terms of both modality of dialogue and system behaviour is the major impediment to the acceptance and routine use of the computer based patient record (CPR) core of a hospital information system. We describe here the adopted approach to face the daily users' needs, overcoming the pitfalls of the paper based patient record (PPR), and giving the physicians an exhaustive modality for CPR inspection.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"474-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579138/pdf/procascamc00009-0503.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing AJN Network: phase two. An information resource for nurses. 发展AJN网络:第二阶段。护士信息资源。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
M A Rizzolo, K DuBois
{"title":"Developing AJN Network: phase two. An information resource for nurses.","authors":"M A Rizzolo,&nbsp;K DuBois","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In September of 1993 the American Journal of Nursing Company was awarded a three-year Special Projects Grant from the Division of Nursing, Department of Health and Human Services to develop a national information service that would provide a variety of formal and informal continuing education services to nurses in medically underserved communities. AJN Network went \"live\" in March 1994 and our progress in our first year of operation was presented at SCAMC in 1994. During the first year of operation, AJN Network was available through a dial in service. In September 1994 we became an Internet node. This presentation will detail our progress in Year 2 of the grant period, describing expansion of user base and content, new content offerings, initial stages of WEB development and plans for future development.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"106-10"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579065/pdf/procascamc00009-0137.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Extending a clinical repository to include multiple sites. 扩展临床存储库以包含多个站点。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
K A Marrs, M G Kahn
{"title":"Extending a clinical repository to include multiple sites.","authors":"K A Marrs,&nbsp;M G Kahn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the consolidation of health care organizations and services, a clinical repository comprising data from a single site is no longer sufficient. Individual patient data are now spread across multiple sites comprising a single enterprise. Users require an integrated view, or at least a common view, of these clinical data across multiple sites. Many issues arise when one tries to merge data from multiple, distinct organizations into an existing schema. We have addressed these issues while extending our clinical repository for Barnes Hospital with data from Jewish Hospital, both of which are members of the recently formed BJC Health System. We describe the architecture of our existing repository, approaches and issues in extending this repository to include multiple sites, and the specific issues we addressed in our system.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"387-91"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579120/pdf/procascamc00009-0416.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Creating temporal abstractions in three clinical information systems. 在三个临床信息系统中创建时间抽象。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
M G Kahn, K A Marrs
{"title":"Creating temporal abstractions in three clinical information systems.","authors":"M G Kahn,&nbsp;K A Marrs","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Modern clinical information system developers recognize the need to associate temporal information with clinical data. However, specific clinical systems capture different temporal features using a variety of data modeling techniques. Two commonly used methods to represent temporal information are point-based events and interval-based durations. We recently implemented a rule-based expert system for drug dose monitoring on three clinical information systems. The expert system requires both static drug dosing information (drug name, amount, route, frequency) and temporal dosing information (duration of therapy, renewals, restarts). Our design goal was to use the same expert system code on all three information systems by defining a common database schema to hide differences in the original systems' data models. Although we have been successful in mapping clinical data from these three source systems into a unified temporal data representation, we describe how differences in handling time within the three clinical systems made this goal difficult to achieve.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"392-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579121/pdf/procascamc00009-0421.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hand-held computing in the patient care setting: a pilot project. 手持计算在病人护理环境:一个试点项目。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
J F Karshmer, A I Karshmer
{"title":"Hand-held computing in the patient care setting: a pilot project.","authors":"J F Karshmer,&nbsp;A I Karshmer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Direct patient care has not fully benefited from a number of recent advances in modern technology. Many of the normal data collections tasks carried out by care providers are still done with manual, error-prone procedures. In addition, the ability to consolidate or represent patient data in a meaningful and timely fashion as required by managed care expectations is unavailable. The reported work attempts to address these problems with the application of new hand-held computing technology.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2578882/pdf/procascamc00009-0038.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acceptance and performance by clinicians using an ambulatory electronic medical record in an HMO. 临床医生在HMO中使用动态电子病历的接受度和表现。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
M A Krall
{"title":"Acceptance and performance by clinicians using an ambulatory electronic medical record in an HMO.","authors":"M A Krall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Northwest Region of Kaiser Permanente implemented a comprehensive clinical information system in two sites between February and December 1994. By year end 46 primary care clinicians and 95 supporting personnel used the system on a daily basis to provide patient care. Clinicians use the product to select coded diagnoses, and directly order laboratory, imaging, and other tests, internal referrals, and prescriptions. They enter progress notes into the system, and use it to generate patient focused visit summaries. Clinicians took approximately 2 minutes longer, on average, to complete patient visits post-implementation. Most of this time was spent performing \"orders and diagnosis\" work, which included new required elements in the post-implementation period. Clinicians worked approximately 30 days before reaching their baseline visit rate and \"lost\" approximately 48 hours of productivity during the learning, including classroom training. User acceptance improved from 2 to 4 months of use.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"708-11"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579185/pdf/procascamc00009-0737.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the impact of structured text and templates in ambulatory nursing. 评估结构化文本和模板在门诊护理中的影响。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
D Crist-Grundman, K Douglas, V Kern, J Gregory, V Switzer
{"title":"Evaluating the impact of structured text and templates in ambulatory nursing.","authors":"D Crist-Grundman,&nbsp;K Douglas,&nbsp;V Kern,&nbsp;J Gregory,&nbsp;V Switzer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This evaluation looks at the use of templates for entering structured text nursing notes that generate both a legal text note that is the chart record and an underlying coded form of the note to support analysis and research. This study reflects the first phase of a prototype project of an integrated, computerized health record. Templates are notes that have been prewritten using a standard clinical vocabulary. Templates can be used as the basis of a new clinical note and can be either signed unchanged or modified to represent variations in clinical presentation. The prototype setting is a Primary Care clinic where both physicians and nurses are using the computer to enter clinical notes. In the prototype clinic team, nursing utilized the CPR for 100% of all documentation from day one. Use of templates was found to be the most frequent method of initiating a note.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"712-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579186/pdf/procascamc00009-0741.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment planning: implications for structure of the CPR. 治疗计划:对心肺复苏术结构的影响。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
K W Hammond
{"title":"Treatment planning: implications for structure of the CPR.","authors":"K W Hammond","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The work of developing a specification for treatment and care planning software reveals lacunae in current structural conceptualizations of the computer-based patient record (CPR). A written treatment plan is ubiquitous in psychiatric settings, highly structured, and in theory, ideally suited to computerization. Treatment and care planning are also prevalent in nursing, rehabilitation, and long-term care. Treatment plans justify treatment with clinical data, and document goals, methods, and treatment outcomes. Implementing computer-based planning has been more difficult than first thought because present CPR systems do not support data schemes suited for integrating treatment plans with the general patient record. The CPR for general medical care will advance when it can support a treatment plan. Gaps in current CPR design exposed by requirements analysis for a multidisciplinary, team-based treatment planning system are identified.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"362-6"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579115/pdf/procascamc00009-0391.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rule-based decision support application for laboratory investigations management. 基于规则的实验室调查管理决策支持应用。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
L Boon-Falleur, E Sokal, M Peters, J M Ketelslegers
{"title":"A rule-based decision support application for laboratory investigations management.","authors":"L Boon-Falleur,&nbsp;E Sokal,&nbsp;M Peters,&nbsp;J M Ketelslegers","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The appropriate management of clinical laboratory requests in specialised clinical units often requires the adherence to pre-defined protocols. We evaluated the impact of a rule-based expert system for clinical laboratory investigations management in a pediatric liver transplantation unit of our hospital. After one year, we observed an overall reduction in laboratory resources consumption for transplanted patients (-27%) and a decrease in the percentage of \"STAT\" requested tests (-44%). The percentage of tests ordered in agreement with the protocols for those patients increased from 33% before the introduction of the expert system to 45% when the system was used. The system was perceived by the clinicians as increasing the overall benefits in use of clinical resources, improving the laboratory data management, and saving time for the execution of laboratory ancillary tasks.</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"314-8"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579106/pdf/procascamc00009-0344.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
IMPACT: an object-oriented graphical environment for construction of multimedia patient interviewing software. 影响:一个面向对象的图形环境，用于构建多媒体病人访谈软件。
Proceedings. Symposium on Computer Applications in Medical Care Pub Date : 1995-01-01
L A Lenert, D Michelson, C Flowers, M R Bergen
{"title":"IMPACT: an object-oriented graphical environment for construction of multimedia patient interviewing software.","authors":"L A Lenert,&nbsp;D Michelson,&nbsp;C Flowers,&nbsp;M R Bergen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes our software for rapid construction of multimedia computer interviews. The program, which we call IMPACT, was designed to measure preferences for health outcomes using the standard gamble and other decision analytic techniques. IMPACT is also a multimedia shell program that allows researchers to interactively construct patient interviewing instruments without programming or scripting. It supports the integration of text, graphics, synthesized speech, digital sound and QuickTime movies into interviewing instruments through a point-and-click interface. IMPACT also supports branching logic and randomizing the presentation order of materials within an instrument. This allows customization of the presentation based on patient responses and facilitates experimental designs. Validation studies show that preference assessments performed using IMPACT have high test-retest reliability (r = 0.83, n = 96). Post-test surveys (n = 52) show that most subjects understand valuation methods (86%) and believe that the explanations provided were clear (96%) and that methods were reasonable (80%). The majority of subjects thought the preference assessment methods were not difficult to use (53%) and would have been comfortable using such methods for medical decisions (53%).</p>","PeriodicalId":77331,"journal":{"name":"Proceedings. Symposium on Computer Applications in Medical Care","volume":" ","pages":"319-23"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2579107/pdf/procascamc00009-0349.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19543360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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