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The introduction of information and communication technologies (ICTs) to the management of catastrophes give us the opportunity to significantly increase the effectiveness of the rescue forces. Current state of the art, hanging triage cards and white boards, require a significant level of effort and stress to achieve the organization of the operation. In this paper we discuss a solution based on an...
This paper proposes a framework for mobile nursing documentation enabling the integration of clinical intervention data with both electronic health record systems and real-time intelligent decision support systems for patient monitoring. A brief discussion on the networking and information security concerns is presented in order to provide context for the mobile application design decisions surround...
At the “A” psychiatric hospital, previously nurses used paper-based nursing staffs' daily records. We aimed to manage the higher quality nursing and introduced “electronic management system for nursing staffs' daily records system (ENSDR)” interlocked with “Psychoms®” into this hospital. Some good effects were achieved by introducing this system. However, some problems have been left in this system...
We present the current status and the interim results of our e-Care / e-Care Mobile project, which aims at better integration of home healthcare with institutional health-care (hospitals, nursing homes) through mobile devices. We develop a software system for such devices that enables access and update of healthcare records stored on an IHE-compliant server. We give details on the necessary adaptation...
Mobile clinical systems hold great potential for facilitating nursing documentation and communication activities. In this paper, we explore the possibilities of evaluating a mobile clinical system prototype by nurses in the early system design stage. Nurses' concerns and perceptions regarding the mobile system were solicited using a scenario-based design approach. The results revealed tensions between...
Computerized medical records are continuing to be adopted in hospitals nationwide, but the vast majority of health care systems rely on paper records as well. Physician documentation of patient conditions must support a variety of functions, which often conflict with each other. The goal of this project was to redesign the daily note template for a Trauma Center to encourage higher quality documentation...
So far there is no connection between mobile nursing documents, documentation of nursing homes and care documentation of hospitals. Inadequate communication processes affect the quality of nursing care due to time delay and risk of errors due to repeated data entries, and therefore the quality of life for elderly people. In order to enable standardized processes and uniform communication between different...
Healthcare providing organizations have achieved considerable achievements in efficiency and effectiveness due to the use of Information Systems (IS) in the past. However, focus was generally targeted towards “managerial IS”, often resulting in additional efforts for doctors and nurses. This paper proposes event-driven service oriented architecture as a means for improving the convenience of care...
Healthcare providing organizations have achieved considerable achievements in efficiency and effectiveness due to the use of Information Systems (IS) in the past. However, focus was generally targeted towards “managerial IS”, often resulting in additional efforts for doctors and nurses. This paper proposes event-driven service oriented architecture as a means for improving the convenience of care...
These findings have practical significance for focusing design and managerial efforts in addressing the needs of the end users during the system design phase and for future system improvements. Our results indicate that if a system is perceived as easy to use and useful by the end users, then it will more likely be accepted and effectively used. Future analysis will examine the relationships between...
Medical equipment is one of the major infrastructure components of hospitals. Their peak performance is critical to the quality of healthcare services. Clinical engineering (CE) services in Sudanese hospitals have been recently existed therefore this paper aims to evaluate the clinical engineering (CE) departments in Sudanese hospitals. Firstly a robust assessment system has been prepared under the...
The research by Maliranta and Rouvinen based on the Finnish industrial statistics confirms that the productivity improvements in firms correlate to organizational and process changes (Maliranta and Rouvinen, 2003 and Maliranta and Rouvinen, 2004). These results implied a further question: Which types of process changes create the most beneficial productivity improvements in different environments...
(1) To describe the introduction of standardised cardiac arrest documentation to Auckland City Hospital, highlighting how barriers to using the Utstein template were overcome. (2) To determine the adequacy of documentation of cardiac arrest time intervals.A retrospective audit of cardiac arrest documentation for a 3-year period following the introduction of a standard documentation form.There was...
Objectives To investigate the perceived value and the recording, storage and use of pharmacists’ clinical intervention data in New Zealand hospitals. Methods A questionnaire-based cross-sectional survey of all pharmacy managers in public and privately funded hospitals employing one or more pharmacists. Main outcome measures The number of hospitals collecting information, the collection and storage...
A mainframe and PC-linked system for equipment management has been augmented with a bar code reader and laser printer to improve service documentation. The bar coding methods were coupled with changes in service coding procedures to include use of predetermined service codes. The hardware and procedural changes resulted in data collection that was faster, more accurate, and of greater management value...
Due to the obligation to employee health and OSHA's ever decreasing permissible exposure limits (PELS) for hazardous gases, it has become imperative that hospitals institute an effective and accurate method for gas analysis while adhering to time and budget restraints. Some of the most frequently monitored gases in the hospital environment are ethylene oxide (EtO), nitrous oxide, halothane, xylene,...
Searching for a diagnosis D in a group of patients with the help of a diagnostic test T can be compared with searching this diagnosis out of a patient-oriented medical database. The quality index 'precision' is an estimator of the Bayesian postretrieval probability P(D/T) and is dependent on the unconditional probability P(D), which can be interpreted as a priori precision. The precision value by...
The medical record is maintained for the express purpose of enabling the physician to deliver better care to the patient. But its usefulness in achieving that purpose has often been hampered by its inflation with voluminous, unorganized notes, and test results. The medical profession has begun to recognize this, and work has recently been done in reviewing the structure of the medical record with...
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