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Biomedical subjects

K W Hammond

Publications and source records attributed to K W Hammond.

7 recordsLinked to original sources
PubMed1995

An effective computer-based tardive dyskinesia monitoring system.

To promote early recognition and treatment of neuroleptic-induced tardive dyskinesia we used our facility's pharmacy and appointment data bases to develop an automated reminder system that significantly improved physician monitoring of patients receiving antipsychotic drug therapy. The system prompts staff to perform regular examinations for abnormal involuntary movements and to review patients' consent to therapy with antipsychotic medication. The average prevalences in the 15 months after automated reminders began, in a population of over 800 patients, increased from 53% to 85% for an annually completed abnormal involuntary movement scale in medical records and from 38 to 74% for a statement of informed consent. Now, 45 months later, prevalences of both measures approaches 100%. The integrated design of the Department of Veterans Affairs computer system allowed linking pharmacy and appointment scheduling data and facilitated the project. The reminder system effectively promoted rapid, marked, and sustained change in physicians' documentation of antipsychotic drug therapy.

Antipsychotic Agents↗
PubMed1995

Treatment planning: implications for structure of the CPR.

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.

Humans↗
PubMed1990

A provider-interactive medical record system can favorably influence costs and quality of medical care.

The Geriatric Record and Multidisciplinary Planning System (GRAMPS) is a provider-interactive computerized medical record system designed to support outpatient geriatric practice in Department of Veterans Affairs (DVA) clinics. In a controlled prospective study, physician use of the system was demonstrated to be associated with a reduction of the costs, and improvement in the quality and outcomes of patient care. The system was well-accepted by users, and provided a practical approach to physician data-entry. The system's text-handling and narrative generation capabilities support an extensive clinical content domain, contributing to overall performance. These features will be described in detail.

Aged↗
PubMed1984

A computerized psychiatric treatment planning system.

The authors describe a computer-assisted psychiatric treatment planning system developed at the Jerry L. Pettis Memorial Veterans Hospital in Loma Linda, California. Using the File Manager, a VA-developed data base management system, they have developed a comprehensive, flexible system for writing, retrieving, and analyzing psychiatric treatment plans. The system permits rapid entry and retrieval of required treatment plans and produces a document that is clinically expressive and readable. It stores clinical data that may be analyzed for research, quality assurance, and management purposes. The authors discuss design philosophy, practical aspects of implementation, staff acceptance, and future applications to structured medical records.

California↗
PubMed1983

Schizophrenia in Palau: a descriptive study.

The authors systematically studies 35 Palauan schizophrenic patients. Although these Western Pacific people demonstrated many of the usual features of schizophrenia, the sample showed an unusual 4:1 male predominance, a proclivity toward violence and substantial affective symptomatology. Male patients extensively abused alcohol and cannabis. The authors postulate that toxic, social change and cultural factors interact in Palau to place men at increased risk for schizophrenia.

Adult↗
PubMed1982

Male predominance among Palauan schizophrenics.

Data gathered in a three-month field study of known schizophrenics in the Palau Islands reveal a 4:1 ratio of males versus females. It si postulated that relatively rapid sociocultural changes over the last two decades have loosened traditional external restraints on behaviour, destabilised male role and gender identities, and created an environment which has been particularly schizophrenogenic for males. Statistical analysis of the age distribution of the schizophrenics is used to support the hypothesis. Evidence is also presented indicating that the gender distribution is not artifactual.

Acculturation↗