Biomedical subjects

L Greenway

Publications and source records attributed to L Greenway.

5 recordsLinked to original sources

PubMed1995

Cost effective computerized decision support: tracking caregiver acceptance at the point of care.

We implemented a computerized decision support tool to standardize the administration of supplemental oxygen (O2) therapy in the acute care (non-ICU) hospital setting. Caregiver acceptance of the computerizeds oxygen therapy protocol (COTP) instructions was measured to determine the clinical performance of the computerized decision support tool. 49.6% of instructions generated were followed by the clinical caregiver, and 16.8% of instructions generated were explicitly acknowledged by the user through the COTP computer interface. Despite this low caregiver response rate, significant favorable changes in the administration of oxygen were observed. This paper is focused on the issues of general importance the caregiver response rate raises for the implementation and clinical use of computerized decision support tools, including: (1) limitations of the user interface and (2) inherent difficulty in changing long-standing practice patterns.

Attitude to Computers↗

PubMed1993

Computerized management of respiratory care.

Respiratory care as an organized discipline is only about 45 years old, and the management of this dynamic allied health profession has usually been characterized by a demand-for-service mentality. As pressure continues to control costs, those departments that maximize quality patient care cost-effectively with thoroughly documented outcomes are in a better position to compete for future resources. The practice of respiratory care is changing as is the practice of medical care in general. Accountability for resource consumption and the quality of the product delivered are essential elements in the delivery of respiratory modalities. We have developed and implemented a comprehensive patient-data-based approach to the management of respiratory care. The essential elements of this approach are (1) relative-value-unit procedure base; (2) individual, shift, and department productivity that is attached to the annual performance review process; (3) management reporting on a 24-hour basis, with biweekly review at the management level; (4) development and implementation of a comprehensive patient-data-documentation system that permits automatic patient billing and 100% data review for quality-assurance documentation; (5) the development of a medical alerting system that alerts the Medical Director and Respiratory Care staff to potentially harmful events that, if untreated, may result in increased morbidity or mortality; and (6) the development of concurrent and retrospective tools for patient-outcomes research. These functions are supported by an active Medical Informatics Department that is nationally recognized in medical computing and logic application.

Cost-Benefit Analysis↗

PubMed1988

Bilateral otorrhagia associated with continuous positive airway pressure.

A patient had bilateral tympanic membrane rupture and otorrhagia, an unusual complication of continuous positive airway pressure (CPAP). CPAP, applied by a bag/mask system using disposable spring valves, was used to treat acute pulmonary edema during volume resuscitation and vasopressin therapy for bleeding from esophageal varices.

Cough↗

PubMedDate not supplied

Computer-assisted medical direction of respiratory care.

As medical technology and the increased demand for respiratory care make concurrent monitoring of all respiratory care services more difficult, computers are coming to the aid of medical directors and quality assurance committees. The respiratory care staff at LDS Hospital, Salt Lake City, has used computers to enhance patient care and quality assurance.

Hospital Bed Capacity, 500 and over↗

PubMedDate not supplied

The progress-notes component of the POMR.

The Problem-Oriented Medical Record (POMR) is a five-part patient care documentation system widely used throughout North America. This article concerns the progress-notes component of the POMR and describes techniques for acquiring this information.

Medical Records↗