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Biomedical subjects

R D Zielstorff

Publications and source records attributed to R D Zielstorff.

15 recordsLinked to original sources
PubMed1992

Representation of nursing terminology in the UMLS Metathesaurus: a pilot study.

To see whether the National Library of Medicine's Metathesaurus (tm) includes terminology relevant to clinical nursing practice, two widely used nursing vocabularies were matched against the Meta. The two nursing vocabularies are 1) the North American Nursing Diagnosis List of Approved Diagnoses; and 2) the Omaha System, a vocabulary of problems and interventions developed by the Omaha Visiting Nurses Association. First, the terms were scanned against Meta in their "native" form, with phrases and combinations intact. This produced a relatively low percentage of exact matches (12%). Next, the terms were separated into "core concepts" and "modifiers" and the analysis was repeated. The percentage of exact matches to terms in Meta increased to 32%. However, the semantic types of the split terms often were not equivalent to the semantic types of the phrases from which the split terms were derived; also, in some cases, terms returned as exact matches had different meanings in Meta. Automatic scanning for lexical matches is a helpful first step in searching for vocabulary representation in Meta, but term-by-term search for context, semantic type and definition is essential. However, it seems clear that representation of nursing terminology in the Metathesaurus needs to be expanded.

Nursing↗
PubMed1991

A computer-based tutorial for H.I.S. orientation: laboratory results retrieval.

Computer-based training developed with high-level software packages offers a cost-efficient means of orienting large numbers of personnel to a hospital information system. Equally important, a decentralized, self-administered, self-paced tutorial allows professional personnel to get training where and when they want it, with as little or as much reinforcement as they desire. We will demonstrate the tutorial we developed to train 2500 clinical and unit support personnel to use the first clinical module of our Patient Care Information System. Although the Laboratory Results Inquiry function was simple to use, many of our staff had had little or no exposure to computers, and none knew how to use the system we would be implementing. About 300 of our 2500 personnel elected to come to mentored group classes, where the same computer-based tutorial was used, but a trained "superuser" was available to answer questions and offer guidance.

Boston↗
PubMed1990

Issues in designing an automated record system for clinical care and research.

Automated clinical record systems have the potential for amassing a rich database for clinically focused research. Several requirements must be met for this to occur, however. The data must be valid and reliable, and they must be structured in such a way that they can be analyzed. In addition, the data must be housed in a software environment that permits easy retrieval and manipulation. Clinicians have their own requirements for clinical record systems, which may conflict with the objective of achieving a database useful for research. This article reports the experience of one group in designing a system that serves as both a clinical record system and a database that can directly assess the impact of a coordinated care program for postacute care of the elderly.

Aftercare↗
PubMed1988

IAIMS development at Harvard Medical School.

The long-range goal of this IAIMS development project is to achieve an Integrated Academic Information Management System for the Harvard Medical School, the Francis A. Countway Library of Medicine, and Harvard's affiliated institutions and their respective libraries. An "opportunistic, incremental" approach to planning has been devised. The projects selected for the initial phase are to implement an increasingly powerful electronic communications network, to encourage the use of a variety of bibliographic and information access techniques, and to begin an ambitious program of faculty and student education in computer science and its applications to medical education, medical care, and research. In addition, we will explore means to promote better collaboration among the separate computer science units in the various schools and hospitals. We believe that our planning approach will have relevance to other educational institutions where lack of strong central organizational control prevents a "top-down" approach to planning.

Boston↗
PubMed1985

Cost effectiveness of computerization in nursing practice and administration.

Are computer systems in nursing cost effective? The question is appropriate for some types of systems, specifically those that are circumscribed and well-defined. But most automated systems that impact nursing practice are large and diffuse, and do not lend themselves to cost effectiveness analysis. The author contends that cost benefit analysis is the more appropriate technique. This paper provides definitions of the terms used, and reviews documented examples of each type of evaluation. Nurses should learn when cost effectiveness analysis is appropriate and when it is not. They should also recognize that the more sophisticated a clinical system is in terms of data manipulation/management capabilities, the more expensive it will be, and the harder it will be to assign a dollar value to the benefits that accrue.

Computers↗
PubMedDate not supplied

Guidelines for reporting innovations in computer-based information systems for nursing.

Inconsistent, incomplete reporting of computer applications in nursing is a barrier to building a knowledge base in the field. Progress in building this knowledge base might be accelerated if system developers could use the available literature to build upon work previously done and to profit from lessons already learned. This article presents guidelines for developing articles and reports on computer applications in nursing. Important topics include statement of the problem, proposed solution, description of the system, system impact, relationship to previous work, problems encountered, lessons learned, professional issues, transferability, and future plans. A checklist is provided. The authors welcome comments on these guidelines.

Communication↗