An institution-based process to ensure clinical software quality.

S A Abookire; J M Teich; D W Bates

Home/Archive/PubMed

PubMed · 10566401

An institution-based process to ensure clinical software quality.

S A Abookire·J M Teich·D W Bates

View original source ↗Export metadata ↓

Abstract

Clinical software can have a major impact on the delivery of care. It is imperative that clinical software undergo regular quality review, to evaluate the clinical correctness of the specification, the technical correctness of the software, problems that have arisen, and maintenance of the software as conditions change. We have developed a process using existing hospital review groups to perform clinical review, and using a project specification form and analysis of likely problem areas to effect technical review.

Explore related subjects

Hospital Information Systems Quality Control Software Software Validation Journal Article Research Support, U.S. Gov't, P.H.S.

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

S A Abookire, J M Teich, D W Bates. 1999. An institution-based process to ensure clinical software quality.. https://pubmed.ncbi.nlm.nih.gov/10566401/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2006

[Plea for the retention of the Dutch National Medical Registration (LMR) to provide reliable information regarding public health and healthcare].

Since 1963, information on each hospital admission has been collected from all general and university hospitals in the Netherlands (the 'Landelijke Medische Registratie'; LMR). This information includes, among others, one main discharge diagnosis and up to nine secondary diagnoses made during admission, the duration of the hospital stay, death during admission, times of admission and discharge, type of specialist who treated the patient, operations and related therapeutic procedures. This information system is not biased by financial incentives and is therefore a good resource for epidemiological studies and drug-safety research. As of 2005, a new type of administration has been introduced that records diagnosis-therapy combinations for reimbursement purposes. Because the reimbursement of closely related diagnosis-therapy combinations may differ, the system is not only sensitive to fraud but will probably also jeopardise the validity of epidemiological research with such data. Therefore, the LMR system cannot be missed.

Hospital Information Systems↗

PubMed2006

Implementing a new ADT based on the HL7 version 3 RIM.

The University Hospitals of Geneva (HUG) are the result of the merge of six hospitals into one single organization. While a true fusion of the management has been effectively done, it was not the case 5 years after for several databases, and in particular the ADT (admission, discharge, transfer). In order to truly realize the fusion, a new ADT service has been built using state of the art technology and standards in order to replace the existing seven services. This paper presents the results of the redesign and development of the new ADT service. The data model, based on HL7 RIM, is described and the technologies selected are presented. Finally, a status after 1 year of production is presented.

Hospital Information Systems↗

PubMed2006

The product and process of referral: optimizing general practitioner-medical specialist interaction through information technology.

With the growing complexities of health care delivery in western industrialized countries, the need for inter-organizational communication is increasingly emphasized. In this paper, we focus on a system - ZorgDomein - that was developed to optimize GP-medical specialist communication. Contrary to the notion of 'shared' or 'integrated care' that often assumes a 'seamless' health care, we will focus on the negotiated order of GP-specialist cooperation, showing the precarious localized arrangements that allow both a bridging and a separation of professional activities concerning patient care. Furthermore, we analyze how ZorgDomein changes the arrangements to maintain a working order. The main focus of the article is on the way GP-specialist referrals are on the one hand conceptualized as discrete events of information sharing, while on the other hand are part of a process of care. We will argue that in standardization attempts by national and local actors, embodied within the technology, information exchange between first and secondary care is made into a product. This conceptualization and materialization neglects the process in which this information comes about or is being created. We discuss the consequences of this for the design and use of the technology.

Hospital Information Systems↗