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PubMed · 8270838

Object-oriented data management: an approach to computerized anaesthesia documentation.

D P Möller·C Hörner
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Abstract

The main problem of today's anaesthesia department is that it spans a multiplicity of locations for data management dealing with data on the pre-OP, intra-OP, and post-OP situation as well as with data obtained from the laboratories, the administration, etc. In the operating room itself, numerous monitoring devices and anaesthesia machines have to be integrated into the anaesthesia documentation process. Therefore, computerized anaesthesia documentation as a part of quality control urgently needs sufficient support for handling both medical and administrative data, taking into account that the user usually is not a computer expert. We will describe an approach to solve the problem discussed applying object-oriented technology in medical data management, and a sequence of technical realization steps to bring this technology into clinical use.

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Anesthesia Department, HospitalDatabase Management SystemsDocumentationElectronic Data ProcessingGermanyMedical Records Systems, ComputerizedMicrocomputersJournal Article

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BibTeXRIS

D P Möller, C Hörner. 1993. Object-oriented data management: an approach to computerized anaesthesia documentation.. https://doi.org/10.1007/bf01133015

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A model for calculating the hospital costs for pediatric endoscopy.

BACKGROUND: Hospitals increasingly need, besides effectiveness data, accurate and reliable cost data to allocate their resources as efficiently as possible. In this article, a framework to calculate the hospital costs of setting up a new activity is presented and applied to pediatric endoscopy. METHODS: The cost calculations were based on a detailed registration of labor time, materials, space, and equipment needed to perform endoscopy in pediatric patients in a tertiary care hospital, the University Hospital in Leuven, Belgium. RESULTS: The initial investment expenses amount to 70,000 ECU ($91,000 in U.S. money), assuming that the facilities of the adult endoscopy unit can be shared. The additional variable cost for each procedure, including labor time and materials, varies between 100 and about 170 ECU ($130 and $221 U.S.), depending on the type of endoscopy (upper or lower, diagnostic or therapeutic). These basic data can be used to calculate the total costs for pediatric endoscopy under alternative scenarios (e.g., varying total number of procedures). CONCLUSIONS: The costing exercise has given the hospital better insights into the working procedures (and hence costs) of pediatric endoscopy. Other organizations will be able to apply this framework in their setting, since all included cost components, as well as volumes and unit prices, are reported separately.

Anesthesia Department, Hospital↗