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At least 253 records · Page 14Linked to original sources

The Diatek Arkive "Organizer" patient information management system: experience at a university hospital.

OBJECTIVE: To install and successfully use early commercial automatic anesthesia recordkeepers, the Diatek Arkive "Organizer" units, in the operating rooms at a major university medical center. METHODS: Because of the history of previous academic attempts at automatic anesthesia recordkeeping, the units were installed on a "surprise" basis, with hardly any discussion of the devices beforehand. RESULTS: The devices themselves had a number of minor difficulties at the start, most of which were promptly corrected. Eventually the units were in use in all non-cardiac general operating rooms. At one point, usage reached over 90% of possible cases. Continued opposition to the device on the part of certain individuals, coupled with the obsolescence of the present devices in light of new technology, led to the eventual abandonment of the system and removal of the devices from service. DISCUSSION: Total resistance to the new devices on the part of a few vocal faculty members was a major factor in the ultimate downfall of the system. The method of introduction, and especially the lack of involvement of faculty, residents, surgeons, operating room personnel, hospital computer personnel, and the hospital administration in the installation also played a role in the failure of the system. Lack of a workable training mechanism for new residents prevented that user group from rapidly gaining comfort with the systems.

Anesthesia Department, Hospital↗

Searching MEDLINE free on the Internet using the National Library of Medicine's PubMed.

Searching MEDLINE, the National Library of Medicine's premier bibliographic database covering the fields of medicine, nursing, dental medicine, the healthcare system, veterinary medicine, and the preclinical sciences, is now available free on the Internet through PubMed. This retrieval system allows users of all skill levels to obtain important medical information. Additionally, through the National Network of Libraries of Medicine (NN/LM) program, a division of NLM, user support in the form of phone, e-mail, and training is available free of charge. Those interested in having a training session for PubMed at their facility may contact the NN/LM to make arrangements.

Computer User Training↗

The thought translation device: a neurophysiological approach to communication in total motor paralysis.

A thought translation device (TTD) for brain-computer communication is described. Three patients diagnosed with amyotrophic lateral sclerosis (ALS), with total motor paralysis, were trained for several months. In order to enable such patients to communicate without any motor activity, a technique was developed where subjects learn to control their slow cortical potentials (SCP) in a 2-s rhythm, producing either cortical negativity or positivity according to the task requirement. SCP differences between a baseline interval and an active control interval are transformed into vertical or horizontal cursor movements on a computer screen. Learning SCP self regulation followed an operant-conditioning paradigm with individualized shaping procedures. After prolonged training over more than 100 sessions, all patients achieved self-control, leading to a 70-80% accuracy for two patients. The learned cortical skill enabled the patients to select letters or words in a language-supporting program (LSP) developed for inter-personal communication. The results demonstrate that the fast and stable SCP self-control can be achieved with operant training and without mediation of any muscle activity. The acquired skill allows communication even in total locked-in states.

Adult↗

[Changes in the rate and accuracy of information processing in the computer training of middle-grade pupils].

The computer enters more and more quickly the new school. Therefore an important problem is the influence of computer training on the velocity and accuracy of information processing. For this purpose were examined 28 school-children from VI-VII class, participating in computer training, computer plays and traditional lesion. This activity was carried out in the computer study of the Pioneer Palace, Sofia. An electronic determinator with test programme, containing preliminary arranged succession of 50 visual stimulants on red, blue, green, yellow and white colours, at vas used at 1,2 s. speed. The changes in the correct, delayed and wrong reactions were traced. The results as a whole point out, that the computer training, on the one hand, has no unfavourable effect on the velocity and accuracy of information processing, and on the other hand--forms positive psychoemotional adjustment to work.

Bulgaria↗

BRS Colleague MEDLINE end user training follow-up survey.

The amount of recent literature describing end user training programs is substantial, yet there are few reports evaluating the effectiveness of such training. This article reports on a follow-up survey of the first seventy-five trainees of a four-hour BRS Colleague MEDLINE training program at the Health Sciences Library of East Carolina University. The 90.7 percent response rate to the questionnaire provided information about both those who performed searches and those who had not. It indicated how trainees felt about their training, their ability to perform searches or reason for not performing searches, and types of additional training the trainees desired. Survey results are discussed in terms of effectiveness of the training for the end user with infrequent search needs, possible modifications to improve the effectiveness of the training, and possible alternatives to BRS Colleague MEDLINE.

Attitude of Health Personnel↗

Accessing and using the Internet's World Wide Web for emergency physicians.

This report describes the use of the internet's World Wide Web (WWW) for emergency physicians. WWW is a graphic means of presenting information over the internet. Because this graphic presentation is derived from a point-and-click method of navigating through information, emergency physicians with little or no computer background should be able to benefit. There are currently many resources available to emergency physicians on the WWW that can be viewed at no charge. It is essentially a worldwide library of information that is growing at a rapid rate. An algorithm is presented to assist emergency physicians in deciding how to best access the WWW, depending on the physician's current resources, and some background information required to gain access to WWW is described.

Algorithms↗

Milliseconds matter: an introduction to microstrategies and to their use in describing and predicting interactive behavior.

Interactive behavior is constrained by the design of the artifacts available (e.g., a mouse and button) as well as by the ways in which elementary cognitive, perceptual, and motor operations can be combined. Any 2 basic activities, for example, (a) moving to and (b) clicking on a button, can be combined to yield a limited number of microstrategies. The results of an experimental study suggest that alternative microstrategies can be deployed that shave milliseconds from routine interactive behavior. Data from a usability study are used to explore the potential of microstrategies for (a) bracketing the range of individual performance, (b) profiling individual differences, and (c) diagnosing mismatches between expected and obtained performance. These 2 studies support the arguments that the microstrategies deployed can be sensitive to small features of an interface and that task analyses at the millisecond level can inform design.

Adult↗

Computers against disease.

In order to improve the efficiency of the collection, compilation and dissemination of information on 35 communicable diseases in China's Sichuan Province, a computerized network has been established. In 1987 a microcomputer link was set up between the Provincial Health and Anti-epidemic Centre at Chengdu and the Health Information Centre in Beijing, and in 1990 a microcomputer network was established between Chengdu and the 21 prefectures in the province. Substantial progress in disease control is already apparent as a consequence of these developments.

China↗

The Internet: an underutilized tool in patient education.

Internet technology is helping to reshape patient education. An illustration of this is provided by data from a two-stage pilot study involving 100 senior citizens who received instruction on how to conduct health information searches on the Internet. The goals were to enable the seniors to assume an active role in their health care and to share their information with family and friends. In a Train-the-Trainer approach, 20 trainers received instruction on searching for health information on the Internet, and subsequently trained 100 senior citizen trainees. The study was conducted from October 1997 to June 1998. The average age of the senior trainees was 69. Most had a college education. The study results reveal a positive impact of the training on senior trainee confidence in using the computer and the Internet, conducting health information searches online, and sharing health care information with their physicians, families, and friends. Some gender and educational differences were noted. In a 90-day posttraining follow-up, 66% of the trainees continued to use the Internet, with 47% of them using it to search for health information. Two thirds of those who searched for health information on the Internet talked about it with their physicians, with more than half reporting they were more satisfied with their treatment as a result of their searches and subsequent discussion with their physicians. These findings are relevant to patient education in the nursing curricula of nursing students and nurse practitioners. Some suggestions are given to improve the effectiveness of the training program.

Aged↗

A training plan for bedside computers.

As more hospitals implement bedside computer technology, staff development educators will be called on to develop complex training programs. This article describes a successful bedside computer training plan that includes use of a contract, pretraining activities, training methods, and training environment.

Computer User Training↗

The development of an approach to evaluate NHS manager's competence in medical informatics.

This paper describes the research and development of Checkpoint, a self-assessment instrument. It outlines how the instrument has helped managers in the NHS identify their strengths and weaknesses with respect to their management and use of informatics. The paper presents trends and feedback from the use of Checkpoint and the implications for future education and training of managers in the NHS.

Administrative Personnel↗