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At least 289 records · Page 16Linked to original sources
PubMed2003

Workflow management of HIS/RIS textual documents with PACS image studies for neuroradiology.

Reviewing brain tumor patients' complete medical record is a daunting task for any clinician. In current practice, the radiologist examines the most recent documents and then dictates an assessment of the patient's condition based on a review of the most current imaging study and compared with the most recent previous image study. Occasionally, the radiologist searches other clinical documents when more precise detail is needed. The purpose of this research is to develop effective methods to review all of the pertinent information in a patient medical record incorporating HIS (Hospital Information Systems), RIS (Radiology Information Systems) and PACS (Picture Archiving and Communications Systems) information in three distinct ways: filtering the document worklist for pertinent clinical data, identification of key clusters of clinical information, and an automatic hanging protocol that displays the MR images for optimal image comparison.

Algorithms↗
PubMed2003

A workflow model for adapting e-charts in specialty clinics.

Modeling of health professionals' activities and matching of these processes to applied information technologies are necessary for acceptance and optimal utilization of a clinical information system. The overall objective of this study was to describe the different processes involved in current clinical practice of neurologists and to estimate the extent by which these processes are standardised across neurologists. Results from this study will be used to optimise the deployment of a stroke e-record and provide insight on some of the characteristics that will need to be addressed.

Ambulatory Care Facilities↗
PubMed2003

eGrants: University of Cincinnati's Digital grants preparation, workflow routing, and submission system.

Overabundance of largely unorganized and unfiltered information is the greatest information problem facing the faculty, staff, and students of the University of Cincinnati (UC). The goal of UC's IAIMS operations grant is to provide individuals with information that is organized, filtered, context -appropriate, and presented in personalized formats. This presentation will focus on one module, eGrants, of UC's IAIMS research administration system,which will fully digitize the pre-award, post-award, and compliance phases of the grant lifecycle . eGrants will streamline and reduce errors in the grant preparation, routing, and submittal process thus raising the overall quality of and consistency of grant submittals and greatly reducing the time and the cost of grant preparation.

Computers↗
PubMed2004

Workflow improvement and impact of the new Beckman Coulter LH 1500 high throughput automated hematology workcell.

Our core laboratory at St. Joseph's Medical Center (SJMC) recently installed the new Beckman Coulter LH 1500 fully automated hematology workcell. Like many laboratories in North America and other parts of the world, we are under significant pressure to improve productivity, reduce costs, and improve service provision to our hospital and clinician bases. The difficulty of meeting this challenge is often further compounded by an increasing shortage of qualified technologist personnel. We recently reported on the significant productivity gains with the introduction of the LH 750 hematology system into the core laboratory, including a 23% reduction in slide review rate, automation of reticulocyte and nucleated red blood cell counts, and an 82% increase in the pass-through rate. Evolution to the next stage of automation has come much quicker than anticipated owing to a steep rise in workload and an ever increasing shortage of trained and experienced technologists to fill vacancies in the 24-hour core laboratory operation. We chose to upgrade our LH 750 analyzers to the newly introduced LH 1500 hematology workcell in order to cope with the increased workload and shortage of available experienced hematology technologists. The LH 1500 is a compact, high throughput, fully automated hematology workcell. It is designed to automate all manual process and handling steps associated with hematology analyses, including sample sorting, loading and unloading of cassettes, automatic rerun and reflex testing, sample storage, and tracking of samples. The LH 1500 is comprised of a minimum of 2, and up to 4, LH 750 instruments (with or without integrated slidemaker/stainers). The instruments are bidirectionally interfaced and linked to a fully automated conveyor track, specimen inlet and outlet stations, a sample stockyard, and a line controller. The configuration we chose at SJMC incorporates 1 LH 750 and 1 LH 755. We report that the upgrade to the LH 1500 was a relatively straightforward process and required no redesign of the core laboratory. Based on our evaluation, we estimate cost savings with the LH 1500 of between three quarters to 1 full-time equivalent, which eliminated or decreased many manual handling steps. In addition, this increase in efficiency has freed up our technologist resources to concentrate on the more difficult and clinically important samples. This is the first published report on the new LH 1500 hematology workcell. Our research indicates that the LH 1500 is the first hematology workcell to offer hematology laboratories the next level of automation and virtually eliminate preanalytical and postanalytical sample handling and sorting. For core laboratories and high-throughput hematology laboratories that face similar pressures to ours, the LH 1500 would appear as an attractive solution to maximize hematology productivity and improve service delivery.

Automation↗
PubMed2004

[Influence of working time regulations on the organisation and quality of clinical workflow].

The present lecture is a personal report on changing working conditions for physicians in German hospitals over the last 20 years. Documentation, coding and other administrative requirements have constantly risen and will increase once again from 2004 onwards when the complete reimbursement system in German hospitals will be rearranged on the basis of diagnosis-related groups, though without providing an adequate workforce of professional coders. Moreover, the European Court ruled that any doctor's on-call hours spent in a hospital should be regarded as part of his full working time, which in Germany is presently restricted to an average 38.5 hours a week. Consequently, this will lead to a huge demand of personnel on the one hand and an increasing fragmentation of doctor-patient relationships on the other hand, as there will be a continuous change of doctors on duty. Here, it is outlined that this fragmentation will have a negative impact on treatment quality and education and training of future physicians.

Documentation↗