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PubMed1996

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↗
PubMed2000

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↗
PubMed1993

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↗
PubMedDate not supplied

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↗
PubMedDate not supplied

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↗
PubMed1997

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↗
PubMed2001

Point-of-care training: strategies for success.

In most cases, the resources and time required for training staff in a POC integrated computer system are underestimated. Based on the authors' consulting and training experiences, particularly with an early POC installation at a large VNA, key strategies for the design, implementation, and evaluation of a POC training program are presented.

Community Health Nursing↗
PubMedDate not supplied

Using the nursing process to implement a Y2K computer application.

Because of the coming year 2000, the need was assessed to upgrade the order entry system at many hospitals. At Somerset Medical Center, a training team divided the transition into phases and used a modified version of the nursing process to implement the new program. The entire process required fewer than 6 months and was relatively problem-free. This successful transition was aided by the nursing process, training team, and innovative educational techniques.

Computer User Training↗
PubMed1997

A metastrategy for World-Wide Web information retrieval in clinical medicine.

The metastrategy for World-Wide Web information retrieval was presented as an integrated approach to end-user searching in clinical medicine, although its application may be made to any search for WWW information. Certain distinctions, such as between anticipated and unanticipated clinical information needs and between WWW catalogs for retrieving Web sites and WWW databases for retrieving Web pages, were made. These distinctions are important in the end-user strategy because they help maximize the productivity of the WWW for clinicians.

Clinical Medicine↗
PubMed1999

[Internet for physicians: a tool for today and tomorrow ].

The Internet is becoming more and more part of our habits regarding documentation and communication, thus limiting the frontiers to only that of the language. As in many other fields, the Internet is also present in the medical domain. The Internet is accessible to all, providing a technology which is simple and ergonomic and furthermore less costly. A growing number of individuals are indeed offering information, and the multiplication and diversification of documentary thus resulting renders the quality often questionable and the search for information difficult. This article firstly presents the Internet services with examples in the medical domain and more particularly in paediatrics. It then identifies the problems related to the Internet and further details three tools useful to find medical information and to surf on the Internet: Medline, a bibliographical reference search tool (from the National Library of Medicine-NLM); Medhunt, a search tool of the Health on the Net Foundation specialised in the health domain; and the HONcode, a code of ethics developed to homogenize medical information on the Internet.

Computer User Training↗
PubMed1991

A software system for interactive and quantitative visualization of multidimensional biomedical images.

A comprehensive software system called ANALYZE has been developed which permits detailed investigation and evaluation of 3-D biomedical images. The software can be used with any 2-D or 3-D imaging modality, including x-ray computed tomography, radionuclide emission tomography, ultrasound tomography, magnetic resonance imaging and both light and electron microscopy. The package is unique in its synergistic integration of fully interactive modules for direct display, manipulation and measurement of multidimensional image data. Several original algorithms are included which improve image display efficiency and quality. One of the most versatile and powerful algorithms is interactive volume rendering, which is optimized to be fast without compromising image quality. An important advantage of this technique is to display 3-D images directly from the original data and to provide on-the-fly combinations of selected image transformations and/or volume set operations (union, intersection, difference, etc.). The inclusion of a variety of interactive editing and quantitative mensuration tools significantly extends the usefulness of the software. Any curvilinear path or region-of-interest can be manually specified and/or automatically segmented for numerical determination and statistical analyses of distances, areas, volumes, shapes, densities and textures. ANALYZE is written entirely in "C" and runs on several standard UNIX workstations. It is being used in a variety of applications by over 40 institutions around the world, and has been licensed by Mayo to several imaging companies. The software architecture permits systematic enhancements and upgrades which has fostered development of a readily expandable package. ANALYZE comprises a powerful "visualization workshop" for rapid prototyping of specific application packages, including applications to interactive surgery simulation and radiation treatment planning. ANALYZE offers the potential to accurately and reproducibly examine, from images, the structure and function of any cell, tissue, limb, organ or organ system of the body, much like a surgeon or pathologist might do in real life, but entirely non-invasively, without pain or destruction of tissue. These capabilities promise exciting new insights into the basic processes of life, and major advances in health care delivery through improved diagnosis and treatment of disease.

Computer Graphics↗
PubMed2001

Towards improvement of the accuracy and completeness of medication registration with the use of an electronic medical record (EMR).

BACKGROUND: Approximately 80% of GPs use a GP information system (GIS) and an electronic medical record (EMR) in their daily practice. To reap the full benefits of an EMR for patient care, post-graduate education and research, the data input must be well structured and accurately coded. OBJECTIVES: The quality and user-friendliness of the software positively influence the completeness and reliability of the data recorded in the GIS. To assess this in actual practice, this study examined whether or not an increase occurred in the accuracy and completeness of indication-related medication registration after the GIS's software package was upgraded. METHOD: GPs recorded data for the Registration Network Groningen (RNG) concerning four medication groups: insulin, trimethoprim, the contraceptive pill and beta-blocking agents. The completeness and accuracy of the registered data were assessed both before and after the change to the new software package. The completeness is evaluated on the basis of the indications missing for the prescribed medications. To assess accuracy, a check was made to determine whether the indications corresponded to those deemed relevant for that particular medication according to National Pharmaceutical Guidelines. RESULTS: The percentage of missing indications decreased notably, especially in the chronically prescribed medication groups. For insulin, the percentage decreased from 40.5 to 3% and for the contraceptive pill from 34.5 to 1%. For trimethoprim, the percentage decreased from 10 to 1%, and for beta-blocking agents from 22 to 1.5%. Of the indications present, the percentage of relevant indications showed a slight increase, with the largest increase observed for the contraceptive pill where the percentage rose from 86 to 96%. CONCLUSIONS: The completeness of recorded indications improved considerably after the change of software. This is due mostly to the efforts of the GPs, their practice assistants and the support of the RNG organization involved in the conversion procedure. Accuracy improved slightly, especially due to the software modifications which ensured that non-existent codes could not be entered. To summarize, with increased user-friendliness of the software, combined with the training of motivated GPs, the quality of recorded data improved.

Adrenergic Antagonists↗