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PubMed1995

The quality and impact of MEDLINE searches performed by end users.

Evidence suggests that MEDLINE is becoming an important clinical tool that can improve the care and health of patients. Efforts to improve the quality and impact of end-user searching are needed and ongoing. End users are completing many MEDLINE searches. They appreciate and value training along with feedback on their searching techniques. Practice, is however, the biggest single factor in improving the quality of searching. Key roles for the library in end-user searching include, providing the most effective MEDLINE access possible to the maximum number of users, and providing training that includes feedback and practice opportunities. System-wide advances in structured abstracts, indexing, system design, informatics research and the literature itself will make searching easier and more effective in the future. More important than the quality of search results per se is the impact that end-user searches have on patient care and patient outcomes. Growing evidence shows that both patient care and patient outcomes are improved by end-user searches.

Abstracting and Indexing↗
PubMed1995

Expert systems in the health administration curriculum.

With the growing use of computers and on-line hospital information systems, a need exists for health care managers trained in computing and computer applications. This article reviews the advances in health care computing and reports on the design and implementation of a new course in a specific computer application, known as expert systems, in a health administration curriculum. The specific course framework is described and several student projects are presented and discussed.

Computer Communication Networks↗
PubMed1994

Learning and performance of able-bodied individuals using scanning systems with and without word prediction.

This study examines how the cognitive and perceptual loads introduced by a word prediction feature impact learning and performance. Two groups of able-bodied subjects transcribed text using two row-column scanning systems for 10 consecutive trials each. The two systems differed only in that one system had a word prediction feature. Subject groups differed in their order of system use. The results show that, under the conditions of this study, the word prediction system was not substantially more difficult to learn, but it did not yield a statistically significant improvement in text generation rate. This suggests that the cost of using this word prediction system balanced the benefit of the keystroke savings achieved by these subjects. The relationship between keystroke savings, cost in item selection rate, and improvement in text generation rate is explored in order to provide insight into this outcome.

Cognition↗
PubMed2000

Computerised coordinated care system in the RISE project.

It is a fact that elderly peoples' life is characterized by problems such as deteriorating health and physical condition, feelings of loneliness, isolation, and of being dependent on others, in many aspects of their everyday lives. The objective of the RISE project is to provide an efficient vehicle for Health Care Professionals for improving Health Care, quality of life and integration of the elderly and disabled people with society by implementing Information technology applications. In particular, RISE project aims in developing a distributed network of service providers across the European Union, which will provide integrated types of services to the elderly and disabled population. The purpose of this paper is to present the impact of this project concerning the Health Informatics sector. It will describe the issues regarding, the needs for education and training of the professionals that arise by the introduction of this concept, and, the possible ways that such a concept forms an efficient vehicle for Health Professionals in assisting these particular groups of users. The longer perspective seeks to redefine and reshape the Health Care services' larger purpose, i.e. to make those comport with elementary individual needs of the elderly and disabled by introducing new methods of efficient health service provision. To achieve this there is an increased need for the training of the professionals. The outcome of RISE will be a set of specialised software components, tools and training methodologies designed to assist the Health Professionals achieving the aforementioned tasks.

Aged↗
PubMed1996

Accessing MEDLINE from the dental office.

Electronic access to on-line information is now available for dentists. One such resource is MEDLINE, a database of more than 7,500,000 biomedical references indexed by the National Library of Medicine. MEDLINE searching can be performed on-line or locally using a CD-ROM drive. Dentists should evaluate equipment requirements, availability of training, extent of the bibliographic database, ease of using the searching software and adequacy of documentation before selecting a mode of MEDLINE access.

CD-ROM↗
PubMedDate not supplied

Healthcare information systems: education lessons learned.

The educator is a key person during the implementation of a new healthcare computer system or a new software program. Computers require teamwork across departmental lines and flexibility in instructional approach. The authors share their experiences as educators at the San Francisco VA during the initiation of several new computer software packages. They examine the issues involved in this type of training and share the lessons learned.

Clinical Competence↗
PubMed1997

Improving information management in family practice: testing an adult learning model.

Information management training has been neglected in family practice in the UK in the past. An adult learning model for such training is introduced. A pilot study using the adult learning approach showed improvements in information management processes over the six-month study period. The research project described in this paper compares the effectiveness of on-site training using adult learning methods, written information, and no intervention, in 33 family practices in the UK. Nine of the eleven practices in the on-site training group completed the training sessions and eight provided full data, whereas only one of the eleven practices in the written information group, and only one of the eleven practices in the control group provided full data. Preliminary analysis demonstrates that on-site training practices made considerable changes to the information systems in their practices, and appreciated the importance of high-quality data, both for patient care and reporting requirements. Full comparisons of data quality and information management methods are presented, and an assessment of priority training needs for maximum benefit is made.

Adult↗
PubMed1990

CD-ROM MEDLINE training: a survey of medical school libraries.

Most medical school libraries are attempting to provide some form of training for the CD-ROM MEDLINE user, according to this survey conducted in 1989. User guides and vendor-produced tutorials are helpful but are not usually a major aspect of the training. The training sessions vary considerably in length as well as number of attendees, with individualized training being the most widespread. Few facilities offer advanced classes. A core list of training topics has been identified. Evaluation of the training has been done in only a small percentage of the libraries.

CD-ROM↗
PubMed2003

Improving on-line skills and knowledge. A randomized trial of teaching rural physicians to use on-line medical information.

OBJECTIVE: To assess the change in frequency and methods with which a pilot group of rural physicians consulted on-line medical resources before and after an educational intervention. DESIGN: Physicians were randomly assigned to an educational intervention or control group. Self-administered questionnaires were completed before and 3 months after the intervention. SETTING: Rural practices in southwestern Ontario. PARTICIPANTS: Eighty rural (defined as a population of 15000 or less) physicians in southwestern Ontario, with a computer with Internet access. INTERVENTIONS: Individualized 3-hour training session on using the World Wide Web to research patient-related questions. MAIN OUTCOME MEASURES: Frequency of access and comfort with on-line medical information were compared after intervention with baseline data using the Wilcoxon two-sample test. RESULTS: At follow up, the intervention group showed a significant improvement over the control group in their frequency of accessing the World Wide Web to address patient-related questions (P = .009), in their comfort level in using on-line databases (P = .032), and in their frequency of accessing on-line databases (P = .044). CONCLUSION: Rural physicians' comfort and competence in using computers to address patient problems can be improved by an individualized 3-hour training session.

Computer User Training↗
PubMed1999

A hospital-wide picture archiving and communication system (PACS): the views of users and providers of the radiology service at Hammersmith Hospital.

OBJECTIVE: To obtain users' views of the new picture archiving and communication system (PACS) from clinical and radiological staff at Hammersmith Hospital, UK. METHODS: Semi-structured interviews were used to ascertain the views of staff, following an interview schedule which covered aspects of: (1) their use of PACS, (2) facilities available, (3) the perceived quality of images, (4) reporting, (5) image availability, (6) image accessibility, (7) training, and (8) ease of use of PACS. RESULTS: Interviews were carried out with 34 key users and providers of the radiological service at Hammersmith Hospital. Overall, staff were very satisfied with PACS particularly in terms of image availability. All staff said that they preferred PACS to the previous, conventional radiology service. CONCLUSIONS: The key implications of issues raised by staff were: the impact of 'down-time' and the importance of an efficient back-up system, the requirement for sufficient short-term storage to prevent images being off-line during clinical situations, the usefulness of the folder system for management of the images, the need to access images for teaching purposes, the advantage of having a default display protocol to facilitate radiological reporting, and the requirement for flexible, yet effective, training to ensure that the system is utilised to its full potential by users.

Attitude of Health Personnel↗
PubMed1987

Planning for end user search services in the health sciences library.

End user searching now has the potential for becoming a new reference service in health sciences libraries. No longer viewed simply as a fad, end user searching is contemplated by medical reference librarians for implementation within the information services department. For the most part these services have centered around educational and training sessions. Planning for a more detailed service program is discussed with an outline of issues and concerns. Items that should be discussed in the planning process include costs, searching environment, equipment, telephone, service placement, search system selection, policies, publicity and training. A case report is also presented as an example of implementing a limited end user search service.

Computer User Training↗
PubMed1989

Service, training key to information center's success.

Three years ago, an Information Center was put in place at Riverside Methodist Hospitals. The PC-based system supports hundreds of users and communicates with a wide variety of ancillary departments. In addition, ongoing training and support helps ensure that users can maximize the benefits of the available technology.

Computer Systems↗
PubMed1995

Acceptance and performance by clinicians using an ambulatory electronic medical record in an HMO.

The Northwest Region of Kaiser Permanente implemented a comprehensive clinical information system in two sites between February and December 1994. By year end 46 primary care clinicians and 95 supporting personnel used the system on a daily basis to provide patient care. Clinicians use the product to select coded diagnoses, and directly order laboratory, imaging, and other tests, internal referrals, and prescriptions. They enter progress notes into the system, and use it to generate patient focused visit summaries. Clinicians took approximately 2 minutes longer, on average, to complete patient visits post-implementation. Most of this time was spent performing "orders and diagnosis" work, which included new required elements in the post-implementation period. Clinicians worked approximately 30 days before reaching their baseline visit rate and "lost" approximately 48 hours of productivity during the learning, including classroom training. User acceptance improved from 2 to 4 months of use.

Ambulatory Care Information Systems↗
PubMedDate not supplied

Use of electronic networking for the enhancement of mental health services.

In the Behavioral Informatics Tomorrow column of our November/December, 1994, issue, we presented an introduction to the basic concepts and techniques of electronic communication via the Internet, as well some resources for behavioral healthcare professionals who already utilize electronic bulletin board services (BBS). Now we offer this more detailed article for those interested in utilizing archies, gophers, browsers and chats to gain access to the rapidly growing body of behavioral healthcare informational resources residing in Cyberspace. The authors present dozens of mental health BBs, conferences and networks--with instructions on how to get there.

Computer Communication Networks↗
PubMed1997

Data mining goes multidimensional.

The success of a healthcare organization depends on its ability to acquire, store, analyze and compare data across many parts of the enterprise, by many individuals. While relational databases have been around since the 1970s, their two-dimensional structure has limited--or made impossible--the kind of cross-dimensional trend analysis so necessary to healthcare today. Enter online analytical processing (OLAP), in which servers store data in multiple dimensions, opening a world of opportunity for data-mining across the enterprise. In this issue of HEALTHCARE INFORMATICS, we feature our first report from the National Software Testing Laboratories (NSTL) about technologies that will change the way healthcare does business. A division of The McGraw-Hill Companies, NSTL is an independent software and hardware testing lab offering services that include compatibility testing, bug testing, comparison testing, documentation evaluation and usability.

Computer User Training↗