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PubMedDate not supplied

Development of a new Clinical Engineering Management Tool & Information System (CLE-MANTIS).

The evolution of the field of biomedical technology has led to the diffusion of an impressive number of medical devices into healthcare institutions. In this environment, Clinical Engineering Departments (CEDs) are expanding their role in healthcare technology management, by changing their structure and introducing quality systems in order to improve their services and monitor the outcomes. In the framework of the national project BIOTECHNET II, a software tool for the management of biomedical technology, named CLE-MANTIS, has been developed, with the aim to assist CEDs in their tasks. CLE-MANTIS functions include the upkeep of an inventory, the support and monitoring of scheduled maintenance, corrective maintenance, vigilance, equipment acquisition and replacement, service contract management and user training. The system offers clinical engineers the possibility to monitor and evaluate the quality and cost-effectiveness of their departments through the monitoring of quality and cost indicators. This paper presents the main features and functions of the system.

Biomedical Engineering↗
PubMed1997

Improving information access with an emergency department system.

An emergency department (ED) clinical system was developed by in-house personnel, with ED physician, nursing, registration and clerical staff input. The utilization of existing hardware and customization of the hospital's mainframe hospital information system (HIS) facilitated the implementation of a cost-effective system that meets the information access needs of a busy, state-of-the-art academic ED. The transition to automation of the ED was facilitated through the use of a comprehensive training plan and change strategies.

Attitude to Computers↗
PubMed2000

A dyadic protocol for training complex skills: a replication using female participants.

The effectiveness and efficiency of the active interlocked modeling (AIM) dyadic protocol in training complex skills has been extensively demonstrated. However, past evaluation studies have all used male participants exclusively. Consequently, the present study investigated the generalizability of the effectiveness and efficiency gains to women. We randomly assigned 108 female participants to either the AIM-dyad condition or a standard individual control training condition. The results supported the robustness and viability of the AIM protocol. Although their overall performance was lower than that obtained for men in previous studies, women trained in the AIM-dyad condition performed as well as those trained in the individual condition. Thus, the efficiency gains associated with the AIM-dyad protocol, which result from the ability to train two people simultaneously to reach the same performance level as a single person with no increase in training time or machine cost, are generalizable to female participants. The applied and basic research implications of the present study are discussed within the context of well-documented male/female differences in the performance of complex psychomotor tasks. For instance, given the number of women entering the workforce and the significant proportion of women in professions previously deemed to be male-dominated (e.g., air navigation), it is reassuring to know that sex differences in task performance do not necessarily imply sex differences in the effectiveness of training protocols.

Adult↗
PubMed1986

Staff training: a critical step in computerization.

Many computer-based information management systems designed for radiology departments are increasing productivity, lowering costs and even improving employee morale. But these results do not just happen. An effective training and implementation program, conducted before the system is installed, is crucial if staff members are to become comfortable with, and not overwhelmed by, the system. The author describes the training program used at Grant Hospital in Chicago, Illinois.

Chicago↗
PubMed1992

MEDLINE and MeSH: challenges for end users.

Through casual observations, formal consultations, and educational sessions, the authors have identified various indexing features of the National Library of Medicine's Medical Subject Headings (MeSH) that pose challenges to end users while attempting to obtain relevant retrieval when searching MEDLINE. These problematic features include the use of Explodes, Tree structures, subheadings, Text Word vs. subject heading searching, and central concept searching. End-user search software is becoming more sophisticated with an increasing number of choices offered for search strategy formulation. Methods of instruction to orient the end user to these systems will also have to become more detailed. A review of the literature, that discusses end-user problems with using MEDLINE and MeSH, is included.

CD-ROM↗
PubMed2003

Two patient care information systems in the same hospital: beyond technical aspects.

OBJECTIVES: To compare two clinical workstations in one hospital with respect to technical, organizational, cultural and human factors. One clinical workstation was a GUI to the HIS. The other was an electronic patient record for stroke. METHODS: Data were collected by means of in-depth interviews with end-users of both clinical workstations. The interviews were audio taped and transcribed for analysis. RESULTS: End users assessed both clinical workstations as user friendly. Coordination between health care workers was perceived to be enhanced. However, in both situations poor communication between management, implementers and users resulted in uncertainty and skepticism about future perspectives. Further-more, it appeared that inpatient and outpatient settings needed clinical workstations with different requirements for an optimal fit between work practices and information system. CONCLUSIONS: Regardless of the domain and content of a workstation, it can support coordination between disciplines. The communication concerning the information technology strategy deserves much attention. Finally, the requirements for inpatient and outpatient workstations differ.

Attitude of Health Personnel↗
PubMed1988

Self-service computerized bibliographic retrieval: a comparison of Colleague and PaperChase, programs that search the MEDLINE data base.

Colleague and PaperChase are the two most widely used computer systems designed specifically for clinicians and scientists who wish to search the National Library of Medicine's MEDLINE data base of references to the biomedical literature. The present study compares the performance of these two systems. Two matched groups of second-year medical students each received 3 hr of instruction, one group in Colleague, the other in PaperChase. Each student then attempted 10 test searches. The next day the groups were reversed, and each student attempted 5 additional searches. During 3 1/2 hr allocated for searching, users of Colleague attempted 64 test searches and retrieved 326 target references; users of PaperChase attempted 78 searches and retrieved 496. Users of Colleague took a mean of 2.2 min and spent a mean of $1.20 to find each target reference; users of PaperChase took 1.6 min and spent $0.92. We conclude that after limited training, medical students find more references faster and at lower cost with PaperChase than with Colleague.

Computer User Training↗
PubMed1988

Keys to the successful implementation of an ICU patient data management system.

Implementation of an ICU data management system requires consideration of many factors, including site preparation for equipment, system backup, ICU & medical staff training and evaluation. This paper describes the strategy for implementing a patient data management system at Cedars-Sinai Medical Center and details our steps for planning, training, configuration and problem resolution.

California↗
PubMed1992

[Computers and education needs].

The purpose of this study was to identify nurses' computer training needs. A 20-statement questionnaire was circulated to 30 nurses. From the 26 responses received, a profile was created of the target group (nurses working in a teaching hospital), with a view to determining their current and desired level of knowledge. A number of diverse training needs were revealed through the study. The most interesting aspects, from the nurses' point of view, were those related to clinical practice and education. Figure one illustrates the low level of current knowledge of computer science. Figure two, however, demonstrates the high level of interest on the part of respondents (desired level) in becoming more computer literate and their wish to use computers in a wide range of applications, including teaching, health care delivery, clinical decision making and in-service training. Figure three highlights the training needs identified under each statement. The establishment of an information system in a teaching hospital setting is not dealt with in this article. This will be the subject of a second article, to appear next month. A number of teaching variables are described here, including the instructor, the learner, the training process itself, content, media and budgetary constraints. The outline of a training program will be proposed in a third and final article.

Computer User Training↗
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↗