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At least 397 records · Page 22Linked to original sources
PubMed1994

Patterns of paging medical interns during night calls at two teaching hospitals.

OBJECTIVE: To assess the patterns of paging medical interns during night calls. DESIGN: Descriptive study; diaries were used to log calls between 7 pm and 7 am for 1 week in February 1991. SETTING: Two teaching hospitals in Halifax. PARTICIPANTS: All 10 interns assigned to the 15 medical units and nurses from 3 representative medical units. MAIN OUTCOME MEASURES: Number and nature of calls. RESULTS: The overall response rate was 90%. A total of 309 calls were logged by the interns and 107 by the nurses. Each intern had 17 calls on average (range 6 to 33) per 12-hour period. Of the calls 27% occurred after midnight, 25% disrupted sleeping, and 19% interrupted direct patient contact. Overall, the most common reasons for paging interns were related to prescribing of medications (42% of the calls), direct patient assessment (25%) and reporting of laboratory results (18%). According to the nurses, there were no delays in the interns' responding to the pages, and 61% of the calls led to a new physician order. CONCLUSIONS: Paging frequently interrupts interns during work and rest on night calls. Assessment of paging patterns may be useful in identifying specific interventions to reduce the number of calls so that interns will have fewer interruptions during patient encounters and more rest. The collection of data from nurses in a routine nursing audit may be useful for evaluating the communication between interns and nurses and, indirectly, for assessing interns' workload.

Data Collection↗
PubMed1996

Switchboard simulation to improve productivity and customer service.

An application of classical industrial engineering/operations research techniques (i.e., multichannel queueing analysis) and detailed workload distribution data. An analytic simulation model developed on a personal computer (PC) is used with interactive analysis to develop switchboard coverage requirements and optimal staffing schedules by time of day and day of week. This represents a tangible example of how classical techniques can be used with newer approaches and a close working relationship between the analyst and line management, to solve a practical problem of optimizing both productivity and customer service quality.

Computer Simulation↗
PubMed1997

Awareness and perceptions of a hospital's closed-circuit TV channels.

Closed-circuit television (CCTV) programs are used in many hospitals for patient education and entertainment. However, few studies have addressed how patients perceive CCTV programs and whether the educational and entertainment objectives have been satisfied. We studied these questions by surveying patients from a major suburban teaching hospital. We found that when care providers recommended viewing, patients were more likely to watch and to perceive the programs as valuable.

Awareness↗
PubMed1995

Dissemination of patient data in the Erlangen Hospital communication and information system.

It is necessary to exchange information between the various institutions of the medical faculty of the University of Erlangen-Nurnberg. For example, basic patient data, which is collected in a central computer, must be distributed to various stations and laboratories. Also medical findings, which are already captured in computers in central laboratories, must be transmitted to various parts of the university hospitals. After the data network, consisting of a glass fiber backbone linking the buildings and cabling in the individual departments, had been implemented, it became possible to provide an electronic exchange of medical information.

Computer Communication Networks↗
PubMed2006

The effectiveness of the installation of a mobile voice communication system in a university hospital.

In large hospitals, collaborative clinical practice is currently emphasized, with members of various departments expected to work as a team. The importance of accurate communication among the team members is of utmost importance. To improve such communication, the introduction of mobile voice communication systems has received much attention in Japan. Shimane University Hospital also introduced a Personal Handy-phone System (PHS) for doctors. In the traditional setting, much time was wasted searching for doctors through multiple calls on fixed-line telephones. In order to measure the effectiveness of our system, the change in the number of calls made on fixed-line telephones before and after PHS installation was compared. The total number of calls was reduced by more than 35%, and the number of calls to the wards on weekdays was reduced by half. Mobile telecommunication systems with small output power, such as PHS, are known to cause little interference with medical devices which makes it possible to use mobile voice communication safely in hospitals. The improvement in communication by this systems resulted in an improvement in labor efficiency.

Diffusion of Innovation↗
PubMed2005

Memorial Hermann creates standalone patient communications system.

This standalone patient communications system can be customized by individual clinics. It also offers patients a series of message types, each of which can be routed to a different person at the clinics. And, though it required a security infrastructure, it didn't have to be integrated with backend systems.

Electronic Mail↗
PubMed1990

Hospital-wide distribution of nuclear medicine studies through a broadband digital network.

Nuclear medicine provides a good environment for the evaluation of picture archiving and communication systems (PACS) because of the relatively small quantity of digital data that are generated, leading to reduced requirements for storage, display, and transmission compared with those found in radiology. The PACS in nuclear medicine is characterized by use of a single computer as a central storage, display, and analysis node. Images are acquired with use of small, low-cost computers attached to each camera. This network configuration offers advantages of convenience, but with great reliance on a single computer. A campus-wide picture network is under development at Washington University employing broadband cable television technology supplemented by baseband Ethernet (Digital Equipment Corp, Maynard, MA) components. All areas of diagnostic radiology and nuclear medicine are connected via a PACS testbed project. A radiology information system, supporting over 250 terminals, provides digital tracking of patients and report generation and retrieval. A new image workstation is under development in conjunction with Digital Equipment Corp. This system will permit display in multiple windows of report information and images from various modalities. A lung scan demonstration project is now beginning that is designed to test the value of a PACS in nuclear medicine. Digitally acquired chest radiographs will be displayed on an image workstation in nuclear medicine along with digital ventilation and perfusion lung scans. It is hoped that time-consuming logistic bottlenecks now encountered in lung scan interpretation will be reduced.

Computer Communication Networks↗