West Virginia CONSULT: enhanced information access for health care practitioners in a rural environment.
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The propose of this communication is to describe the present nursing situation in Madeira (RAM) and its potentialities for the utilisation of the Information Technologies and Communications (I.T.C.) in educational and in clinical practice. RAM has its own Regional Health System and is developing a Health Information System, a Nursing Education System which conglobates a Baccalaureate Nursing School and a Licentiate's degree Nursing School which graduates almost the totality of the nurses who work here in Madeira, a Health Professional Education Department, common to the different organisations and a Regional Nursing Research Group constituted by elements representing the several organisations of health and which has been developing Research Education and dynamize Research Projects in nursing practice. The Nursing Schools in addition to the Health Organisation, use the Nursing Theoretical Models and the Nursing Process since 1990 Referring to the utilisation of the ITC in Education and in the Clinical Practice, despite the school curricula include informatics subjects, nurse's knowledge and opportunities of utilisation are still too incipient. Nevertheless, the present reform of the baccalaureate course curriculum as well as the aims and strategies of the Nursing Research Group and training strategies will provide positive changes.
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The purpose of this paper is to present in brief the billing procedures related to Medical Tests, drugs and supplies in H.I.S. and to discuss the problems and the challenges to the user.
The aim of this paper is to provide a practical kit in French for bibliographic retrieval using MEDLINE on PubMed new version, a World Wide Web retrieval service. We explain screen by screen how this bibliographic research tool works and try to make it easy to use to every single French-speaking end-user.
Numerous research and development projects have been aimed at implementing computerized patient record (CPR) systems. Yet little emphasis has been placed on physicians' ability to learn and use these systems or on their effects on physicians' reasoning. This article describes an innovative approach to assessing these aspects of a CPR system. The method involves observing physicians' use of a CPR under various clinical conditions and analyzing the CPR system with a technique called the cognitive walkthrough. We will show how learning to use a CPR system can change a physician's performance, with accompanying effects on information gathering and reasoning.
Since choosing a radiology information system can be a trying endeavor, this "nuts and bolts" article offers some practical advice. The authors first emphasize that a strong partnership between the institution and vendor must exist for successful implementation to happen. Ms. Rowe and Ms. Parrish then proceed to outline the commitment, tasks and training necessary to ensure that your organization undertakes this project with favorable results!
BACKGROUND: Handheld computers are valuable practice tools. It is important for residency programs to introduce their trainees and faculty to this technology. This article describes a formal strategy to introduce handheld computing to a family practice residency program. METHODS: Objectives were selected for the handheld computer training program that reflected skills physicians would find useful in practice. TRGpro handheld computers preloaded with a suite of medical reference programs, a medical calculator, and a database program were supplied to participants. Training consisted of four 1-hour modules each with a written evaluation quiz. Participants completed a self-assessment questionnaire after the program to determine their ability to meet each objective. RESULTS: Sixty of the 62 participants successfully completed the training program. The mean composite score on quizzes was 36 of 40 (90%), with no significant differences by level of residency training. The mean self-ratings of participants across all objectives was 3.31 of 4.00. Third-year residents had higher mean self-ratings than others (mean of group, 3.62). Participants were very comfortable with practical skills, such as using drug reference software, and less comfortable with theory, such as knowing the different types of handheld computers available. CONCLUSION: Structured training is a successful strategy for introducing handheld computing to a residency program.
The aim of this study was to assess the availability and use of information technology in accident and emergency departments (A&E) in the UK. A postal questionnaire was sent to every general A&E department in the UK which sees more than 25,000 new attendances/year (n = 217). Responses were obtained from 159 (73.3%) departments, of which 129 (81.1%) were computerized. Computer data was used for administration in 96.9%, for audit in 79.1% and for research in only 41.1%. Most used several sources of toxicology information, but telephone advice from the poisons information bureau was the main source. Of the hospitals, 74.2% offered courses in computer technology to their staff. The availability of information technology varies widely between departments. If the most is to be made of available technology, staff training must be more widely available and more actively promoted.
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Converting from a manual charting system to an automated charting system is a complex and difficult change. This article discusses project planning tips, training tips, and implementation tips that can make this change a successful one.
Because of the severe financial hardships associated with the transition to a market economy in the Newly Independent States (NIS) of the former Soviet Union, the Internet has become a major link to health care resources for many health care workers. In 1992, the University of Illinois at Chicago Library of the Health Sciences (UIC LHS) initiated a special support project with goals of enhancing access to international biomedical information and facilitating international professional networking for interested NIS organizations and individuals. Project objectives included an information needs assessment, development of culturally sensitive Internet training applications, information and referral services, and follow-up e-mail consultations for NIS participants. This paper reviews the historical context of the health care partnerships between the United States and the NIS, and of the UIC LHS International Health Information Networking Project. In the context of UIC, international networking cross-cultural observations, teaching techniques, a Russian training experience, and the development of a Web-based course are reported.
This paper reports on the results obtained by the pilot operation of Trusted Third Parties (TTP) for secure telemedical applications over the WWW. The work reported on herein was carried out within the context of EUROMED-ETS, a R&D project funded by the INFOSEC office of Directorate General XIII of the European Union. The paper discusses the platform used, the security needs of the specific application, the TTP solution provided, the steps taken in order to implement the solution at a pilot scale and the results of the pilot operation; it is compiled using material included in the project deliverables.
The ability to search bibliographic databases effectively is now an essential skill for anyone undertaking research in health. This article discusses the way in which databases are constructed and some of the important steps in planning and carrying out a search. Consideration is given to some of the advantages and limitations of searching using both thesaurus and natural language (textword) terms. A selected list of databases in health and medicine is included.
Part of the problem in computerizing the patient-care process is that caregivers are used to doing things the old-fashioned way, which they may have learned years ago when they got their professional training. One nursing program is including a course on the use of computers in healthcare.