PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Computer Literacy”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,027 records · Page 57Linked to original sources
PubMedDate not supplied

The computer-based patient record and Robert Fulghum's 16 principles.

Robert Fulghum proposed 16 principles learned in kindergarten that he claimed should govern all human activities. How do these principles apply to current efforts to create a computer-based patient record? Fulghum's principles, when recast for the computer-based patient record, emphasize cooperation, privacy, security, and standardization--elements that are easily recognized as essential features of an electronic medical record. However, a number of less frequently discussed issues, such as data quality, integrity, abuse, and misuse can also be considered in terms of Fulghum's principles.

Attitude to Computers↗
PubMedDate not supplied

The data entry conundrum.

Many physicians are not enthusiastic about improving their methods of data entry, but pressure is mounting for us to communicate better with patients, colleagues, and outside parties. We will be unable to handle clinical data management until we have solved the problem of who enters data and how.

Computer Literacy↗
PubMed1995

Semi-automated database design by the end-user.

An information system was developed to manage the data for a large number of research projects simultaneously. The system, called URIS, has facilitated the management of research data in an academic urological department. It enables end-users, who are not necessarily skilled computer scientists, to design their own databases semi-automatically, by supporting data entry screen design and the specification of research items. The system creates the database tables automatically after these activities. The specification of research items is the most important but also most difficult part in this process.

Computer Literacy↗
PubMed1993

Physicians' use of computer software in answering clinical questions.

Descriptive data about the use of medical information software were gathered from physicians who were early users of these resources. Eight clinically active internists and medical subspecialists were lent a microcomputer loaded with six commercially available medical information software products. Participants used the software for two weeks to answer questions arising in their practice and completed written questionnaires. They recorded a total of 50 questions (between 3 and 11 per participant per two-week study period). Using the workstation, participants answered 20 questions (40% of the total), partially answered 16 questions (32%), and did not obtain useful information for 14 questions (28%). Participants found answers outside the workstation to 8 of the 14 questions (57%) not answered by using the software. The most common question topic was drug information (16 questions, or 32% of the total). The most common problems encountered using the workstation were retrieval of incomplete information (20 questions, or 40% of the total) and difficulty navigating the software (16 questions, or 32%). Other problems included difficulty translating clinical problems into questions, inappropriate resource selection, inadequate training for using the software, and excessive time required to access information. The study highlights several opportunities for medical librarians and others involved in clinical information management to facilitate the use of computer software for solving clinical problems.

Attitude to Computers↗
PubMed1993

A comparison of MEDLINE CD-ROM and librarian-mediated search service users.

Respondents performed searches primarily for themselves and for academic research. Overall, they preferred librarian-mediated searching to CD-ROM searching. Respondents who preferred the former did so because librarians are more familiar with MeSH headings and search strategies and because of time constraints. Respondents who preferred CD-ROM liked doing their own searches and the fact that there is no cost involved. While respondents preferred librarian-mediated searching over CD-ROM searching, overall they used CD-ROM more often, presumably because of other factors, such as time constraints and cost. This dichotomy could have significant implications for a library. Should the library strive to make mediated searches more attractive by providing immediate and cost-free results? Or, because CD-ROM is used more, should the library continue to purchase in this area and possibly reduce support for librarian-mediated overhead (e.g., training, search tools, etc.)? And do librarians have a responsibility to encourage patrons to use the tool that offers the higher quality of retrieval?

CD-ROM↗
PubMed1995

The application of health sciences library skills in other settings.

Medical librarians have been urged to assume personal responsibility for seeking lifelong education and professional development opportunities, but it is not always clear which opportunities should be sought or which skills will be needed in the rapidly changing health sciences environment. To shed some light on these issues, the author interviewed former medical librarians from southern California and Arizona who are now employed in other settings, to determine the skills that aided their transition from the medical library arena to new jobs. In interviews, respondents highlighted the importance of presentation, training, management, reference, computer, and interpersonal skills. Although both technical and interpersonal skills aided successful transitions, strong interpersonal skills augmented technical abilities and may be essential to successful career change. In sum, medical librarians possess skills that transfer well to other settings. Individuals with clear career goals who are able to present themselves and their skills well can take advantage of career opportunities, in both new settings and in medical libraries.

Arizona↗
PubMed1995

Patient entries in the electronic medical record: an interactive interview used in primary care.

We describe the development, implementation, and use of a computer-administered patient interview, the Health History Interview, by over 300 new patients in a primary care practice at Boston's Beth Israel Hospital. The interview has been well accepted by patients and rated positively by providers. It electronically captures clinical information directly from patients for use during their initial encounter with a provider. It facilitates aggregate analysis of clinical data for quality improvement efforts, such as aiming preventive medicine interventions at identified problem areas within the clinic. Expectations management has been an important task throughout the project. Increasing use of the interview beyond the 30-40% of new patients who have taken it will require greater communication with patients, greater convenience to patients and providers, and more evidence of the clinical, administrative, and research benefits of the technique. Most important, full implementation will require fundamental changes in physician practice habits and patterns of communication between patients and the health care system, as well as clearly demonstrated cost-benefit improvements through the use of these tools.

Adult↗