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At least 127 records · Page 7Linked to original sources

Pharmacy: the Saudi experience.

At deployment plus 60 days, we were busy preparing for the possibility of war while simultaneously providing pharmaceutical service for more than 25,000 people. We were anticipating the arrival of a new Deployable Medical Systems hospital, increased automation in the form of the Tri-Service Micro Pharmacy Computer system, and various improvements in reference materials. Experiences similar to ours were occurring throughout Saudi Arabia. Army pharmacy had been challenged. The challenge was accepted, and viewed as an opportunity to excel, by providing the best possible pharmaceutical care to conserve the fighting strength of our armed forces.

Hospitals, Military↗

[Limiting prescribing freedom in the hospital].

The restrictions on the independence of prescriptions in hospitals result from the health insurance law and from the legal regulations for the hospital finances. Within the hospital, the restrictions on the freedom of prescription are laid down by law. Although on the one hand, the head doctor responsible for the medical treatment within his ward is independent of any restrictions regarding diagnosis and therapy, he is, however, committed to a treatment as economical as possible, which creates a field of conflicts that are quite frequently very difficult to solve.

Cost Control↗

Gas identity hazards and major contamination of the medical gas system of a new hospital.

During commissioning of the medical gas system of a new hospital, fourteen connection defects were found; six of these were potentially lethal cross-connections. A major contaminant was also detected throughout the medical gas system. The methods of testing a new medical gas system described in this report highlight the need for up-grading of existing standards.

Australia↗

Designing an electronic medication reconciliation system.

Unintended medication discrepancies at hospital admission and discharge potentially harm patients. Explicit medication reconciliation (MR) can prevent unintended discrepancies among care settings and is mandated by JCAHO for 2005. Enterprise-wide, we are linking pre-admission and discharge medication lists in our outpatient electronic health records (EHR) with our inpatient order entry applications (OE) - currently not interoperable - to support MR and inform the development of comprehensive MR among hospitalized patients.

Hospitalization↗

[The optimal design of the interface system between the hospital & the medical insurance institution].

This paper tells you how to build a faster and more reliable interface system between the Hospital Management Information System (HMIS) in the hospital and the Medical Insurance Information System (MIIS) in the Medical Insurance Affairs Management Center (MIAMC). The data standards of the hospital and MIAMC should be integrated in order to reduce the unnecessary real-time transmission, so as to establish and perfect the operation mode in offline status,and to improve the performance of the communication servers. Thus, it would be a more efficient software interface system with a higher bandwidth between HMIS and MIIS. The working efficiency of the interface system and the accuracy of the balance data in the MIAMC are increased while the dependence on the inter-network communication is decreased with an improvement of the reliability and suitability of the interface system.

Ambulatory Care Information Systems↗

An integrated, hospital information system based obstetrical medical record and database.

Described in this paper is the implementation and integration of an obstetrical medical record and database into an existing hospital information system. A unique feature of this system was the integration of existing data captured by the established hospital information systems with the newly implemented obstetrical database to form a complete patient data profile. This complete database integrated data from hospital functions such as demographic data obtained at patient registration, outpatient visits and tests, inpatient admission historical data, tests and procedures, newborn data and miscellaneous data required for birth registration. An important second feature was the utilization of physicians and nurses to enter the obstetrical data. This permitted immediate access to patient data from any hospital information system terminal, immediate retrieval for generating reports, and subsequently, ad hoc queries, statistical analysis and the electronic transfer of birth registration data to the State Vital Statistics Registry.

Academic Medical Centers↗

Digital optical archiving of medical records in hospital information systems--a practical approach towards the computer-based patient record?

The large number of inpatients and outpatients in university hospitals leads to high costs of medical documentation and to an increasing number of medical documents. Due to legal regulations, these medical records have to be stored for 30 years. This implies spatial, organizational, and economical problems. At present, conventional archiving in hospitals often does not satisfy the need to make medical records available for health-care professionals in a systematic and timely manner. From 1989 to 1993 a pilot study on "digital optical archiving of medical records" was carried out at Heidelberg University Hospital. The study has shown the feasibility of digital optical archiving in hospital s if done under certain conditions. In 1995, Heidelberg University Hospital adopted a procedure for "digital optical archiving of medical records". The digital optical archive will first be filled with the medical records of the department of neurosurgery and the endoscopic and echographic images and reports of the department of internal medicine. It is to be expected that this procedure will gradually lead to an integrated functionality on health-care professional workstations, to a hospital-wide use of an electronic patient record, and to media-independent document management systems. The paper focuses on the potentials of digital optical archiving as an integral part of hospital information systems, and on the requirements for the systematic managements of hospital information systems with respect to digital optical archives.

Archives↗