{"title":"Expert systems in the health sector: first in theory, last in practice.","authors":"A Righetti","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"18 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21164188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electronic ambulatory medical record.","authors":"E R Gabrieli","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"18 2","pages":"27-53"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21167523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper will discuss the Health Record in terms of content, value of a Longitudinal Record, need for a dynamic and interactive record versus the current archived chronological repository of information, areas of application in research, clinical benefits and population related research concerning present and future influences upon a person's health. It will contain the categories of information utilized in a model Health Record, what facts should be contained within a brief Synopsis or Record Abstract and the contents of a master Pediatric Database. Areas of uses, abuses, potential problems, security needs, privacy and confidentiality issues, legal aspects, transfer of information, technical considerations, computerization of the Record and other matters will be discussed.
{"title":"Longitudinal health record: a pediatrician's viewpoint of the longitudinal health record.","authors":"B B Oberst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper will discuss the Health Record in terms of content, value of a Longitudinal Record, need for a dynamic and interactive record versus the current archived chronological repository of information, areas of application in research, clinical benefits and population related research concerning present and future influences upon a person's health. It will contain the categories of information utilized in a model Health Record, what facts should be contained within a brief Synopsis or Record Abstract and the contents of a master Pediatric Database. Areas of uses, abuses, potential problems, security needs, privacy and confidentiality issues, legal aspects, transfer of information, technical considerations, computerization of the Record and other matters will be discussed.</p>","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"17 5-6","pages":"111-53"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21162748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E R Gabrieli, G B Pollock, E L Beltrami, R Soldano
A feasibility study for computer-based quality screening was carried on 497 clinical cases. Rule-directed audit criteria were used. Discharge summaries were analyzed in an effort to detect possible quality problems. The charts of the same cases were also screened by nurses, and the suspected cases of both process es were further reviewed by physicians. The computer-based text analysis compared favorably with the screening by nurses, and showed a rather low false negative rate. The objectives of substantiating the discharge summary as a valid source document for generic quality screening was demonstrated. In addition the economy and feasibility of computer based text analysis and interpretation was proven. Finally the applicability of algorithmic rules in detecting clinical quality indicators showed great promise and presents an area of further research. Thus the feasibility study was highly successful. The potential of computer-based care quality assessment is discussed.
{"title":"Automated screening for quality of care in the hospital--a feasibility study.","authors":"E R Gabrieli, G B Pollock, E L Beltrami, R Soldano","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A feasibility study for computer-based quality screening was carried on 497 clinical cases. Rule-directed audit criteria were used. Discharge summaries were analyzed in an effort to detect possible quality problems. The charts of the same cases were also screened by nurses, and the suspected cases of both process es were further reviewed by physicians. The computer-based text analysis compared favorably with the screening by nurses, and showed a rather low false negative rate. The objectives of substantiating the discharge summary as a valid source document for generic quality screening was demonstrated. In addition the economy and feasibility of computer based text analysis and interpretation was proven. Finally the applicability of algorithmic rules in detecting clinical quality indicators showed great promise and presents an area of further research. Thus the feasibility study was highly successful. The potential of computer-based care quality assessment is discussed.</p>","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"17 5-6","pages":"154-68"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21162749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On- and off-line surveillance of the critically ill patient.","authors":"R Pizzi, A DeGaetano, P Guadalupi, O Chiara","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"17 3","pages":"67-72"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21163576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The literature gives evidence of a growing interest in the application of computer systems to medicine. It outline the performances, advantages, and benefits of these systems, but often does not present the problems that arise in the design, realization, and introduction of such systems in health care organizations. This paper presents and analyzes some project-oriented and organizational problems, giving some possible solutions.
{"title":"The computer-based medical record: analysis of problems in its implementation in a hospital.","authors":"G Candilio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The literature gives evidence of a growing interest in the application of computer systems to medicine. It outline the performances, advantages, and benefits of these systems, but often does not present the problems that arise in the design, realization, and introduction of such systems in health care organizations. This paper presents and analyzes some project-oriented and organizational problems, giving some possible solutions.</p>","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"16 5-6","pages":"167-73"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21172245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Combining menus with natural language processing in recording medical data.","authors":"D Cristea, T Mihaescu","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"16 5-6","pages":"156-66"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21159928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The \"smart hospital\": the role of technological structures.","authors":"G Pacione, G Vollaro","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"17 1","pages":"17-22"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21159910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Increasing demand for health care services coupled with limited resources require that services should be planned and delivered on the basis of a priority of needs. The Eastern Health Board is developing an Epidemiological Information System in order to measure such needs. The system will bring together computerized health data from diverse sources into an integrated information system and powerful software will be used to analyse and map the data on a small area basis. Pilot work suggests that this approach can be useful in identifying areas of greater need.
{"title":"The epidemiological information system.","authors":"Z Johnson, H Johnson, N McNee, P Dack","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Increasing demand for health care services coupled with limited resources require that services should be planned and delivered on the basis of a priority of needs. The Eastern Health Board is developing an Epidemiological Information System in order to measure such needs. The system will bring together computerized health data from diverse sources into an integrated information system and powerful software will be used to analyse and map the data on a small area basis. Pilot work suggests that this approach can be useful in identifying areas of greater need.</p>","PeriodicalId":79662,"journal":{"name":"Journal of clinical computing","volume":"17 3","pages":"73-88"},"PeriodicalIF":0.0,"publicationDate":"1988-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21163578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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