摘要:

The Emergency Department of the Future (EDOF) Project was initiated by the American College of Emergency Physicians (ACEP) Section for Computers in Emergency Medicine in September 1991. The EDOF Project identifies areas of technology that need to be integrated into the “business” of emergency medicine to improve health care delivery, operating costs, staff productivity, and fiscal survivability. It will result in a better understanding of the “automation laws” that govern the future of emergency medicine and will forward technology standardization for improved information exchange. These efforts will culminate in a working “EDOF prototype” planned for demonstration at the 1996 ACEP Scientific Assembly in New Orleans. This prototype, it is hoped, will provide strategic vision and enthusiasm among emergency health care providers and the medical industry as well as present a showcase for medical products and computerized technologies.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Telemedicine has one of the greatest potentials to fundamentally alter the way we practice medicine today. It may become the technologic house call in the future, but in the short term it will allow specialty expertise to be widely distributed via electronic transfer of video, sound, and data. Systems are even being developed that will allow tactile feedback to the remote examiner. This article deals with the current state of the art in telemedicine and provides basic background information to assist in better understanding how this technology works.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The National Information Infrastructure-Health Information Network (NII-HIN) is a $15.2 million 2-year project that seeks to create a national computer architecture to facilitate electronic clinical information exchange among health information networks. The group will define data elements and exchange protocols; create necessary software components; and develop working demonstrations that will allow health care data for emergency patients to be immediately available to health care providers through an on-line computer network. The field of emergency medicine (EM) has been chosen for the domain of the project because the benefits are expected to be especially significant in this environment.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Recent legislation provides insight into future requirements for computer security and privacy in health information systems. Computer systems have technologic safeguards available now to implement these requirements. Designing safeguards into computer systems before there is a crisis is preferable to emergency measures for a number of reasons.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The Internet (otherwise known as the information superhighway) will transform our lives in the medical field. Much of what we will do in the future will be dependent on this technology. However, much is available now to those willing to venture into cyberspace. This short article will deal with how to log on to the Internet and briefly what to do once you get there.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The implementation of emergency medicine (EM) information systems cannot happen overnight. As information infrastructure is implemented, managers must contend with multiple vendors and evolving technologies as well as continually justify these purchases in a cost-conscious environment. The opportunities for decreasing the cost while improving the quality of health care are potentially enormous. Most emergency departments (EDs) are still managing information on paper. There has never been a better time to rethink how we manage information and deliver health care in EM. This article reviews our experience with information system implementation at Methodist Hospital of Indiana.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Information systems planning in emergency medicine (EM) is complex, and active physician involvement is essential if an emergency department (ED) information system plan is to be accepted. Emergency physicians should emphasize to hospital administration that the ED is a logical place for a hospital to introduce clinical computing into the institution for a variety of reasons. The manner in which administration is approached will, in large part, determine how successful one is in obtaining appropriate institutional support for an ED information system. This article is intended as a guide to the steps necessary to develop and implement an ED information system.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

Computerizing the emergency department (ED) record continues to be the holy grail of health information systems and, to date, a comprehensive patient-based clinical information system has not been realized at any institution. The combination of paper records and computer data will continue to be a reality through the developmental process of a true electronic medical record. The costs of replacing a paper-based patient record with computer-based technology requires a substantial investment in hardware, software, and personnel training. Despite the potential advantages of computer-based records, the uncertainty of health care reform may prohibit institutions from spending the money necessary to implement these strategies in the near future.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The best dictation or transcription systems integrate database transcription with other computer database systems that allow more to be done with a clinical record than mere documentation. Research, quality assurance/continuous quality improvement, and patient analysis are only a few of the possibilities. Technology for computer systems is developing rapidly and computer alternatives to transcription, such as speech recognition, are being actively pursued. However, transcription is currently the easiest way to create a legible, readable, concise medical record. Good database transcription services will remain the preferred, clinician friendly method of generating quality electronic medical records for years to come.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID

摘要:

The use of computer information systems can improve tracking, registration, and triaging in the emergency department. Tracking systems not only improve communication but provide data for real-time status of the department and retrospective analysis and research. Computerized triage systems provide a structured approach to triage, prompting the clinician to assess the patient and provide care based on acuity and other variables. Clinicians are prompted for revitaling or other quality indicators while the patient is present, thus improving the quality of care while decreasing audit and analysis time. Clinical systems decrease the redundancy of questioning of the patient and provide information globally to variety of users.

ISSN:0164-2340    

出版商:OVID    

年代:1995

数据来源: OVID