摘要:

Accurate and timely documentation of prehospital care is a challenge to many emergency medical services (EMS) systems. To provide meaningful system oversight and system improvement, certain data points need to be collected on all recipients of a 911 response. Collating these data points and interpreting the trends are important functions of the local EMS agency. The design of a computer-based data entry form for prehospital care is multifaceted and complex. Data points need to conform to local, state, and national requirements and provide some degree of freedom for free text entries. Data collection must be a coordinated effort between the hospital that provides the medical direction and the prehospital personnel who deliver the care. Implementing such a wide area network system that is on line, interactive, linked, and live has provided not only accurate and concise data but information that is immediately available to the caregivers and to the local EMS agency staff.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Computer-based training (CBT) will play an increasingly important role in the education of emergency medical professionals. Programs ranging from text-based applications to sophisticated multimedia simulations will dramatically change the way we teach and learn. As CBT increases, program management will quickly become a critical issue. In the future, virtual reality programming will provide an educational environment that will be able to duplicate any clinical experience.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The use of computer systems with artificial intelligence (AD in the practice of emergency medicine is in its infancy. Over the past 15 years there has been a steady growth in research and development of systems that approximate AI. Several programs using an expert system model are currently available to help with medical diagnostic decision support. Over the next 15 years, emergency department systems will be developed that automatically interface with large databases of patient information. Triage and tracking of patients as well as reports of critical ancillary test results will be cybernetic. This will result in improved, cost-effective, and efficient emergency medical care.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

An essential aspect of the implementation of computerization is the design of system reports. Reports will become an increasingly important tool for the management of patient care and design of the emergency department (ED). Reports should be created to evaluate services provided in the ED. Considerations for report creation are report priorities, data integrity, standardization of data elements, and report analysis. The ability to set priorities for and to design and analyze reports is an essential new competency for the ED team to implement new care strategies and facilitate evaluation of emergency services.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The health care industry, along with other types of industries, is redesigning the way work is being accomplished. Emergency departments are moving from using specialized workers to using multiskilled health care practitioners. Computerized care tracks are a work redesign tool that will help the multiskilled worker accomplish his or her job responsibilities. The article defines work redesign, multiskilled health practitioner, and computerized care tracks. In addition, steps to consider when a computerized care track is being configured are outlined, and methods to operationalize the track in an emergency department are discussed.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The article covers recent advances in computer technology, from current trends and benefits to the use of networks to move or access information in traditional and nontraditional health care settings. Computer technology is changing the face of the patient record. The ability to link data from clinical systems with nonclinical systems creates a robust record that spans the continuum of care and provides an integrated database by which to query outcomes data.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The article describes the experience of a level II emergency department (ED) that implemented an integrated computerized documentation system in July 1993. Implementation issues such as database customization, staff training, and policy and procedure changes are addressed, as are the concerns in setting up a local area network to link the workstations. The outcome was positive because the legibility of the charts, patient-tracking functions, access to previous records, report generation, and continuous quality improvement functions have been enhanced by the computerization of the ED.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Computerized documentation systems are becoming the state of the art in acute care settings, but some organizations are struggling with the actual cost versus the perceived utility of the system. The article presents an overview of one organization's evaluation plan to assess the worth of such a computerized system. The benefits assessed were accuracy, quality, safety, and satisfaction. Preimplementation evaluation results can be used as a rationale for the need for and value of such a system. The plan is presented for its applicability to any care setting, especially the emergency department.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Automation of emergency department aftercare instructions is the third step in the metamorphosis of an emergency department standard of care. Implementation of automated aftercare instructions affords emergency departments an expanded, ideally multilingual database of concise information and provides a leveraging of educational capability of emergency caregivers on behalf of their patients.

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0164-2340    

出版商:OVID    

年代:1996

数据来源: OVID