Hilgenberg C; Damery L. Introduction to an automated hospital information system in baccalaureate education: a pilot project. J Nurs Educ (JEN), 1994 Oct; 33 (8): 378-80.
Bradley V. Our computerized patient-tracking system. J Emerg Nurs (KRU), 1994 Aug; 20 (4): 320-3.
Wong ET; Pryor TA; Huff SM; Haug PJ; Warner HR. Interfacing a stand-alone diagnostic expert system with a hospital information system. Comput Biomed Res (DOF), 1994 Apr; 27 (2): 116-29.
Bakker AR. Presentation of electronic patient data and medical audit. Int J Biomed Comput (GQQ), 1994 Feb; 35 Suppl 65-9.
London JW; Engelmann U; Morton DE; Meinzer HP; Degoulet P. Integration of HIS components through open standards: an American HIS and a European Image Processing System. Proc Annu Symp Comput Appl Med Care (BGL), 1993; 149-53.
London JW; Engelmann U; Morton DE; Meinzer HP; Degoulet P. Integration of HIS components through open standards: an American HIS and a European Image Processing System. Proc Annu Symp Comput Appl Med Care (BGL), 1993; 64-8.
Lenhard RE Jr. A large private university hospital system. The Johns Hopkins Oncology Center. Cancer (CLZ), 1993 Nov 1; 72 (9 Suppl): 2820-3.
Lenhard RE Jr. A large private university hospital system. The Johns Hopkins Oncology Center. Ann N Y Acad Sci (5NM), 1992 Dec 17; 670 109-15.
Lenhard RE Jr. A large private university hospital system. The Johns Hopkins Oncology Center. Br J Theatre Nurs (BEB), 1993 Apr; 3 (1): 15-7.
Bleich HL; Slack WV. Designing a hospital information system: a comparison of interfaced and integrated systems. MD Comput (MDC), 1992 Sep-Oct; 9 (5): 293-6.
Bleich HL; Slack WV. Designing a hospital information system: a comparison of interfaced and integrated systems. Proc Annu Symp Comput Appl Med Care (BGL), 1991; 124-8.
Bleich HL; Slack WV. Designing a hospital information system: a comparison of interfaced and integrated systems. Proc Annu Symp Comput Appl Med Care (BGL), 1991; 511-5.
Bleich HL; Slack WV. Designing a hospital information system: a comparison of interfaced and integrated systems. MD Comput (MDC), 1991 Sep-Oct; 8 (5): 291-9.
Packer CL. Hospitals with the best information systems. Hospitals (GDL), 1992 Feb 5; 66 (3): 56-8, 60, 62-5.
Hudson T. Computerized patient records goal of new group. Hospitals (GDL), 1991 Nov 20; 65 (22): 48, 50, 52.
Anderson HJ. Study: hospitals want to compare uniform data. Hospitals (GDL), 1991 Feb 5; 65 (3): 54.
Packer CL. Hospital information systems: state of the art. Hospitals (GDL), 1990 Jan 20; 64 (2): 78, 80, 82 passim.
Scherrer JR; Baud RH; Hochstrasser D; Ratib O. An integrated hospital information system in Geneva. MD Comput (MDC), 1990 Mar-Apr; 7 (2): 81-9.
Bakker AR. An integrated hospital information system in The Netherlands. MD Comput (MDC), 1990 Mar-Apr; 7 (2): 91-7.
Pangalos G. Development of an experimental hospital database system using a relational database management system. Med Inf (Lond) (LU9), 1989 Oct-Dec; 14 (4): 309-21.
Denger S; Cole D; Walker H. Implementing an integrated clinical information system. J Nurs Adm (JEL), 1988 Dec; 18 (12): 28-34.
Whiting-O'Keefe QE; Whiting A; Henke J. The STOR clinical information system. MD Comput (MDC), 1988 Sep-Oct; 5 (5): 8-21.
Budd JR; Warwick WJ; Wielinski CL; Finkelstein SM. A medical information relational database system (MIRDS). Comput Biomed Res (DOF), 1988 Oct; 21 (5): 419-33.
RECORD NO.: 95084024
AUTHOR: Juri H; Avila R; Hernandez D; Alonso G; Sipowicz O; Repossi
H; Samar ME
ADDRESS: Catedra de Informatica, Escuela de Medicina, Universidad
Nacional de Cordoba.
TITLE: Proposal of a hospital information system for a teaching
hospital.
SOURCE: Rev Fac Cien Med Univ Nac Cordoba (RXH), 1992; 50 (2): 31-6
LANGUAGE: English
COUNTRY PUB.: ARGENTINA
ANNOUNCEMENT: 9503
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: Hospital Information Systems--organization & administration
(*OG); *Hospitals, Teaching
STANDARD NO.: 0014-6722
DATES: Entered 950109
RECORD NO.: 95097029
AUTHOR: Hilgenberg C; Damery L
ADDRESS: Millikin University, Decatur, Illinois.
TITLE: Introduction to an automated hospital information system in
baccalaureate education: a pilot project.
SOURCE: J Nurs Educ (JEN), 1994 Oct; 33 (8): 378-80
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9503
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: *Computer User Training; *Education, Nursing, Baccalaureate;
*Hospital Information Systems; Curriculum; Illinois; Nursing
Education Research; Pilot Projects; Human
STANDARD NO.: 0148-4834
DATES: Entered 950126
RECORD NO.: 94335247
AUTHOR: Bradley V
TITLE: Our computerized patient-tracking system.
SOURCE: J Emerg Nurs (KRU), 1994 Aug; 20 (4): 320-3
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9411
SUBFILE: Nursing
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: Emergency Service, Hospital--organization & administration
(*OG); *Information Systems; Medical Records; Patient
Admission
STANDARD NO.: 0099-1767
DATES: Entered 940915
RECORD NO.: 94306876
AUTHOR: Wong ET; Pryor TA; Huff SM; Haug PJ; Warner HR
ADDRESS: Center for Information Technology, Milton S. Hershey Medical
Center, Pennsylvania State University, Hershey 17033.
TITLE: Interfacing a stand-alone diagnostic expert system with a
hospital information system.
SOURCE: Comput Biomed Res (DOF), 1994 Apr; 27 (2): 116-29
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9410
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: Few diagnostic decision-support systems are in routine
clinical use, mainly because these systems typically require
time-consuming manual data entry. This research investigated
the feasibility of reducing manual data entry by integrating
a stand-alone diagnostic expert system with an existing
comprehensive hospital information system (HIS). A knowledge-
based intervocabulary mapping technique was developed to map
disparate vocabularies. The results of a retrospective study
indicate that transferring clinical data from the HIS to the
diagnostic expert system at the beginning of workup
significantly reduces the manual data entry required for
generating the correct diagnoses for patients.
MESH HEADINGS: *Diagnosis, Computer-Assisted; *Expert Systems; *Hospital
Information Systems; Nomenclature
STANDARD NO.: 0010-4809
DATES: Entered 940818
RECORD NO.: 94245418
AUTHOR: Bakker AR
ADDRESS: BAZIS, Leiden, The Netherlands.
TITLE: Presentation of electronic patient data and medical audit.
SOURCE: Int J Biomed Comput (GQQ), 1994 Feb; 35 Suppl 65-9
LANGUAGE: English
COUNTRY PUB.: IRELAND
ANNOUNCEMENT: 9408
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: With the increasing use of computers to store patient data
and to use these data as an electronic patient record to
support the direct patient care these data now play an
essential role in the care process. Such a role can be
expected to expand in the years to come. It is widely
recognised that such use of data for direct support of
patient care increases the need for security (in particular
integrity and availability). However, until now little
attention has been paid to the requirements for the system
from the point of view of medical audit. If the data
retrieved may play an important role in the care process it
is important to be able to judge whether the health care
professional has acted properly in view of the electronic
information that was (or could have been) at his disposal.
During one of the IMIA working conferences this issue was
identified. In this paper the issue is explored further.
Both requirements and technical consequences are discussed.
MESH HEADINGS: *Medical Audit; *Medical Records Systems, Computerized;
Computer Communication Networks; Computer Security; Forms
and Records Control; Hospital Information Systems;
Information Systems; Patient Care Planning; Security
Measures; Software; Software Design; Human
STANDARD NO.: 0020-7101
DATES: Entered 940623
RECORD NO.: 94176799
AUTHOR: London JW; Engelmann U; Morton DE; Meinzer HP; Degoulet P
ADDRESS: Fox Chase Cancer Center, Philadelphia, PA.
TITLE: Integration of HIS components through open standards: an
American HIS and a European Image Processing System.
SOURCE: Proc Annu Symp Comput Appl Med Care (BGL), 1993; 149-53
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9406
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: This paper describes the integration of an existing American
Hospital Information System with a European Image Processing
System. Both systems were built independently (with no
knowledge of each other), but on open systems standards. The
easy integration of these systems demonstrates the major
benefit of open standards-based software design.
MESH HEADINGS: Hospital Information Systems--standards (*ST); Image
Processing, Computer-Assisted--standards (*ST); Software--
standards (*ST); Cancer Care Facilities; Europe;
Pennsylvania; United States; Human; Support, Non-U.S. Gov't
STANDARD NO.: 0195-4210
DATES: Entered 940421
AUTHOR: Henkind SJ; Orlowski JM; Skarulis PC
ADDRESS: Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL.
TITLE: Application of a multilevel access model in the development
of a security infrastructure for a clinical information
system.
SOURCE: Proc Annu Symp Comput Appl Med Care (BGL), 1993; 64-8
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9406
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: A number of security models including the military model,
the Institute of Medicine model, and the matrix model have
been utilized, or proposed, for protecting clinical
information systems. These models have a number of
limitations, however, and of particular concern, they focus
on security as opposed to access. In this paper we describe
a multilevel access model which can overcome some of these
limitations. This model is currently being utilized in the
development of an improved security infrastructure for a
MESH HEADINGS: *Computer Security; *Medical Records Systems, Computerized;
Academic Medical Centers; Clinical Medicine; Computer
Communication Networks; Computer Systems; Hospital
Information Systems; Illinois; Models, Theoretical; Human
STANDARD NO.: 0195-4210
DATES: Entered 940421
RECORD NO.: 94006110
AUTHOR: Lenhard RE Jr
ADDRESS: Johns Hopkins Oncology Center, Baltimore, MD 21205.
TITLE: A large private university hospital system. The Johns
Hopkins Oncology Center.
SOURCE: Cancer (CLZ), 1993 Nov 1; 72 (9 Suppl): 2820-3
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9401
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: Clinical trials are a major commitment for a university-
based comprehensive cancer center. In 1992, The Johns
Hopkins Hospital registered 3508 new patients with cancer
and, from this large population, 2880 patients were entered
in clinical trials (many patients participated in more than
one protocol). The Oncology Center, one of many departments
at Johns Hopkins that conducts clinical research,
participates in phase I and II new drug trials, phase III
comparative studies, and, increasingly, in epidemiologic and
prevention research. This calls for much broader
participation by community hospitals and for many more
patients who normally would not come to Johns Hopkins for
their care. There are more than 100 protocols available from
the Eastern Cooperative Oncology Group, but Johns Hopkins
may participate in no more than 20 at any given time. Thus,
every research facility must be selective about the trials
in which it participates, given the finite number of hours,
dollars, and resources available to carry out these
programs. The institution provides safeguards to protect the
interest of the patient. These include review and annual
overseeing of the concept, design, and specifics of the
proposed study. The pharmacy and nursing staff play an
important role in control of chemotherapy distribution and
use. Patients and physicians, however, must understand the
questions the study is asking and agree that they are worth
answering. There are problems in motivation; information;
costs to the patient, hospital, insurers, and the physician;
the concept of the placebo; and informed consent. Clinical
research is the most ethical way to test drugs, radiation
therapy, surgical procedures, or other new treatments. The
clinical trial must meet rigorous criteria of design,
conduct, and analysis. The patient must understand the
issues and be a volunteer. We must make every effort to help
patients and physicians get information about clinical
trials and to participate if they choose.
MESH HEADINGS: Clinical Trials--economics (EC)/standards (*ST); Hospitals,
University--standards (*ST); Neoplasms--therapy (*TH);
Oncology Service, Hospital--standards (*ST); *Patient
Advocacy; Baltimore; Hospital Bed Capacity, 500 and over;
Hospital-Patient Relations; Hospitals, Private--standards
(ST); Informed Consent; Human
STANDARD NO.: 0008-543X
DATES: Entered 931109
AUTHOR: Nagey DA; Blackman JA; Wright JN
ADDRESS: Department of Obstetrics and Gynecology, University of
Maryland School of Medicine, Baltimore 21201.
TITLE: The general medical record. Concepts and suggestions for
implementation.
SOURCE: Ann N Y Acad Sci (5NM), 1992 Dec 17; 670 109-15
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9312
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: Our view of a general medical record consists of a
combination of distinct departmental- and specialty-specific
medical records and an organizing kernel that contains
arguably critical information. Because this system allows
each clinical entity to evolve its own system, clinical
priorities do not have to be negotiated or compromised.
Additionally, subsystem or departmental medical records can
be easily revised without disturbing the general medical
record because of the modular design. Although the system
implementation can provide adequate tests.
MESH HEADINGS: *Hospital Departments; Hospital Information Systems--
organization & administration (*OG); Medical Records
Systems, Computerized--organization & administration (*OG);
*Patient Care Team--organization & administration (OG);
*Software Design; Bias (Epidemiology); Confidentiality;
Health Facility Environment; Models, Organizational;
Organizational Objectives; Professional Staff Committees;
Human
STANDARD NO.: 0077-8923
DATES: Entered 931021
AUTHOR: Norris W; O'Kane K
TITLE: What is a HISS? Hospital Information Support System.
SOURCE: Br J Theatre Nurs (BEB), 1993 Apr; 3 (1): 15-7
LANGUAGE: English
COUNTRY PUB.: ENGLAND
ANNOUNCEMENT: 9309
SUBFILE: Nursing
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: A HISS is a Hospital Information Support System and the idea
is that it is primarily there to support clinical activity
not to provide management information. When the concept of a
HISS first emerged it was seen as a very large system where
all hospital departments shared one computer system and that
is the model used by the first few HISS sites. As the Health
Service has changed and the difficulties of replacing all
the computer systems in a hospital with one large system
have been appreciated, so the concept of HISS has developed.
We now talk about an incremental approach to HISS. This
means looking at the present systems and deciding which ones
system is the best for every department and this approach
allowing 'foreign' systems to be attached to the main system
(usually centred on the Patient Administrative System) does
provide a good fit with the needs of the department. This
does not need to be implemented immediately but can be
introduced at the end of the life of an existing system,
thus protecting the past investment in systems.
MESH HEADINGS: *Hospital Information Systems; Human
STANDARD NO.: 0027-6049
DATES: Entered 930715
RECORD NO.: 92396017
AUTHOR: Bleich HL; Slack WV
ADDRESS: Department of Medicine, Beth Israel Hospital, Boston, MA.
TITLE: Designing a hospital information system: a comparison of
interfaced and integrated systems.
SOURCE: MD Comput (MDC), 1992 Sep-Oct; 9 (5): 293-6
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9212
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: Computer Communication Networks--organization &
administration (OG)/standards (*ST); Hospital Information
Systems--standards (*ST); *Software Design; Hospital
Departments--organization & administration (OG);
Interdepartmental Relations; Comparative Study; Human
STANDARD NO.: 0724-6811
DATES: Entered 921015
AUTHOR: Rodewald LE; Szilagyi PG; Wrenn KD; Slovis CM
ADDRESS: University of Rochester School of Medicine and Dentistry,
New York.
TITLE: Two methods for developing and maintaining a database of
clinical information on outpatient encounters: a comparison
of process, costs, and benefits.
SOURCE: Proc Annu Symp Comput Appl Med Care (BGL), 1991; 124-8
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9207
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: We describe and compare two relational databases that
capture and store clinical information about ambulatory
patients. One system is based on an encounter form; the
other is a "parasiteu that passively collects data from
other hospital computers. We compare the system development
processes, costs, and benefits of these two computerization
strategies.
MESH HEADINGS: *Ambulatory Care Information Systems--economics (EC);
Systems--economics (EC); *Medical Records Systems,
Computerized--economics (EC); Cost-Benefit Analysis;
Emergency Service, Hospital--organization & administration
(OG); Outpatient Clinics, Hospital--organization &
administration (OG); Pediatrics--organization &
administration (OG); Comparative Study
STANDARD NO.: 0195-4210
DATES: Entered 920521
AUTHOR: Shafarman MJ; Meeks-Johnson J; Jones T; McCoy J; van
Valkenburg T
ADDRESS: Bell Atlantic Healthcare Systems; Greenbrae, CA.
TITLE: Implementing a record-oriented clinical lab interface using
HL7 version 2.1 at Indiana University Hospital.
SOURCE: Proc Annu Symp Comput Appl Med Care (BGL), 1991; 511-5
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9207
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: At the Indiana University Hospital (IUH) site on the
Indianapolis campus, HL7 version 2.1 is being implemented
via a TCP/IP LAN, (using the "Minimalu Lower Layer
Protocol). HL7 is currently being used to convey record-
oriented lab results from the local clinical laboratory
system to a clinical database system via an intelligent
router, which also provides store and forward capabilities.
The database application displays the lab results in a
variety of configurable formats to clinical users.
Information Systems; *Local Area Networks; *Medical Records
Systems, Computerized; Databases, Factual; Hospitals,
University; Indiana
STANDARD NO.: 0195-4210
DATES: Entered 920521
AUTHOR: Safran C; Rury C; Rind DM; Taylor WC
ADDRESS: Department of Medicine, Beth Israel Hospital, Boston, MA.
TITLE: A computer-based outpatient medical record for a teaching
hospital.
SOURCE: MD Comput (MDC), 1991 Sep-Oct; 8 (5): 291-9
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9203
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: We developed a computer-based outpatient medical record
system to facilitate direct physician interaction with the
clinical computing system at the Beth Israel Hospital in
Boston. During the 2 years since the medical record system
was installed, 20 staff physicians, 5 fellows, 64 residents,
and 11 nurse practitioners have entered 15,121 active
problems and 1996 inactive problems for 3524 patients, as
well as 12,651 active medications and 1894 discontinued
medications for 3430 patients. Another 20,321 items were
entered on health-promotion and disease-prevention screening
sheets, and with the help of automatic updating by the
computer, an additional 21,897 entries on screening sheets
were made for 8686 patients. Clinicians wrote 10.9 +/- 12.8
(mean +/- SD) words per problem when they were working at
the computer, as compared with 4.3 +/- 2.5 words per problem
when they were writing in the paper medical record. We
conclude that physicians will readily enter data directly
into a computing system when they are given appropriate
tools, and that they consider the computer-based problem
list to be a valuable improvement over its paper
counterpart. Use of a computer-based medical record system
has obvious benefits for data management and patient care.
MESH HEADINGS: *Ambulatory Care Information Systems; Hospitals, Teaching--
organization & administration (*OG); *Medical Records
Systems, Computerized; Outpatient Clinics, Hospital--
organization & administration (*OG); Attitude of Health
Personnel; Boston; Hospital Bed Capacity, 500 and over;
Support, U.S. Gov't, P.H.S.
GRANT NO.: HS06288; HS; AHCPR
STANDARD NO.: 0724-6811
DATES: Entered 920122
RECORD NO.: 92120638
AUTHOR: Packer CL
TITLE: Hospitals with the best information systems.
SOURCE: Hospitals (GDL), 1992 Feb 5; 66 (3): 56-8, 60, 62-5
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9204
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: *Awards and Prizes; Hospital Information Systems--economics
(EC)/standards (*ST); Costs and Cost Analysis--statistics &
numerical data (SN); Data Collection; Evaluation Studies;
Hospital Administrators--standards (ST); Research Design;
United States
STANDARD NO.: 0018-5973
DATES: Entered 920225
RECORD NO.: 92039588
AUTHOR: Hudson T
TITLE: Computerized patient records goal of new group.
SOURCE: Hospitals (GDL), 1991 Nov 20; 65 (22): 48, 50, 52
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9202
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: Academies and Institutes--organization & administration
(*OG); *Medical Records Systems, Computerized; Computer
Security; Efficiency; Hospital Information Systems--trends
(TD); Institute of Medicine (U.S.); United States
STANDARD NO.: 0018-5973
DATES: Entered 911211
RECORD NO.: 91107004
AUTHOR: Anderson HJ
TITLE: Study: hospitals want to compare uniform data.
SOURCE: Hospitals (GDL), 1991 Feb 5; 65 (3): 54
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9105
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: Data Collection--standards (*ST); *Efficiency; Outpatient
Clinics, Hospital--utilization (*UT); Ambulatory Care
Information Systems; Questionnaires; United States
STANDARD NO.: 0018-5973
DATES: Entered 910225
RECORD NO.: 90109123
AUTHOR: Packer CL
ADDRESS: Shared Data Research, Hudson, OH.
TITLE: Hospital information systems: state of the art.
SOURCE: Hospitals (GDL), 1990 Jan 20; 64 (2): 78, 80, 82 passim
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9004
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: *Awards and Prizes; Hospital Information Systems--statistics
& numerical data (*SN); Data Collection; United States
STANDARD NO.: 0018-5973
DATES: Entered 900212
RECORD NO.: 90244879
AUTHOR: Scherrer JR; Baud RH; Hochstrasser D; Ratib O
ADDRESS: Center for Informatics, University Cantonal Hospital,
Geneva.
TITLE: An integrated hospital information system in Geneva.
SOURCE: MD Comput (MDC), 1990 Mar-Apr; 7 (2): 81-9
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9008
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: Since the initial design phase from 1971 to 1973, the
DIOGENE hospital information system at the University
Hospital of Geneva has been treated as a whole and has
retained its architectural unity, despite the need for
modification and extension over the years. In addition to
having a centralized patient database with the mechanisms
for data protection and recovery of a transaction-oriented
system, the DIOGENE system has a centralized pool of
operators who provide support and training to the users; a
separate network of remote printers that provides a telex
service between the hospital buildings, offices, medical
departments, and wards; and a three-component structure that
avoids barriers between administrative and medical
applications. In 1973, after a 2-year design period, the
project was approved and funded. The DIOGENE system has led
to more efficient sharing of costly resources, more rapid
performance of administrative tasks, and more comprehensive
collection of information about the institution and its
patients.
MESH HEADINGS: *Hospital Information Systems; Computer Systems; Medical
Records Department, Hospital--organization & administration
(OG); Programming Languages; Switzerland
STANDARD NO.: 0724-6811
DATES: Entered 900611
RECORD NO.: 90244880
AUTHOR: Bakker AR
ADDRESS: BAZIS, International Medical Informatics Association.
TITLE: An integrated hospital information system in The
Netherlands.
SOURCE: MD Comput (MDC), 1990 Mar-Apr; 7 (2): 91-7
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 9008
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: The development of an experimental integrated hospital
information system (HIS) at Leiden University Hospital was
initiated by the Dutch government in 1972. As a result of
this experiment, a sophisticated HIS is now used by 45
hospitals in the Netherlands, which together have more than
35% (22,000) of the acute care hospital beds in the country.
Further development and maintenance of the system are in the
hands of a nonprofit organization called BAZIS. This article
describes the characteristics of the system and its
functions. Special attention is given to technical issues,
use of the system, costs, and the organizational structure
overseeing multi-hospital participation.
MESH HEADINGS: *Hospital Information Systems--economics (EC); Computer
Systems; Computers; Costs and Cost Analysis; Netherlands;
Programming Languages; Software
STANDARD NO.: 0724-6811
DATES: Entered 900611
RECORD NO.: 90157693
AUTHOR: Pangalos G
ADDRESS: Organization and Data Processing Division, ELKEPA, Athens,
Greece.
TITLE: Development of an experimental hospital database system
using a relational database management system.
SOURCE: Med Inf (Lond) (LU9), 1989 Oct-Dec; 14 (4): 309-21
LANGUAGE: English
COUNTRY PUB.: ENGLAND
ANNOUNCEMENT: 9005
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: The development of an integrated database system for the
satisfactory support of the information processing
requirements of a modern hospital is clearly a major task
with many associated problems. A design and implementation
procedure for the development of a relational hospital
database system based on an experimental relational database
management system is presented which should help overcome
some of the problems currently encountered. A brief outline
of the application and the underlying database management
system is given and a standardized procedure for the design
of the multilevel database schemata is presented. The
associated problems and procedures required for such a
development are also examined and a number of theoretical
conclusions and claims are tested in a real life application
environment.
MESH HEADINGS: *Database Management Systems; *Hospital Information Systems;
*Software; Hospital Bed Capacity, 500 and over; London;
Software Design
STANDARD NO.: 0307-7640
DATES: Entered 900329
RECORD NO.: 89055377
AUTHOR: Denger S; Cole D; Walker H
ADDRESS: Nursing Administrative Services, St. Francis Regional
Medical Center, Wichita, Kansas.
TITLE: Implementing an integrated clinical information system.
SOURCE: J Nurs Adm (JEL), 1988 Dec; 18 (12): 28-34
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 8903
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: The authors examine the vital role nursing professionals
have played in the successful implementation of a
sophisticated computer system at a regional medical center
in the midwest. From preselection analysis through training
and implementation, nurses have assumed primary
responsibility for managing the multifaceted adaptation and
installation of a comprehensive array of patient care
functions. This experience can serve as an invaluable
example of the relationship between information management,
patient management, cost management, and quality enhancement
in the hospital setting.
MESH HEADINGS: *Computer Systems; Hospital Information Systems--
organization & administration (*OG); Computer User Training;
Hospital Bed Capacity, 500 and over; Institutional
Management Teams; Kansas; Nursing Diagnosis; Nursing Staff,
Hospital--education (ED); Patient Care Planning; Planning
Techniques; Human
STANDARD NO.: 0002-0443
DATES: Entered 890111
RECORD NO.: 89158681
AUTHOR: Whiting-O'Keefe QE; Whiting A; Henke J
TITLE: The STOR clinical information system.
SOURCE: MD Comput (MDC), 1988 Sep-Oct; 5 (5): 8-21
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 8906
PUB. TYPE: JOURNAL ARTICLE
MESH HEADINGS: Hospital Information Systems--organization & administration
(*OG); Hospitals, University; Medical Records; San
Francisco; Software Design
STANDARD NO.: 0724-6811
DATES: Entered 890420
RECORD NO.: 89029789
AUTHOR: Budd JR; Warwick WJ; Wielinski CL; Finkelstein SM
ADDRESS: Department of Pediatrics, University of Minnesota Medical
School, Minneapolis 55455.
TITLE: A medical information relational database system (MIRDS).
SOURCE: Comput Biomed Res (DOF), 1988 Oct; 21 (5): 419-33
LANGUAGE: English
COUNTRY PUB.: UNITED STATES
ANNOUNCEMENT: 8902
PUB. TYPE: JOURNAL ARTICLE
ABSTRACT: A medical information relational database system (MIRDS)
which is resident on a relational database machine and is
accessed via microcomputers has been created for a pediatric
pulmonary division of a research hospital. The power and
flexibility of MIRDS has permitted the integration of
clinical tasks, research interests, and laboratory
functions. Procedures have been devised to assure data
integrity, allow flexibility in data retrievals, produce
standardized report formats, and permit data access for
users with a wide range of query expertise. There are few
impediments to the integration of additional clinical,
research, and laboratory functions as the system evolves.
MESH HEADINGS: *Information Systems; *Lung Diseases; *Pediatrics; Child;
Computer Systems; Hospital Records; Hospitals, University;
Minnesota; Human; Support, U.S. Gov't, P.H.S.
GRANT NO.: 5-P50-HL-27355; 1-R01-HL-37504-01
STANDARD NO.: 0010-4809
DATES: Entered 881219
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