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COMPUTER APPLICATIONS IN MEDICAL CARE
The expanding influence of computers on society is being felt in medicine as well. Essentially all hospitals and clinics depend on computers for administrative and financial functions and for providing access to clinical data. Most physicians have been exposed to the powerful available systems for searching the biomedical literature by computer. Modern imaging techniques depend on computers for image generation, small computers have become mandatory elements in the research
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Any medical computing system will fail to be accepted if it is unduly time consuming or if the cost is not clearly justified by the benefit gained. There is also an issue of inertia-the disinclination of busy people to use a computer if it requires an interruption in the normal routine. This implies the need for an integrated model whereby computers are used routinely for traditional data-management tasks, perhaps in lieu of traditional pen and paper data-recording techniques, and from which the physician obtains advice as a byproduct of this ongoing interaction. Decision-support tools will be more feasible as improved medical record and information systems begin to appear in hospitals and offices.
Equally important is the design of decision-making tools that are sensitive to the traditional independence and skill of physicians. There is a need for system transparency (ie, ability for the program to provide explanations) and for tactful presentation of advice. Such features make it clear that the unique skills of trained physicians are respected and that the system should be viewed as a knowledge-management tool rather than as the decision maker itself.
Medical informatics researchers have long sought to design interactive techniques that avoid clumsiness, typing, or the need for prolonged training of the intended users. Programs have tended to use a pointing device, such as a light pen or a mouse, as the means for manual selection of items and
Over the past decade, virtually every major industry invested heavily in computerization. The heath care industry was no exception to the rise in the use of technology. These technologies are starting to allow health care practitioners to offer faster, and more efficient patient care than ever before. No doubt this is the right direction we expect health care to follow.
Analyze the requirements of the system and how this DSS is reducing medical errors and improving clinical practice.
Although handwritten records are still the mainstay of clinical record keeping, many medical professionals believe that the increased use of information technologies has the potential to effect healthcare for the better. For example, Dr. Daniel R. Masys said, “Against a background of an explosively growing body of knowledge in the health sciences, current models of clinical decision making by autonomous practitioners, relying upon their memory and personal experience, will be inadequate for effective twenty-first-century health care delivery.” While keeping in mind how far manual records have gotten us, we need to realize that information technologies result in better data correlation and management.
“a paperless, digital and computerized system of maintaining patient data, designed to increase the efficiency and reduce documentation errors by streamlining the process.”(Santiago, n.d., para. 1)
This is displayed by the use of information and technology to communicate, manage knowledge, decrease error and support decision making. The majority of the healthcare world is ran by technology. Almost all charting is done on computers, which allows more than one healthcare professional to view the patients chart at one time. This technology also allows the patient to access their records online keeping them informed of test results. For example, this is exemplified by physicians entering their own orders into the computer. This prevents the use of unapproved abbreviations and mishandling of
An interview with an Assistant Professor at Duke University Health System in the Department of Medicine, Maestro Care Provider Champion and Clinical Content Architect. This physician works to incorporate clinical decision support tools into the electronic health record at Duke Health System. He manages the best practice advisory committee that may provide a way to deploy alerts to clinicians at the point of care. Alerts with order sets and recommended actions are created and updated to notify providers of current patient care guidelines or patient safety concerns.
As healthcare continues to evolve, it is necessary that care provided is documented efficiently and without error. This documentation should be readily available whenever needed. The electronic health record is a database that provides a reflection of all care provided. This database would be beneficial to healthcare professionals providing care to new and frequent patients. Assessment documentation, physician orders, progress noted, and results review will be beneficial when comparing current assessments
Healthcare can be known for a complex industry. Every day is a new day facing complicated clinical administrative transactions with electronic medical records and safety? Health Information technology is suppose to realize errors using electronic medical records. Leaders must understand the complexity and safety issues in order to help mandate electronic medical records with design, development, implement and use. In the last decade, this article has informed executives, clinicians, and technology. Their main focus was on these three areas computerized physicians order entry. Their main focus was to work all three areas computer physician order entry, computer decision support system,
The Clinical Decision Support Systems have challenges to overcome such as information technology must be design a effective system which notify certain outlier medical information data input. This requires a very through collaboration between the Information Technology Department and the medical facility. Once the specified notifications are designed the medical facility will perform a test run to confirm accuracies and promptness of the required notifications. The next challenge with Clinical Decision
Clinical decision-support systems (CDSS) apply best-known medical knowledge to patient data for the purpose of generating case-specific decision-support advice. CDSS forms the cornerstone of health informatics research and practice. It is an embedded concept in almost all major clinical information systems and plays an instrumental role in helping health care achieve its ultimate goal: providing high quality patient care while, at the same time, assuring patient safety and reducing costs. This computer based systems designed to impact clinician decision making about individual patients at the point in time that these decisions are made. If used properly, CDSS have the potential to change the way medicine has been taught and
In observation, (Fahnestock, McComb, & Deshmukh, 2013) stated "Information technologies are transforming the way healthcare is delivered. Innovations such as computer-based patient records, hospital information systems, computer-based decision support tools, community health information networks and new ways of distributing health information.” (p.3.2). In the sector of delivering healthcare using technology, has made it easier for healthcare professionals to access medical records, digitization of prescriptions and view test results. With the use of high-performance devices being used in the hospital, helps to make the jobs of healthcare professionals a little easier. As well as relieve anxiety from anxious patients that may be awaiting lab results to come back. Therefore, IT devices and services has been and continues to be a tremendous help and game changer for the healthcare system. However, there is still a lot of work to be done to help shape and reform the healthcare
There are a lot of problems and challenges involved in implementing a clinical decision support system. It is important for medical staff (doctors, administrators etc.) to be an integral part in the implementation and development of CDSS. Our limited research concluded that acceptance of such technology is not easy amongst physicians. One of the main reasons for non acceptance is that the physicians want to be a standalone entity. We plan to investigate many challenges such as lack of technical expertise, cost, integration, misdiagnosis, speed etc involved in implementation of different types of CDSS in the health care industry today. Our research paper will focus on the different decision problems involved in these challenges.
In the past, doctors have used old ways of writing prescriptions and keeping health records. The days of the doctor writing a prescription on a pad in handwriting only they can read are over. Also, electronic health records make accessing records a breeze. The doctor’s experience now is much easier now with implementations of virtual prescription, electronic health records, and the ability to speak with a doctor from the comfort of your own home. In the future, the experience will be made a lot easier by taking the human doctor out of the equation and providing a program that scans someone and comes up with a diagnosis within seconds.
These features benefit the nurse for a better way to manage and patient data without using a paper chart. Correspondingly, Meditech provides a worklist too. So, nurses that use this system can also follow, keep track, and document to maintaining a record of information of the patient under their care (Medical Information Technology, Inc, 2017). Nevertheless, both systems provide real‐time updates of patient information and allow nurses to receive icon‐based notifications of new information and tasks. Apparently, with the NIS nurses will excel in quality of care to their patients.
Technology can assist healthcare workers on every clinical and administrative level to use information more effectively in clinical decision-making for patients, and in implementing strategic goals within an organization.