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Improving interdepartmental communication through the integration of clinical information systems and the application of mobile computing technology.

机译：通过临床信息系统的集成和移动计算技术的应用来改善部门间的沟通。

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摘要

As clinical workloads have grown, the increasing mental and physical demands placed upon physicians and nurses have required the reexamination and reengineering of clinical processes. This is especially true in an urgent care setting where the need for accurate and rapid access to information is paramount to ensure patient safety. It has been suggested that clinical information systems integration and mobile computing technologies hold the key to improving patient care by facilitating rapid inter-physician communication and reducing the number of medical errors related to the poor exchange of information.;The aim of this study is to determine if network enabled Personal Digital Assistants (PDAs) can be used to facilitate the timely delivery of urgent radiological exam results at the point of care. The project examines and redesigns radiology and emergency department (ED) workflows with the intent of reducing the interval from when a radiology exam is scheduled to when the results are first viewed by an ED physician.;Digital replacements were sought for the original paper and fax based procedure. A system for notifying the radiologist of the presence of an urgent unread exam was instituted. Furthermore a web and Java Message Service (JMS) based application was built to enable the electronic capture and delivery of wet-reads. The new system allows radiologists to enter wet-reads from the PACS display station as well as track discrepancies between the wet-read and final report. It also notifies ED physicians of when exam results are available via the PDAs and permits them to view the full text of the wet-read and final reports from the devices.;The new system is compared to the original procedure with the results showing improvements with the wireless method in both the time to interpretation availability and the physician's first encounter with the results. Furthermore, feedback from a qualitative survey of PDA users was positive, suggesting that PDAs are a viable means for accessing urgent clinical data at the point of care. Finally the use of the PDA and wet-read module has opened the door to additional applications that extend the scope of the original pilot project.
机译：随着临床工作量的增加，对医生和护士的精神和身体需求的增加要求对临床过程进行重新检查和重新设计。在紧急护理环境中尤其如此，在这种环境中，准确，快速访问信息的需求对于确保患者安全至关重要。有人建议，临床信息系统集成和移动计算技术通过促进医师之间的快速沟通并减少与信息交换不良有关的医疗错误的数量，成为改善患者护理的关键。确定是否可以使用启用网络功能的个人数字助理（PDA）来促进在护理点及时提供紧急放射检查结果。该项目旨在检查和重新设计放射科和急诊科（ED）的工作流程，以缩短从安排放射学检查到ED医师首次查看结果之间的时间间隔;寻求原始论文和传真的数字替代基于过程。建立了一个用于通知放射科医生紧急未读检查的系统。此外，还构建了一个基于Web和Java消息服务（JMS）的应用程序，以实现湿式阅读的电子捕获和传递。新系统允许放射科医生从PACS显示站输入湿读数，并跟踪湿读数与最终报告之间的差异。它还会通知ED医生何时可以通过PDA获得考试结果，并允许他们查看设备的湿读和最终报告的全文。新系统与原始程序进行了比较，结果显示改进了无线方法既可用于解释结果，也可用于医师首次接触结果。此外，来自PDA用户的定性调查的反馈是积极的，这表明PDA是在护理点访问紧急临床数据的可行方法。最终，PDA和湿读模块的使用为扩展原始试点项目范围的其他应用打开了大门。

著录项

  • 作者

    Tellis, Wyatt M.;

  • 作者单位

    University of California, San Francisco.;

  • 授予单位 University of California, San Francisco.;
  • 学科 Engineering Biomedical.;Computer Science.;Health Sciences Radiology.
  • 学位 Ph.D.
  • 年度 2004
  • 页码 130 p.
  • 总页数 130
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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