RESUMEN
The introduction of new technology, such as a Clinical Information System (CIS), requires hospitals to re-evaluate the roles of the Biomedical Maintenance Branch, Automation Management, and Informatics departments. This paper describes the process a 400-bed hospital underwent to resolve role ambiguity among the three activities. The institution's goal was to reach an optimal solution to using the resources offered by each activity through redrawing lines of responsibilities. This experience demonstrated that relationships among departments are dynamic and vary depending on the stage of the CIS life cycle.
Asunto(s)
Sistemas de Información en Hospital/organización & administración , Hospitales Militares/organización & administración , Relaciones Interdepartamentales , Ingeniería Biomédica/organización & administración , Medicina Clínica/organización & administración , Difusión de Innovaciones , Hospitales con 300 a 499 Camas , Sistemas de Información en Hospital/tendencias , Servicio de Mantenimiento e Ingeniería en Hospital/organización & administración , Informática Médica/organización & administración , Rol , Evaluación de la Tecnología Biomédica , WashingtónRESUMEN
Serous otitis media, as seen in children, may be an insidious disease which provides few signs and symptoms. Its effects may cause significant problems in the preschool and school-age child with respect to acquisition of necessary developmental skills. The nurse practitioner can effectively diagnose, treat, and manage children with serous otitis media. An algorithm is presented to aid in effective differential diagnosis of the disease.
