RESUMO
At an active cancer center, patients may be on a large number of different treatment protocols. Each of these protocols has its own examination, test, and treatment modification requirements. It is often difficult for the clinician to keep track of the protocol requirements on all of his patients, so elements of the protocol may be inadvertently omitted. To assist the physician in managing these patients, a computerized protocol surveillance system was developed and implemented at a major cancer center. Compliance with protocol requirements was studied prior to and after introduction of the automated protocol system. There was a statistically significant (p less than 0.02) improvement in nonroutine test ordering (from 80 to 95%) and therapeutic modification (from 91 to 99%) compliance. Introduction of an automated protocol surveillance system can result in improved protocol compliance.
Assuntos
Institutos de Câncer , Computadores , Registros Hospitalares , Hospitais Especializados , Registros , Institutos de Câncer/organização & administração , Estudos de Avaliação como Assunto , Hospitais Especializados/organização & administração , Sistemas de Informação Administrativa , Planejamento de Assistência ao Paciente , WisconsinAssuntos
Química Clínica , Técnicas de Laboratório Clínico , Doença , Análise Química do Sangue , Humanos , UrinaRESUMO
The development of computer-based simulations of the patient-physician encounter has made it possible to give students the opportunity to manage a case without jeopardizing a real patient's life. At the University of Wisconsin Medical School simulated patients have been an integral part of the third-year teaching program for the past five years. They have been used to permit the students to gain clinical experience, as part of a series of structured teaching conferences, and in a medical testing program. Student and faculty response to the program generally has been favorable.
Assuntos
Competência Clínica , Computadores , Educação de Graduação em Medicina , Estudos de Avaliação como Assunto , Humanos , WisconsinRESUMO
This paper describes a data-base system for the maintenance of cumulative clinical data. A unique aspect of this data base is its ability dynamically to alter its two-level format to create an alternative three-level hierarchical structure in order to optimize retrieval efficiency. The relative advantages of these two types of data-base structures are discussed and examples of their use in clinical resrarch are presented.
Assuntos
Química Clínica , Sistemas de Informação , Computadores , Registros Hospitalares , HumanosAssuntos
Doenças dos Bovinos/microbiologia , Leucemia/veterinária , Linfoma não Hodgkin/veterinária , Infecções Tumorais por Vírus/veterinária , Animais , Bovinos , Doenças dos Bovinos/transmissão , Feminino , Leucemia/transmissão , Linfoma não Hodgkin/transmissão , Masculino , Infecções Tumorais por Vírus/transmissãoRESUMO
Computer-based clinical simulations provide a means for evaluating the information-gathering and patient-management competencies of physicians. The need for expensive computer terminals has restricted physician use of these simulations. This computer-based program permits physicians to complete computer-based encounters using a standard touch-tone telephone.
Assuntos
Comunicação , Computadores , Pacientes , Médicos , Competência Clínica , TelefoneRESUMO
Simple randomization of patients to treatment regimens in clinical trials can result in inbalance among stratum categories. Procedures that produce balance may lack randomness. Systems that are not deterministic yet produce balance are often extremely complex and are not easily performed by randomization clerks. A microcomputer-based voice-response system has been implemented that permits clinic staff to easily randomize patients in clinical trials despite the complexity of the algorithm. Data entry is accomplished by the use of Touch-Tone keys. Input prompts and regimen assignment are spoken by a commercially available voice synthesizer.
