RESUMO
The computer-based patient record (CPR), or electronic patient record, is an outgrowth of early medical information system (MIS) and hospital information system (HIS) efforts. However, significant additional requirements must be met to achieve the CPR vision. Contrasts between CPR and HIS/MIS are described. Factors key to completing the transitions are identified.
Assuntos
Sistemas de Informação Hospitalar , Sistemas Computadorizados de Registros Médicos , Confidencialidade , Política de Saúde , Armazenamento e Recuperação da Informação , Interface Usuário-ComputadorRESUMO
The acceleration of health informatics standards development has both value to health care delivery as well as economic value to the nation's economy. This paper describes the business case for standards development to enable development and implementation of computer-based patient record systems.
Assuntos
Informática Médica/normas , Sistemas Computadorizados de Registros Médicos/normas , Redes de Comunicação de Computadores/normasRESUMO
Computer-based training developed with high-level software packages offers a cost-efficient means of orienting large numbers of personnel to a hospital information system. Equally important, a decentralized, self-administered, self-paced tutorial allows professional personnel to get training where and when they want it, with as little or as much reinforcement as they desire. We will demonstrate the tutorial we developed to train 2500 clinical and unit support personnel to use the first clinical module of our Patient Care Information System. Although the Laboratory Results Inquiry function was simple to use, many of our staff had had little or no exposure to computers, and none knew how to use the system we would be implementing. About 300 of our 2500 personnel elected to come to mentored group classes, where the same computer-based tutorial was used, but a trained "superuser" was available to answer questions and offer guidance.
