MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'information systems'. Sat, 03 Sep 2011 02:12:08 +0100 http://www.medworm.com/index.php?rid=5069836&cid=t_161795_155_f&fid=39053&url=http%3A%2F%2Fcommunity.advanceweb.com%2Fblogs%2Fal_2%2Farchive%2F2011%2F07%2F27%2Fat-aacc-annual-meeting-clinical-lab-manager-says-it-data-empowers-labs.aspx During a media breakfast sponsored by Siemens Healthcare Diagnostics at the 2011 American Association for Clinical Chemistry (AACC) Annual Meeting and Clinical Lab Expo (July 24-28), Susan Dawson, clinical laboratory manager of Laboratory Medicine, Swedish...(read more) (Source: ADVANCE Discourse: Lab) ADVANCE Discourse: Lab blogs http://www.medworm.com/rss/comments.php?id=5069836 Wed, 27 Jul 2011 11:59:00 +0100 5069836 http://www.medworm.com/index.php?rid=5050816&cid=t_161795_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Ffunding-issues-are-here-stay Got money worries? Join the club! We’re not trying to be (too) flip, but that essentially sums up our take on a recent presentation by David W. Roberts, MPA, vice president of government relations for HIMSS, at the 20th Annual Physician-Computer Connection Symposium sponsored by the Association of Medical Directors of Information Systems. read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=5050816 Fri, 22 Jul 2011 14:06:04 +0100 5050816 http://www.medworm.com/index.php?rid=5050818&cid=t_161795_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Finspectors-find-holes-hitech-payment-programs It’s easy to defend the HITECH Act based on the potential benefits of new health IT. But a new report from the federal Office of Inspector General (OIG) may soon make it difficult to defend the way the HITECH incentive payments are being managed. read more (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=5050818 Thu, 21 Jul 2011 14:05:25 +0100 5050818 http://www.medworm.com/index.php?rid=5008208&cid=t_161795_88_f&fid=38153&url=http%3A%2F%2Fwww.ozemedicine.com%2Fblog%2F%3Fp%3D960 I attended the EMA Course in New York last month and although IT systems were not directly part of the course, the topic did arise and the general feeling of the many US emergency physicians appeared to be that current commercial ED software in place in the USA is NOT efficient and comments such as “terrible” were not uncommonly expressed. It seems that the consensus was that for EP’s to be productive with such software they each need to have a personal scribe to ensure adequate timely documentation while allowing them to have adequate time at the bedside with the patients. Furthermore, it seems that the majority of prescibing mistakes are now because of software design issues and how the software interfaces with end users. Perhaps Australian administrators should be taki... Oz E Medicine - emergency medicine in Australia blogs http://www.medworm.com/rss/comments.php?id=5008208 Fri, 08 Jul 2011 01:59:42 +0100 5008208 http://www.medworm.com/index.php?rid=4554611&cid=t_161795_88_f&fid=38153&url=http%3A%2F%2Fwww.ozemedicine.com%2Fblog%2F%3Fp%3D948 This news article about NSW’s troubled implementation of Cerner’s FirstNet EDIS is in response to a review of it by Professor Jon Patrick. “Sally McCarthy, president of the Australasian College for Emergency Medicine, said the review by Professor Jon Patrick confirmed that the system, loathed by doctors and nurses, is unsuitable for its purpose” But then, NSW ED staff have been complaining about it ever since it was introduced, and still it seems Cerner has not fixed its problems. (Source: Oz E Medicine - emergency medicine in Australia) Oz E Medicine - emergency medicine in Australia blogs http://www.medworm.com/rss/comments.php?id=4554611 Sun, 06 Mar 2011 23:23:18 +0100 4554611 http://www.medworm.com/index.php?rid=4133905&cid=t_161795_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F10%2F27%2Fhospital-breach-by-job-applicant%2F During a bond hearing Thursday in Superior Court, Wheeler’s Macon attorney Reza Sedghi described his client’s actions as a job application gone awry with “no criminal intent or compromise of sensitive patient information.” Sedghi said Wheeler had obtained access to the database with a password and access codes obtained while working on a Macon physician’s connectivity problems with the hospital. The attorney said Wheeler uncovered seven flaws in the hospital’s system and sought to use the discovery to land a job with the countywide medical complex, spending several hours with Rhodes and David Griffin, the hospital’s security chief. “They asked for and received a copy of his resume and a written report of his findings,” Sedghi reported in court. “Then they walked out of ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4133905 Wed, 27 Oct 2010 16:59:53 +0100 4133905 http://www.medworm.com/index.php?rid=3798509&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F28%2Fclinical-ethics-2010-vol-no%2F Title: Consenting futures: professional views on social, clinical and ethical aspects of information feedback to embryo donors in human embryonic stem cell research Skinny: Explores the views, values and practices drawn on by professional staff in assisted conception units and stem cell laboratories in relation to embryo donation for research purposes, particularly human embryonic stem cell (hESC) research, in the UK. (NHS Athens is required to access this article online) Filed under: Ethics, Human Fertility, Human Rights, Information Systems, Patient Information Tagged: Clinical Ethics, Clinical Practice, Embryology, Ethics, hESC, Information, Management Information, Stem Cells (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3798509 Wed, 28 Jul 2010 09:51:50 +0100 3798509 http://www.medworm.com/index.php?rid=3726572&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F07%2F05%2Fbuilding-high-quality-commissioning-what-roles-can-external-organisations-play%2F This report provides guidance for commissioners, policy-makers and providers of support on how to avoid those pitfalls and ensure best value from external support.  It examines how external support is being used by primary care trusts and strategic health authorities and whether it is helping them to develop more effective commissioning. It finds evidence that in many cases external organisations had succeeded in improving commissioning processes and could provide support in key areas such as data analysis and commercial skills but also highlights external support is not always used effectively. Publisher: The King’s Fund Size of Publication: 76p. Published: 01/07/10 Filed under: Commissioning, Grey Literature, Health Economics, NHS, Practice Based Commissioning, Primary Care, Qual... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3726572 Mon, 05 Jul 2010 09:10:35 +0100 3726572 http://www.medworm.com/index.php?rid=3641116&cid=t_161795_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fwhat-needs-be-done-tandem-ehr-adoption In an opinion piece in the Baltimore Sun last week, Ritu Agarwal related her personal experiences about the problems with paper-based patient records and in a very convincing way made a case for EHR adoption. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=3641116 Tue, 08 Jun 2010 13:38:33 +0100 3641116 http://www.medworm.com/index.php?rid=3635690&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Ffixing-nhs-it-how-to-save-1bn-and-get-it-working-for-patients%2F Title: Fixing NHS IT: How to save £1bn and get IT working for patients Skinny: Report from the 2020 Health think tank that calls on a new Government to recognise that they must deliver massive change in the way health and care are provided, supported by IT,  unless this is undertaken, they will fail again. Localising / fragmenting the existing problems will only make things worse.  The report provides An overview of the NHS IT Programme The Role of Local Service Providers Under-exploited opportunities National/Local IT services Publisher: 2020 Health Size of Publication: 58p. Published: March 2010 Filed under: Grey Literature, Information Systems, Information Technology, NHS Tagged: Financial Management, Grey Literature, Information Sytems, Information Technology, NHS (Source: Fade L... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635690 Mon, 07 Jun 2010 14:52:13 +0100 3635690 http://www.medworm.com/index.php?rid=3556202&cid=t_161795_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fturning-cloud-hipaa-5010-and-icd-10-compliance Distant thunder rumbles across the HIPAA 5010 and ICD-10 horizon. That's the sound of cloud computing services gliding toward healthcare organizations. Cloud computing has already caught on in other facets of healthcare IT – and as providers and payers prepare to meet the pending mandates, hosted services could prove a viable option. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=3556202 Wed, 12 May 2010 13:07:42 +0100 3556202 http://www.medworm.com/index.php?rid=3208493&cid=t_161795_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fbidmc-data-marts At BIDMC, our clinical systems are written in a hierarchical database called Cache - a very fast transactional system with great reliability and disaster recovery features. However, for population health, quality, and performance analysis, we export our clinical care data into over 80 data marts build with SQL Server 2008. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=3208493 Tue, 26 Jan 2010 14:30:52 +0100 3208493 http://www.medworm.com/index.php?rid=3193666&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F01%2F21%2Fthe-decent-homes-programme%2F Title: The Decent Homes Programme (Executive Summary) Skinny: National Audit Office Report on the programme to make social sector housing and private sector housing for vulnerable people decent has made progress, and the families living in those properties will be enjoying the benefits. Identifies risks to both the Programme’s completion and what has been achieved so far if a reliable funding mechanism is not put in place to deliver the remainder of the Programme and to maintain homes to a decent standard. The report notes that hundreds of thousands of families are still living in properties which are not warm, weather tight, or in a reasonable state of repair. The Department’s efforts have been undermined by weaknesses in the information it holds. Publisher: NAO Size of Publication: 4... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3193666 Thu, 21 Jan 2010 09:48:49 +0100 3193666 http://www.medworm.com/index.php?rid=3092650&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F15%2Faiming-high-for-disabled-children-improving-data%2F Title: Aiming High for Disabled Children Improving Data Skinny: Explores how data on disabled children is collected, managed and used at a local (Primary Care Trust and Local Authority) level, identifying and describing effective practice in these areas. Publisher: York Health Economics Consortium Size of Publication: 86p. Published: 15/12/2009 Posted in Children, Disabilities, Grey Literature Tagged: Children.Grey Literature, Disabilities, Grey Literature, Information Systems (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3092650 Tue, 15 Dec 2009 17:00:44 +0100 3092650 http://www.medworm.com/index.php?rid=2999873&cid=t_161795_155_f&fid=38407&url=http%3A%2F%2Fpathologyinformaticstrenches.blogspot.com%2F2009%2F11%2Fsometimes-i-feel-like-lone-wolf.html I'm sitting here at the 2009 annual meeting of the American Medical Informatics Association. This is my first time at this meeting. I was disappointed to see such a sparse pathology presence here, but given my limited interaction with the organization and its website, I wasn't terribly surprised. It is a problem which needs to be corrected especially given the influence that this organization has on national policy.Having said (written) that, the meeting has been great so far. The buzz mostly surrounds the HITECH portion of the American Recovery and Reinvestment Act (ARRA). David Blumenthal gave a keynote address, and during the question session afterwards, one gentleman whose name I unfortunately don't have, gave a wonderful analogy to a situation that I find myself struggling with on an ... Pathology Informatics from the Trenches blogs http://www.medworm.com/rss/comments.php?id=2999873 Mon, 16 Nov 2009 23:59:00 +0100 2999873 http://www.medworm.com/index.php?rid=2993727&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F11%2F15%2Fnothing-but-the-truth%2F Title: Nothing but the truth? Skinny: Sets out important issues as the basis for discussion on how to ensure data about local public services is fit for purpose. It asks if citizens, along with frontline staff, managers, politicians, central government and local public service regulators, can have confidence in the data they rely on. And if not, what needs to be done about it? Publisher: Audit Commission Size of Publication: 40p Published: 05/11/2009 Posted in Clinical Governance, Ethics, Grey Literature, Public Sector, Quality Tagged: Clinical Governance, Ethics, Grey Literature, Information Systems, Public Sector, Quality, Statistical Data (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2993727 Sun, 15 Nov 2009 09:53:09 +0100 2993727 http://www.medworm.com/index.php?rid=2934615&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F10%2F28%2Fstock-management-system-training-manuals%2F Title: SMS user guide for antiviral collection point Skinny: Training manuals to provide guidance to users of the Stock Management System for antivirals. The Stock Management System (SMS) provides the DH and the NHS Users with an effective tool to manage the distribution of antivirals to PCTs and collection points in the event of a pandemic. It will provide stock level information, reports and the ability to record issuance from GP prescribed antiviral information, along with the management of full issuance from the collection point via the NPFS system. Publisher: DH Size of Publication: 53p Published: 27/10/2009 Additional Manuals: SMS user guide for Primary Care Trust users SMS user guide for Strategic Health Authority (SHA) SMS user guide for NICC users   Posted in Grey Li... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2934615 Wed, 28 Oct 2009 10:00:29 +0100 2934615 http://www.medworm.com/index.php?rid=2733997&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F25%2Fsafer-births-supporting-maternity-services-to-improve-safety-report-of-three-regional-events-held-in-york-london-and-wigan-2009%2F Title: Safer Births: Supporting maternity services to improve safety: Report of three regional events held in York, London and Wigan, 2009 The Skinny: Details the findings of three regional workshops undertaken as part of the King’s Fund’s Safer Births initiative for audience of heads of midwifery, lead obstetricians and risk managers. Publisher: The King’s Fund Size of Publication: 7p Published: 24/08/2009 Posted in Clinical Governance, Health and Safety, Midwifery, Obstetrics, Quality, Standards Tagged: Communication, Education, Grey Literature, Guidance, Health and Safety, Information Systems, Leadership, Midwifery, Obstetrics, Risk Evaluation, Staff Supplu, Teamwork, Training (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2733997 Tue, 25 Aug 2009 14:32:09 +0100 2733997 http://www.medworm.com/index.php?rid=2890970&cid=t_161795_155_f&fid=39053&url=http%3A%2F%2Fcommunity.advanceweb.com%2Fblogs%2Fal_2%2Farchive%2F2009%2F07%2F24%2Fehrs-unprepared-for-genetic-information.aspx Challenges for the use an implementation of electronic health records (EHRs) are well documented, but this study in the journal Genetics in Medicine discusses another notable aspect—EHRs will need vast improvements to meet the needs of genetics and genomic...(read more) (Source: ADVANCE Discourse: Lab) ADVANCE Discourse: Lab blogs http://www.medworm.com/rss/comments.php?id=2890970 Fri, 24 Jul 2009 18:37:00 +0100 2890970 http://www.medworm.com/index.php?rid=2441900&cid=t_161795_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FuyVJIET1izs%2F No doubt many small EHR companies have been looking at themselves in the mirror long and hard and asking themselves how they’re going to survive this rough market. Not only did the HITECH act slow purchasing of EHR systems, but between “certified EHR” and “meaningful use” many are questioning where the small EHR vendor will fit into the EHR market. I could (and probably will at some point) expound on each of the topics above, but I think that EHR vendors have an even more difficult challenge on their hands. The challenge comes in the form of incredibly large number of marketing dollars and splashy partnerships. Here’s just one simple example of what I’m talking about. It was just announced that HEALTHeLINK, The Western New York Clinical Information... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2441900 Wed, 27 May 2009 14:23:34 +0100 2441900 http://www.medworm.com/index.php?rid=2405547&cid=t_161795_113_f&fid=34982&url=http%3A%2F%2Fwww.anticlue.net%2Farchives%2F000908.htm One of the key initiatives of the ARRA is the push to move healthcare from 1980's information management to 2010 information management. With questions driving from what is a "meaningful use" EHR to how are we going to assure the... (Source: Anticlue) Anticlue blogs http://www.medworm.com/rss/comments.php?id=2405547 Mon, 11 May 2009 04:00:00 +0100 2405547 http://www.medworm.com/index.php?rid=2389753&cid=t_161795_88_f&fid=38153&url=http%3A%2F%2Fwww.ozemedicine.com%2Fblog%2F%3Fp%3D597 Doctors at more than 100 hospitals in the state could not access patient records or vital test results for up to 36 hours last weekend after a power failure crippled NSW Health’s computerised database. If you are going to centralised database systems, there needs to be 24×7 availability with appropriate contingency and redundancy systems in place. This is a major issue when full electronic prescribing and medical records systems are introduced as they are planned to be in Victoria. Centralising systems just adds an extra but far more reaching risk to hospital IT systems. The potential benefits of centralised systems may outweigh the risks, but only if those risks are managed well. And, as the recent past has shown, Victoria is far from immune to major, prolonged power outages, w... Oz E Medicine - emergency medicine in Australia blogs http://www.medworm.com/rss/comments.php?id=2389753 Wed, 06 May 2009 02:54:00 +0100 2389753 http://www.medworm.com/index.php?rid=2348767&cid=t_161795_113_f&fid=34982&url=http%3A%2F%2Fwww.anticlue.net%2Farchives%2F000898.htm An RFI (Request for Information) is a planning document which inquires information from vendors for acquisitions, requirements-gathering, or comparison. Vendors are informed of the organization's needs, and then the vendors provide product information, FDA clearance (if applicable) and preliminary cost... (Source: Anticlue) Anticlue blogs http://www.medworm.com/rss/comments.php?id=2348767 Mon, 20 Apr 2009 04:00:00 +0100 2348767 http://www.medworm.com/index.php?rid=2348039&cid=t_161795_88_f&fid=38153&url=http%3A%2F%2Fwww.ozemedicine.com%2Fblog%2F%3Fp%3D560 The Age today reported on page 5 substantial concerns by anonymous whistleblowers that Victoria’s Healthsmart IT including its patient management and clinical systems which are still being rolled out to hospitals, are not as functional as hoped and too expensive. I am not sure the adjectives printed in The Age are totally appropriate, but certainly it does suggest there is significant frustration with the systems and perhaps the process of ensuring adequate functionality and efficiency that meets the needs of users, and in the end, patients. Much has changed in expectations of IT systems since these systems were selected in the early years of this decade, and people now expect an efficient, nice to use, user interface where data is entered only once and with a minimum number of mouse... Oz E Medicine - emergency medicine in Australia blogs http://www.medworm.com/rss/comments.php?id=2348039 Fri, 17 Apr 2009 01:18:24 +0100 2348039 http://www.medworm.com/index.php?rid=2314602&cid=t_161795_113_f&fid=38236&url=http%3A%2F%2Fwww.healthcareitnews.com%2Fblog%2Fgephardt-jumps-phr-bandwagon Personal health records firm MMR Information Systems and its MyMedicalRecords subsidiary have enlisted Former House Democratic Leader Richard A. Gephardt to spread the word about PHRs to the public, and, more importantly, help the company get its hands on some of the economic stimulus money. (Source: Healthcare IT News Blog) Healthcare IT News Blog blogs http://www.medworm.com/rss/comments.php?id=2314602 Thu, 26 Mar 2009 13:15:35 +0100 2314602 http://www.medworm.com/index.php?rid=2270483&cid=t_161795_88_f&fid=38153&url=http%3A%2F%2Fwww.ozemedicine.com%2Fblog%2F%3Fp%3D531 Cerner Corporation’s Millenium Clinical System was selected as Victoria’s HeathSMART clinical system. DHS will be holding workshops between 30th March 2009 - 3rd April 2009 seeking clinician input into the design and customisation of the Clinical System - the “Victorian state build” version of the Millenium software. Scope of the system currently includes: Release 1 Clinical workbench Patient and episode list, integrated results reporting (pathology and medical imaging), problem list, allergies, alerts and discharge summary ePrescribing Medication profile, discharge medication prescribing, decision support (eg. Drug/drug and drug/allergy interactions Release 2 diagnostic service ordering Ordering of pathology investigations and medical imaging procedures, a... Oz E Medicine - emergency medicine in Australia blogs http://www.medworm.com/rss/comments.php?id=2270483 Tue, 17 Mar 2009 05:32:51 +0100 2270483 http://www.medworm.com/index.php?rid=2258331&cid=t_161795_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2Ff_g1wuzv5x8%2F As most people know, I’m always open to guest posts from everyone and anyone that can provide a thoughtful perspective on a subject.  In the following guest post, Charlie Jarvis, AVP at NextGen, shares some of his thoughts on the HITECH act’s impacts.  I don’t necessarily agree with everything in this guest post, but I do believe that Charlie’s description of the “ambivalent” EMR buyer seems to be pretty accurate.  This will be a major challenge we need to overcome.  I’m hoping to follow up this post with an interview of Charlie. Thanks Charlie! As the national debate over the economic recovery plan and specifically the entire stimulus package continues, the HITECH sections of the American Recovery and Reinvestment Act (ARRA) may be “relative... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=2258331 Wed, 11 Mar 2009 09:30:48 +0100 2258331 http://www.medworm.com/index.php?rid=2200390&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F02%2F20%2Fdata-use-in-voluntary-and-community-organisations%2F As the tackling poverty agenda moves from a top down to a bottom up approach the role of  voluntary and community organisations (VCOs) increases.  However financial support for VCOs increasingly depends on evidence of need and success against outcomes. From the Joseph Rowntree Foundation, Data use in voluntary and community organisations considers: how VCOs use data to support their work; what data VCOs find most useful; what obstacles there are to accessing data. Posted in Grey Literature, Statistical Data, Voluntary Sector Tagged: Grey Literature, Information, Information Systems, Statistical Data, Voluntary Sector (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2200390 Fri, 20 Feb 2009 14:30:53 +0100 2200390 http://www.medworm.com/index.php?rid=2086829&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F01%2F07%2Fjon-trip-dispenser%2F Trip Answers is a new site from the people that are behind the wonderful Trip Database (see posts Use TRIP to Navigate to Best Evidence, …and I though QI involved Stephen Fry, Was that Trip to Bethlehem Critical? for details).    It aims to be a resource where clinicians can easily find answers to their question by building a repository of clinical questions and answers drawn from a wide number of sources around the world. Well laid out, simple to navigate with great use of tag clouds (love the Tag Cloud of Uncertainty as a concept) and a clear rating system for the answers given it’s everything we expect from a Trip product. Posted in Digital Repositories, Electronic Resources, Evidence Based Practice, Information Systems, Useful Weblinks   Tagged: Clinical Qu... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2086829 Wed, 07 Jan 2009 11:05:58 +0100 2086829 http://www.medworm.com/index.php?rid=1940946&cid=t_161795_88_f&fid=38153&url=http%3A%2F%2Fwww.ozemedicine.com%2Fblog%2F%3Fp%3D250 Many ED’s are considering purchase of replacement ED information systems (EDIS) as an aid in improving efficiency and decreasing clinical risk. One of the first steps in such a process is to really sit down and work out what you really NEED and not necessarily what you WANT. Once you have your list of critical features, you can then go to vendors or preferably, their clients and assess whether it will suit your needs for the next 10 years or so. You may find that on these visits you will add new features that you decide are critical requirements. I would STRONGLY advise AGAINST purchase of any software that does not allow third party reporting access to YOUR data - such functionality is critical to the success of the organisation in providing timely reports with the data they need th... Oz E Medicine - emergency medicine in Australia blogs http://www.medworm.com/rss/comments.php?id=1940946 Tue, 28 Oct 2008 03:51:30 +0100 1940946 http://www.medworm.com/index.php?rid=1825427&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F09%2F24%2Fimproved-reporting-of-adult-social-care-finance-and-activity-data-revisions-to-pss-ex1-return%2F This report reviews the PSS EX1 return and the needs for improved finance and activity data for adult social care, both locally and nationally. Key objectives for the review included the need for more relevant linked financial and activity data to be generated as contemporaneously as possible and to be directly useable by local managers. Posted in Grey Literature, Local Authorities, Social Services, Statistical Data   Tagged: Grey Literature, Information Systems, Social Services, Statistical Data    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1825427 Wed, 24 Sep 2008 13:49:39 +0100 1825427 http://www.medworm.com/index.php?rid=1605818&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F07%2F11%2Fhealth-informatics-review-report%2F builds on the Next Stage Review by considering the support role that informatics offers for the delivery of better, safer care of patients, improving the NHS through better research, and planning and management.  For patients it should empower them to make more informed choices about health and care. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1605818 Fri, 11 Jul 2008 05:39:24 +0100 1605818 http://www.medworm.com/index.php?rid=1418450&cid=t_161795_113_f&fid=34982&url=http%3A%2F%2Fwww.anticlue.net%2Farchives%2F000877.htm We opened up the inherited hospital a couple of weeks ago. Given the scale of the endeavor, it went swimmingly well. A lot of hardwork by good people came together. Now we are finding the gaps in the processes. One... (Source: Anticlue) Anticlue blogs http://www.medworm.com/rss/comments.php?id=1418450 Sat, 03 May 2008 04:00:00 +0100 1418450 http://www.medworm.com/index.php?rid=1280749&cid=t_161795_113_f&fid=34982&url=http%3A%2F%2Fwww.anticlue.net%2Farchives%2F000874.htm Congratulations to HIMSS for a great event. There were several highlights. A couple of items for follow up and follow through: Remind oneself not to be a technical zealot and be amazed by the technical wizardry. Look for the business... (Source: Anticlue) Anticlue blogs http://www.medworm.com/rss/comments.php?id=1280749 Wed, 05 Mar 2008 05:00:00 +0100 1280749 http://www.medworm.com/index.php?rid=1259899&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F26%2Fin-the-know%2F   (Executive Summary) from the Audit Commision aims to encourage people to think about the information they use whenever they make decisions. It has examples, drawn from many different sources, of how information has been used in improving public services. It notes: When decision makers use information well, local public services improve. The quality and cost of our local public services depend upon the decisions that many people make: users make choices; professionals exercise judgement; managers prioritise; and politicians allocate resources. Using information well in decision making leads to better local public services. Examples vary from reducing the number of young people not in education, employment or training to increasing the number of ambulances reaching incidents quickly; i... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1259899 Tue, 26 Feb 2008 21:56:10 +0100 1259899 http://www.medworm.com/index.php?rid=1219858&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F09%2Fpatient-insight-harnessing-the-power-of-public-opinion%2F from Dr. Foster Intelligence provides guidelines to help organisations maximise the value of information from, about and to patients to fill the information deficit identified in a survey of acute trust board directors. The directors identified customer insight as a key area requiring further development. Key questions for boards to address (and potentially change their practice) in order to improve customer insight are: Do you make information publicly available wherever possible? Do you base decisions on multiple sources of information? Do you combine types of information? In particular, experiential and demographic information Do you review systems rather than monitoring feedback from every service? Do you review systems for sharing good practice? Are you aware of areas of good practi... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1219858 Sat, 09 Feb 2008 15:02:30 +0100 1219858 http://www.medworm.com/index.php?rid=1217958&cid=t_161795_113_f&fid=34982&url=http%3A%2F%2Fwww.anticlue.net%2Farchives%2F000869.htm Historically in most healthcare enterprises, IT is viewed as an operational expense. In order to change how IT is used, one has to have executive agreement to change the way IT is viewed and used. There are some key indicators... (Source: Anticlue) Anticlue blogs http://www.medworm.com/rss/comments.php?id=1217958 Fri, 08 Feb 2008 05:00:00 +0100 1217958 http://www.medworm.com/index.php?rid=1204613&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F04%2Fot-seeker%2F is a database of systematic reviews and randomised controlled trials relevant to occupational therapy and was developed by OTs at the University of Queensland and University of Western Sydney. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1204613 Mon, 04 Feb 2008 15:17:41 +0100 1204613 http://www.medworm.com/index.php?rid=1166314&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F21%2Fimproved-health-system-performance-through-better-care-coordination-health-working-paper-no-30%2F from the OECD attempts to assess whether–and to what degree–better care coordination can improve health system performance in terms of quality and cost-efficiency. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1166314 Mon, 21 Jan 2008 13:55:18 +0100 1166314 http://www.medworm.com/index.php?rid=1128576&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F03%2Fnational-care-of-the-dying-audit%2F generic report 2006/2007 considers the care of the dying in five key areas and finds that: Physical Comfort of the Patient  Medication was assessed and non-essential medication was stopped in 93% of patients. Anticipatory prescribing was undertaken for pain relief in 91% of cases, for agitation in 84% of cases, for the prevention of respiratory tract secretions in 80% of cases, for nausea in 80% of cases and for breathlessness in 67% of cases. Inappropriate blood tests and antibiotics were discontinued in 87% and 91% respectively, and recording of ‘not for Cardio Pulmonary Resuscitation’ (where appropriate) documented in 93% of patients. In regard to ongoing care the presence or absence of symptoms could be recorded for patients during the last 24 hours of life. The status ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1128576 Thu, 03 Jan 2008 16:15:35 +0100 1128576 http://www.medworm.com/index.php?rid=1109771&cid=t_161795_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F12%2F21%2Fa-personal-approach-to-public-services%2F Turning Point and Dr Foster Intelligence have produced ‘A Personal Approach to Public Services’, a new report which states world class public services can be provided without structural reform or significant additional resources or costs, the holy grail of the public sector! Key to achieving this are: Intelligent customer insight - improving effective and consistent use of data to know understand and profile the diversity of the communities served Service design - must involve stakeholder participation including local people, particularly those in most need, to design services around need Personalisation - create individual budgets and provide multiple needs through one integrated service Prevention - make prevention a mainstream activity at the heart of the commissioning proc... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1109771 Fri, 21 Dec 2007 07:33:22 +0100 1109771 http://www.medworm.com/index.php?rid=1034970&cid=t_161795_113_f&fid=36670&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fmsdn%2Fhealthblog%2F%7E3%2F184363135%2Fa-new-day-in-healthcare-it.aspx In my last Blog posting I hinted that a "new day was coming in Healthcare IT".  As HealthBlog readers may have surmised, I had advance knowledge of an announcement that was made late last evening and is hitting the press today.  That announcement is the purchase by Microsoft of a company called Global Care Solutions (GCS) of Bangkok, Thailand.  The company produces clinical and back office solutions for enterprise hospitals.  In fact, it was developed in one such hospital; Bumrungrad Hospital.  In case you don't know, Bumrungrad is one of the leading "destination hospitals" in the world.  Each year, this Joint Commission accredited hospital treats more than 1.2 million people who come from 190 countries.  We've been... HealthBlog blogs http://www.medworm.com/rss/comments.php?id=1034970 Mon, 29 Oct 2007 14:56:00 +0100 1034970 http://www.medworm.com/index.php?rid=1034971&cid=t_161795_113_f&fid=36670&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fmsdn%2Fhealthblog%2F%7E3%2F184363136%2Fmailbag-healthblog-readers-confirm-some-important-trends.aspx I wanted to share a couple of insightful comments on previous HealthBlog posts that I received this week.  One reader responds to my post about a public hospital in Spain, Torrevieja Salud, that I wrote about while attending a health leaders event in Barcelona last December.  Using commodity software solutions and development tools from Microsoft and some of our partners, the hospital built an end-to-end IT system to manage all of their administrative and clinical operations.  And, they did it for a fraction of what most hospitals spend on IT.  The comment comes from a gentleman who was recently a patient at the hospital.  He writes; I am ex-IT and I am a patient of the Salud Torrevieja.  I am amazed at the interaction of their system... HealthBlog blogs http://www.medworm.com/rss/comments.php?id=1034971 Fri, 26 Oct 2007 17:11:44 +0100 1034971 http://www.medworm.com/index.php?rid=654465&cid=t_161795_113_f&fid=34982&url=http%3A%2F%2Fwww.anticlue.net%2Farchives%2F000835.htm A new certification program for PACS Administrators, IIP, has been introduced by the American Board of Imaging Informatics. It is nice to see an industry standard certification for PACs Admins. The certification also covers a broad range of topics: Procurement,... (Source: Anticlue) Anticlue blogs http://www.medworm.com/rss/comments.php?id=654465 Sat, 02 Jun 2007 04:00:00 +0100 654465 http://www.medworm.com/index.php?rid=513824&cid=t_161795_113_f&fid=34982&url=http%3A%2F%2Fwww.anticlue.net%2Farchives%2F000822.htm While catching up on the plethora of unread informational emails, I came across a nifty use of Wikipedia, the popular online wiki. Some physicians from Cleveland Clinic have established a medical version of Wikipedia, Ask Dr. Wiki. Cool idea, wonder... (Source: Anticlue) Anticlue blogs http://www.medworm.com/rss/comments.php?id=513824 Sat, 31 Mar 2007 04:00:00 +0100 513824