Asunto(s)
Sistemas de Información en Hospital/organización & administración , Almacenamiento y Recuperación de la Información , Sistemas de Registros Médicos Computarizados/organización & administración , Documentación , Control de Formularios y Registros , Sistemas de Información en Hospital/normas , Registros Médicos/clasificación , Sistemas de Registros Médicos Computarizados/normas , Equipos de Almacenamiento Óptico , Estados UnidosAsunto(s)
Sistemas de Administración de Bases de Datos/organización & administración , Sistemas de Información en Hospital/organización & administración , Recolección de Datos , Sistemas de Administración de Bases de Datos/normas , Educación Continua , Sistemas de Información en Hospital/normas , Almacenamiento y Recuperación de la Información/normas , Sistemas de Registros Médicos Computarizados/organización & administración , Sistemas de Registros Médicos Computarizados/normas , Estados UnidosRESUMEN
In summation, some document imaging systems offer the capability to form what may be called electronic medical record (EMR) systems. These systems are adaptations of current paper-based record management systems into the digital environment, but they offer far more capabilities than strictly archival, historical functions. Some of the capabilities that create EMR systems will also be necessary for development of CPRs, these capabilities are listed as follows: mass storage and image management; direct capture, storage, and retrieval of digital information (native format); large volume, high-speed, client-server networks; multi-media information management; high-power, flexible database tools; workflow process software; flexible, full function security; user customizable features; and alerts and reminders. Selection and implementation of document imaging systems should, at present, be undertaken with great care to insure that the platform may be utilized to form an electronic medical record with a clear migration path to the CPR.
Asunto(s)
Sistemas de Registros Médicos Computarizados/tendencias , Sistemas de Administración de Bases de Datos , Documentación/métodos , Documentación/normas , Sistemas de Información en Hospital/tendencias , Sistemas de Registros Médicos Computarizados/normas , National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division , Automatización de Oficinas , Programas Informáticos , Estados UnidosRESUMEN
Criteria for computer systems evaluation are changing. No longer can we rely on an evaluation based solely on what the combination of hardware and software does for the user (functional criteria). Significant improvements in software productivity have occurred in recent years as a result of the availability of tools such as relational database management systems and fourth-generation languages. Meanwhile new technologies such as image processing and graphical user interfaces, e.g. MS-Windows and X Window, are coming onstream. Most of these technologies and capabilities require substantially more computing resources than traditional character-based systems. Fortunately, the open systems revolution is creating a more competitive marketplace and computer price/performance ratios are soaring, making the additional computing resources readily available at reasonable prices. But the opportunities of the future will not be for everyone. They will exist only for those medical record practitioners who recognize that a shift away from purely functional evaluation is necessary. Those that make the shift successfully will not become computer technicians, but they will understand the few technical criteria that are truly essential in systems evaluation. They will, in short, apply the 80/20 principle successfully to make future system selections. Medical record professionals must take steps to upgrade their computer system knowledge in order to accommodate the needs of technical criteria evaluation. For the active practitioner this means taking the time to learn from the many sources available in print, educational programs, and knowledgeable persons. Students should seek out courses that will give them a balanced view of the computer sciences, without being overloaded with specifics. AMRA should look for ways to augment the computer sciences requirements in the student's curriculum. Development of study tracks that concentrate on combining standard curricula with computer science would both create a new breed of practitioner and expand the horizons of the profession. The medical record profession must actively work to keep pace with the ever-changing information management environment in order to maintain its position of healthcare information management leadership.
Asunto(s)
Capacitación de Usuario de Computador , Educación Continua , Administradores de Registros Médicos/educación , Sistemas de Administración de Bases de Datos , Humanos , Redes de Área Local , Microcomputadores , Programas InformáticosRESUMEN
This article provides a comprehensive overview of optical disk technology, an information management system that is just over the horizon for most medical record practitioners.