By John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum
A medical details procedure for Oncology describes a scientific info procedure designed and applied in a melanoma heart yet with vast applicability to scientific perform past the melanoma middle setting in either inpatient and outpatient settings. considered as ahead having a look in 1978, the process has the excellence of nonetheless being in creation. certainly, its performance has persevered to develop and its technical implementation to adapt with the altering expertise over the past decade. The authors aspect the features supported by means of this specific procedure, illustrate the way it assists within the care strategy, assessment its improvement background, and review its impression at the supply of care when it comes to rate, consumer delight, and efficacy. not like a lot details know-how, the process is an lively player in clinical selection making: it contains finished instruments for dealing with and exhibiting scientific facts; instantly produces care plans from protocols; and contours precise instruments which help the potent use of blood items. execs in scientific informatics, health center directors, and physicians will locate this publication a worthwhile addition to their expert library.
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Extra info for A Clinical Information System for Oncology
L ~ :-0 tTl 00 I. Oncology Clinical Information System 19 tions is handled in a decentralized manner. For example, although the centralized collection and management of general clinical research data is the responsibility of the biostat istics component of the Oncology Center, close ties with the OCIS database are essential. The management of the Hospital's Tumor Registry is performed by a hospital-funded component of the Center which is supported by OIS computing resources and staff. Data processing in support of administration is performed by a separate group in OIS that has high-level access to the OCIS database.
Several very critical applications are maintained concurrently in both the PDP and VAX environments to provide an extremely low probability of extended down time. This backup strategy will be expanded in the future to cover the majority of OCIS functions. Any future functional expansion of OCIS, such as bedside data entry and a user query system, will be placed on the MicroVAX computers. Operators are available 24 hours a day and perform routine maintenance and backup functions for the PDP, VAX, and switching systems.
These need to be collected at predefined intervals to allow analysis of similar values collected at similar intervals from a time of intervention. The data collection system can be supported by a simple scheduling system, and compliance with the plan can be monitored by a patient query shortly after the scheduled visit to ensure correct and complete collection and to detect errors in a timely enough way to allow for corrective action to take place. If a well-directed medical information system is in place, the additional costs of clinical research can be minimized and the power of the entire system augmented by incremental additions of special research information to the basic medical data set, providing additional benefit to the clinician while serving the needs of clinical research.
A Clinical Information System for Oncology by John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum