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Hospital information systems: a study of electronic patient records

CÔRTES, Pedro Luiz; CÔRTES, Eliana Golfette de Paula
Fonte: TECSI Laboratório de Tecnologia e Sistemas de Informação - FEA/USP Publicador: TECSI Laboratório de Tecnologia e Sistemas de Informação - FEA/USP
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
36.2%
The importance of patient records, also known as medical records, is related to different needs and objectives, as they constitute permanent documents on the health of patients. With the advancement of information technologies and systems, patient records can be stored in databases, resulting in a positive impact on patient care. Based on these considerations, a research question that arises is "what are the benefits and problems that can be seen with the use of electronic versions of medical records?" This question leads to the formulation of the following hypothesis: although problems can be identified during the process of using electronic record systems, the benefits outweigh the difficulties, thereby justifying their use. To respond to the question and test the presented hypothesis, a research study was developed with users of the same electronic record system, consisting of doctors, nurses, and administrative personnel in three hospitals located in the city of São Paulo, Brazil. The results show that, despite some problems in their usage, the benefits of electronic patient records outweigh possible disadvantages.

O papel dos profissionantes de saúde na qualidade da informação de óbitos perinatais e nascidos vivos no município de São Paulo; SIM and SINASC: social representation of nurses and administrative professional sectors that work in hospitals SUS and non-SUS in the city of Sao Paulo

Schoeps, Daniela
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 03/05/2012 PT
Relevância na Pesquisa
36.12%
Introdução: A mortalidade perinatal é um importante indicador de saúde materno- infantil, por esse motivo vem ocorrendo uma evolução nos estudos dessas informações. Muitos estudos avaliam a qualidade dos dados do Sistema de Informações de Nascidos Vivos (SINASC) e Sistemas de Informações de Mortalidade (SIM) com métodos quantitativos (validade/completitude), porém são escassas as investigações qualitativas. Objetivo: Avaliar a representação social dos enfermeiros e profissionais de setores administrativos sobre o preenchimento das Declarações de Nascido Vivo (DNs) e se ou como auxiliam no preenchimento das Declarações de Óbito (DOs) fetais e neonatais. Métodos: Foram realizadas 24 entrevistas com enfermeiros e profissionais de setores administrativos em 16 hospitais, com e sem vínculo com o SUS, no município de São Paulo, em 2009. As análises foram realizadas utilizando a metodologia qualitativa com a técnica do Discurso do Sujeito Coletivo. Resultados: Os profissionais e enfermeiros se reconhecem como parte integrante do processo de produção da informação. Os discursos indicam que a atividade está incorporada na rotina do trabalho; há comprometimento na busca de soluções quando se deparam com dificuldades de preenchimento; há valorização de se sentirem acompanhados por uma instância superior do sistema; sentem que o treinamento é um espaço de encontro para retorno e compreensão das finalidades e usos das informações que produzem. Esta consciência aumenta o comprometimento e assegura informações mais fidedignas. Conclusões: Tanto nos hospitais SUS como não-SUS não se verificou um padrão relativo ao profissional responsável pelo preenchimento das DNs...

Uma nova perspectiva em Formação : o projecto E-TERM (European Training in Electronic Records Management)

Ribeiro, Fernanda
Fonte: Lisboa : Associação Portuguesa de Bibliotecários Arquivistas e Documentalistas Publicador: Lisboa : Associação Portuguesa de Bibliotecários Arquivistas e Documentalistas
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
36.08%
In face of the new contexts where the information managers and professionals develop their activity, it is discussed the traditional view that governs professional training and education, as well as its inadequacy to the defeats put by the informational reality of our days. Afterwards, it is presented the E-TERM (European Training in Electronic Records Management) Project – a training course of continuous education – as an example of a new perspective. This course aims to contribute for a renewed education of those people who deal with information into the scope of any organization (archivists, information managers, computer people), but also to the information producers inside such organizations (managers, administrative people, technicians, etc.).

Hospital information systems: a study of electronic patient records

Côrtes,Pedro Luiz; Côrtes,Eliana Golfette de Paula
Fonte: TECSI Laboratório de Tecnologia e Sistemas de Informação - FEA/USP Publicador: TECSI Laboratório de Tecnologia e Sistemas de Informação - FEA/USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2011 EN
Relevância na Pesquisa
36.2%
The importance of patient records, also known as medical records, is related to different needs and objectives, as they constitute permanent documents on the health of patients. With the advancement of information technologies and systems, patient records can be stored in databases, resulting in a positive impact on patient care. Based on these considerations, a research question that arises is "what are the benefits and problems that can be seen with the use of electronic versions of medical records?" This question leads to the formulation of the following hypothesis: although problems can be identified during the process of using electronic record systems, the benefits outweigh the difficulties, thereby justifying their use. To respond to the question and test the presented hypothesis, a research study was developed with users of the same electronic record system, consisting of doctors, nurses, and administrative personnel in three hospitals located in the city of São Paulo, Brazil. The results show that, despite some problems in their usage, the benefits of electronic patient records outweigh possible disadvantages.

Use of administrative records to describe longitudinal patterns of health services use among veterans.

Williams, B C; Mehr, D R; Fries, B E
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1994 EN
Relevância na Pesquisa
46.3%
Administrative records of the Department of Veterans Affairs (DVA) and the National Death Index were linked to create a four-year longitudinal database that describes the clinical status, hospital and nursing home use, and mortality for a nationwide cohort of persons admitted to DVA nursing homes (n = 23,039). Using Social Security Numbers as identifiers, the records of only 6% of these persons had logically inconsistent or implausible patterns. Nineteen percent of the remaining records had correctable logical errors. Information on the creation, consistency, and potential uses of this database may prove useful to health services researchers interested in describing longitudinal patterns of health care use across multiple settings within and outside the DVA.

Development of a Linked Perinatal Data Resource From State Administrative and Community-Based Program Data

Hall, Eric S.; Goyal, Neera K.; Ammerman, Robert T.; Miller, Megan M.; Jones, David E.; Short, Jodie A.; Van Ginkel, Judith B.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /01/2014 EN
Relevância na Pesquisa
36.39%
To demonstrate a generalizable approach for developing maternal-child health data resources using state administrative records and community-based program data. We used a probabilistic and deterministic linking strategy to join vital records, hospital discharge records, and home visiting data for a population-based cohort of at-risk, first time mothers enrolled in a regional home visiting program in Southwestern Ohio and Northern Kentucky from 2007 to 2010. Because data sources shared no universal identifier, common identifying elements were selected and evaluated for discriminating power. Vital records then served as a hub to which other records were linked. Variables were recoded into clinically significant categories and a cross-set of composite analytic variables was constructed. Finally, individual-level data were linked to corresponding area-level measures by census tract using the American Communities Survey. The final data set represented 2,330 maternal-infant pairs with both home visiting and vital records data. Of these, 56 pairs (2.4 %) did not link to either maternal or infant hospital discharge records. In a 10 % validation subset (n = 233), 100 % of the reviewed matches between home visiting data and vital records were true matches. Combining multiple data sources provided more comprehensive details of perinatal health service utilization and demographic...

Course of health care costs before and after psychiatric inpatient treatment: patient-reported vs. administrative records

Zentner, Nadja; Baumgartner, Ildiko; Becker, Thomas; Puschner, Bernd
Fonte: Kerman University of Medical Sciences Publicador: Kerman University of Medical Sciences
Tipo: Artigo de Revista Científica
Publicado em 27/01/2015 EN
Relevância na Pesquisa
36.02%
Background: There is limited evidence on the course of health service costs before and after psychiatric inpatient treatment, which might also be affected by source of cost data. Thus, this study examines: i) differences in health care costs before and after psychiatric inpatient treatment, ii) whether these differences vary by source of cost-data (self-report vs. administrative), and iii) predictors of cost differences over time.

Four Seasons Hotel (Sheraton) records, 1974 – 1976, n.d.

Adams, Anne
Fonte: Brock University Publicador: Brock University
Tipo: Outros
EN
Relevância na Pesquisa
36%
The Four Seasons Sheraton is located on 5 acres of land in downtown Toronto, Ontario. It opened in October of 1972 as part of a joint venture with the Four Seasons chain. At that time, it was the second largest hotel in Toronto boasting 1,450 rooms. The hotel was advertised as a “city within a city”. The connection with the Four Seasons chain was severed in 1976 when Isadore Sharp (founder) sold his 49% share in the hotel.; Administrative records and publications pertaining to the Four Seasons Sheraton Hotel, Toronto, Ontario

How Accurate Are Recall Data? Evidence from Coastal India

de Nicola, Francesca; Gine, Xavier
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
46.17%
This paper investigates the accuracy of recall data by comparing administrative records with retrospective, self-reported survey responses to income and asset questions for a sample of self-employed households from coastal India. It finds that the magnitude of the recall error increases over time, in part because respondents rely less on memory and instead infer earnings based on past earnings. Individuals tend to recall monthly earnings more accurately when they are higher than the median. These results imply that the variance estimated from the self-reported earnings distribution will be lower than the real one. The paper also finds that data reported by income earners are more accurate than those by their wives. In addition, the use of time cues can worsen accuracy if they are not relevant to the respondent. Where the recall questions are placed in the two-hour long survey, however, does not affect accuracy.

Monitoring Health Care Using National Administrative Data Collections

Kelman, Christopher William
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Thesis (PhD); Doctor of Philosophy (PhD)
EN
Relevância na Pesquisa
36.38%
With the inevitable adoption of information technology into all areas of human pursuit, the potential benefits for health care should not be overlooked. In Australia, details of most health care encounters are currently recorded for administrative purposes. This results in an impressive electronic data-bank that could provide a national resource for health service evaluation. ¶ ... ¶ The aims of the project were: · To examine the potential for using administrative data to generate outcome measures and surveillance indicators. · To investigate the logistics of gaining access to these data for the purpose of research. This to be achieved within the current ethical, political and financial framework. · To compare the Australian health-service data system with the current international state-of-the-art. · To develop suggestions for expansion of the present system as part of an integrated health record and information system. This system to manage patient records and provide data for quality management, treatment surveillance and cost-effectiveness evaluation as a routine activity. ¶ The thesis is presented in two parts. In the first part, a historical cohort study is described that involved patients with implantable medical devices. ... ¶ In the second part of the thesis...

Exposed or not exposed? Exploring exposure classification in studies using administrative data to investigate outcomes following medication use during pregnancy

Grzeskowiak, L.E.; Gilbert, A.L.; Morrison, J.L.
Fonte: Springer Verlag Publicador: Springer Verlag
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
Relevância na Pesquisa
36.21%
PURPOSE: The aim of this systematic review was to examine and compare differences in the way medication exposures are classified in studies using linked administrative data to investigate outcomes following medication use during pregnancy. This was undertaken with a focus on studies investigating specific neonatal outcomes following prenatal exposure to selective serotonin reuptake inhibitors (SSRIs). METHODS: We searched Medline and Embase to identify studies that used linked administrative data to investigate specific neonatal outcomes (congenital malformations, birth weight, gestational age) following prenatal exposure to SSRIs. RESULTS: Key factors such as dose, duration and timing of exposure were inconsistently addressed in the studies identified. In addition, there was a great deal of variability in the way medication exposures were classified and how women who stop taking their medication before or during early pregnancy are handled in analyses. Furthermore, there are issues in assuming how and when women who receive a dispensing for a medication actually take it during pregnancy. This creates a great deal of uncertainty around medication exposure during pregnancy in studies using linked administrative data, potentially resulting in biased risk estimates. CONCLUSIONS: There is a need for greater focus on determining the most effective and accurate way of using linked administrative data to investigate outcomes following medication use during pregnancy in an effort to minimise potential biases.; Luke E. Grzeskowiak...

Metodologia de análise de acervos documentais mineiros – subsídio para a valorização do património geomineiro em contexto de ordenamento territorial; Metodología de análisis de archivos documentales mineros – contribución a la valoración del património minero en un contexto de planificación territorial; Documental analysis methodology of mining records – valorisation of mining heritage in land management context

Alves, Raquel Cepeda; Gomes, C. Leal; Valente, Teresa Maria Fernandes
Fonte: Instituto Geológico e Minero de España Publicador: Instituto Geológico e Minero de España
Tipo: Parte de Livro
Publicado em //2010 POR
Relevância na Pesquisa
36%
Serie : Cuadernos del Museo Geominero, n.º 12; Os acervos documentais das antigas concessões mineiras incluem documentação técnico-científica, jurídico-administrativa e de produção e mercado. A sua análise, entendida numa perspectiva multidisciplinar, fornece dados importantes para a prospecção com vista à reabilitação económica (reavaliação de reservas remanescentes no depósito primário e escombreiras), mas também proporciona fundamentos para a valorização patrimonial (reconhecimento da herança industrial, cultural e tecnológica). O levantamento e estudo dos dossiers mineiros das concessionárias que lavraram na Serra d’Arga – NW de Portugal – foram norteados pela metodologia da análise documental. Esta pressupõe, num primeiro momento, a definição de cada documento do dossier como unidade de análise, sobre o qual se elabora uma ficha de consulta padronizada. Após a sua codificação e organização cronológica obtém-se uma visão integral do dossier num diagrama sinóptico. Reforçam-se as características comuns a todos os documentos e evidencia-se o funcionamento da estrutura produtiva (desde a abordagem ao depósito mineral, tratamento do tout-venant até à estratégia comercial de transacção do minério). A adequação desta metodologia subsidia a criação de uma base de dados de dossiers mineiros preservando o valor documental e historiográfico enquanto Património Documental Mineiro. Permite uma maior aplicação ao ordenamento e à gestão territorial...

Public and Private Spheres of Neighborhood Disorder: Assessing Pathways to Violence Using Large-scale Digital Records

O'Brien, Daniel T.; Sampson, Robert J.
Fonte: Harvard University Publicador: Harvard University
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
36.17%
Objectives: “Broken windows” theory is an influential model of neighborhood change, but there is disagreement over whether public disorder leads to more serious crime. This article distinguishes between public and private disorder, arguing that large-scale administrative data provide new opportunities to examine broken windows theory and alternative models of neighborhood change. Method: We apply an ecometric methodology to two databases from Boston: 1,000,000+ 911 dispatches and indicators of physical disorder from 200,000+ requests for nonemergency services. Both distinguish between disorder in public and private spaces. A cross-lag longitudinal analysis was conducted using two full years of data (2011–2012). Results: The two databases provided six dimensions of physical and social disorder and crime. The cross-lag model revealed eight pathways by which one form of disorder or crime in 2011 predicted a significant increase in another in 2012. Although traditional interpretations of broken windows emphasize the role of public disorder, private conflict most strongly predicted future crime. Conclusions: Our results describe a social escalation model where future disorder and crime emerge not from public cues but from private disorder within the community...

Ecometrics in the Age of Big Data: Measuring and Assessing "Broken Windows" Using Large-scale Administrative Records

Sampson, Robert J.; Winship, Christopher; O'Brien, Daniel T.
Fonte: SAGE Publications Publicador: SAGE Publications
Tipo: Artigo de Revista Científica
EN_US
Relevância na Pesquisa
46.26%
The collection of large-scale administrative records in electronic form by many cities provides a new opportunity for the measurement and longitudinal tracking of neighborhood characteristics, but one that requires novel methodologies that convert such data into research-relevant measures. The authors illustrate these challenges by developing measures of “broken windows” from Boston’s constituent relationship management (CRM) system (aka 311 hotline). A 16-month archive of the CRM database contains more than 300,000 address-based requests for city services, many of which reference physical incivilities (e.g., graffiti removal). The authors carry out three ecometric analyses, each building on the previous one. Analysis 1 examines the content of the measure, identifying 28 items that constitute two independent constructs, private neglect and public denigration. Analysis 2 assesses the validity of the measure by using investigator-initiated neighborhood audits to examine the “civic response rate” across neighborhoods. Indicators of civic response were then extracted from the CRM database so that measurement adjustments could be automated. These adjustments were calibrated against measures of litter from the objective audits. Analysis 3 examines the reliability of the composite measure of physical disorder at different spatiotemporal windows...

Medical records and issues in negligence

Thomas, Joseph
Fonte: Medknow Publications Publicador: Medknow Publications
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
36.26%
It is very important for the treating doctor to properly document the management of a patient under his care. Medical record keeping has evolved into a science of itself. This will be the only way for the doctor to prove that the treatment was carried out properly. Moreover, it will also be of immense help in the scientific evaluation and review of patient management issues. Medical records form an important part of the management of a patient. It is important for the doctors and medical establishments to properly maintain the records of patients for two important reasons. The first one is that it will help them in the scientific evaluation of their patient profile, helping in analyzing the treatment results, and to plan treatment protocols. It also helps in planning governmental strategies for future medical care. But of equal importance in the present setting is in the issue of alleged medical negligence. The legal system relies mainly on documentary evidence in a situation where medical negligence is alleged by the patient or the relatives. In an accusation of negligence, this is very often the most important evidence deciding on the sentencing or acquittal of the doctor. With the increasing use of medical insurance for treatment...

Assessing homeless population size through the use of emergency and transitional shelter services in 1998: results from the analysis of administrative data from nine US jurisdictions.

Metraux, S.; Culhane, D.; Raphael, S.; White, M.; Pearson, C.; Hirsch, E.; Ferrell, P.; Rice, S.; Ritter, B.; Cleghorn, J. S.
Fonte: Association of Schools of Public Health Publicador: Association of Schools of Public Health
Tipo: Artigo de Revista Científica
Publicado em //2001 EN
Relevância na Pesquisa
36.02%
OBJECTIVES: This study reports findings from the first-ever systematic enumeration of homeless population size using data previously collected from administrative records of homeless services providers in nine US jurisdictions over a one year period. As such, it provides the basis for establishing an ongoing measure of the parameters of the homeless population and for tracking related trends on the use of homeless services over time. METHODS: Each participating jurisdiction collected data through its homeless services management information systems for persons and families who use emergency shelter and transitional housing. The jurisdictions organized the data by a standardized reporting format. These data form the basis for reporting homeless population size, both in raw numbers and as adjusted for each jurisdiction's overall population size, as well as the rate of turnover and average annual length of stay in emergency shelters and transitional housing. RESULTS: Individual jurisdictions had annual rates of sheltered homelessness ranging from 0.1% to 2.1% of their overall population, and 1.3% to 10.2% of their poverty population. Annual population size was 2.5 to 10.2 times greater than the point-prevalent population size. Results are broken down for adults and families. CONCLUSIONS: The prevalence of homelessness varies greatly among the jurisdictions included in this study...

Schémas de classification et repérage des documents administratifs électroniques dans un contexte de gestion décentralisée des ressources informationnelles

Mas, Sabine
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation Formato: 5178722 bytes; application/pdf
FR
Relevância na Pesquisa
36.17%
Les employés d’un organisme utilisent souvent un schéma de classification personnel pour organiser les documents électroniques qui sont sous leur contrôle direct, ce qui suggère la difficulté pour d’autres employés de repérer ces documents et la perte possible de documentation pour l’organisme. Aucune étude empirique n’a été menée à ce jour afin de vérifier dans quelle mesure les schémas de classification personnels permettent, ou même facilitent, le repérage des documents électroniques par des tiers, dans le cadre d’un travail collaboratif par exemple, ou lorsqu’il s’agit de reconstituer un dossier. Le premier objectif de notre recherche était de décrire les caractéristiques de schémas de classification personnels utilisés pour organiser et classer des documents administratifs électroniques. Le deuxième objectif consistait à vérifier, dans un environnement contrôlé, les différences sur le plan de l’efficacité du repérage de documents électroniques qui sont fonction du schéma de classification utilisé. Nous voulions vérifier s’il était possible de repérer un document avec la même efficacité, quel que soit le schéma de classification utilisé pour ce faire. Une collecte de données en deux étapes fut réalisée pour atteindre ces objectifs. Nous avons d’abord identifié les caractéristiques structurelles...

Hospital information systems: a study of electronic patient records

Côrtes, Pedro Luiz; Côrtes, Eliana Golfette de Paula
Fonte: Universidade de São Paulo. Faculdade de Economia, Administração e Contabilidade Publicador: Universidade de São Paulo. Faculdade de Economia, Administração e Contabilidade
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2011 ENG
Relevância na Pesquisa
36.2%
The importance of patient records, also known as medical records, is related to different needs and objectives, as they constitute permanent documents on the health of patients. With the advancement of information technologies and systems, patient records can be stored in databases, resulting in a positive impact on patient care. Based on these considerations, a research question that arises is "what are the benefits and problems that can be seen with the use of electronic versions of medical records?" This question leads to the formulation of the following hypothesis: although problems can be identified during the process of using electronic record systems, the benefits outweigh the difficulties, thereby justifying their use. To respond to the question and test the presented hypothesis, a research study was developed with users of the same electronic record system, consisting of doctors, nurses, and administrative personnel in three hospitals located in the city of São Paulo, Brazil. The results show that, despite some problems in their usage, the benefits of electronic patient records outweigh possible disadvantages.

Managing Public Affairs Records in the Digital Age

Pyatt, Timothy D.
Fonte: Society of American Archivists Publicador: Society of American Archivists
Tipo: Artigo de Revista Científica
Publicado em /04/2008 EN_US
Relevância na Pesquisa
46.18%
Public Affairs operations at institutions of higher education are rapidly abandoning paper as a medium for disseminating press releases, news stories, and campus promotional materials. Archives must develop plans to acquire and preserve these electronic records as paper surrogates are no longer produced. The Duke University Archives has found that while its “traditional” records scheduling and accessioning methods have worked to manage the intake of these records, “traditional” processing and access methodologies have not proven as effective. New workflows are needed to facilitate the transfer of electronic files and to assess file format longevity and authenticity. Re-evaluation of processing procedures and identification of appropriate access tools for electronic records need to occur.; Society of American Archivists

Do registro ao indicador: gestão da produção da informação assistencial nos hospitais; From records to indicators: the management of health care information production in hospitals

Schout, Denise; Novaes, Hillegonda Maria Dutilh
Fonte: Ciência e Saúde Coletiva Publicador: Ciência e Saúde Coletiva
Tipo: Artigo de Revista Científica
PT_BR
Relevância na Pesquisa
36%
A valorização da utilização de indicadores assistenciais no monitoramento do desempenho dos sistemas de serviços de saúde cresceu de forma significativa nas últimas décadas. A expansão do Sistema Único de Saúde/SUS e do Sistema de Saúde Suplementar, e as formas de gestão adotadas estimularam o uso de indicadores na avaliação do desempenho, qualidade e segurança nos hospitais, sendo propostos sistemas de indicadores. Não houve uma correspondente preocupação com as condições de produção dos dados e informações para esses indicadores nos serviços de saúde. O artigo discute algumas das condições necessárias para a qualidade nos indicadores para a gestão da assistência nos hospitais: uma cultura de valorização da informação clínica, administrativa e de pesquisa, compartilhada por todos, e a adequada gestão dos registros clínicos, estatísticas hospitalares e sistemas de informações hospitalares. Não existem propostas prontas para a gestão da informação nos hospitais, fazendo-se necessário desenvolver uma capacidade institucional de incorporar e utilizar, na forma mais adequada para cada instituição e contexto, competências e recursos materiais e humanos diversificados, para que a gestão da informação se transforme em um processo dinâmico e parte da gestão do serviço como um todo; Utilization of health care indicators in the monitoring of health system performance has become increasingly important in the last decades. The expansion of the public National Health System...