Record Management

2020 ◽  
pp. 159-188
Author(s):  
Edward Sciore
Keyword(s):  
Record Management

The First Decade of Effort: Progress Toward a Hospital Information System at the UCLA Hospital, Los Angeles, California

1970 ◽  
Vol 09 (02) ◽  
pp. 75-80
Author(s):  
B. G. Lamson ◽  
W. S. Russell ◽  
J. Fullmore ◽  
W. E. Nix
Keyword(s):  
Los Angeles ◽  
Medical Record ◽  
Communication Systems ◽  
The United States ◽  
Computer Applications ◽  
Record Management ◽  
Successful Implementation ◽  
Accounting System ◽  
Accrual Accounting ◽  
Medical Specialties

Total information and communication systems within hospitals have been designed, but successful complete implementation, to date, has not been achieved. Limited applications with both patient medical data, notably in the clinical laboratories, and in the hospital accounting offices have been numerous. Although total programs are not yet a reality, it is apparent that the computer will serve ultimately many communication requirements, both medical and financial, within the hospital.Sound hospital management requires that costs of all component operations be known in order that value judgments concerning worth and efficiency may be made. Accrual accounting systems which match revenue and expense over the same time period are a prerequisite. Cash and modified cash hospital accounting cannot provide current reliable data for sound decision making.Costs of hospital operations cannot be evaluated unless related to the characteristics of the patient service load. Average per diem costs mean little except when large similar populations of patients are being compared. A modern hospital accrual accounting system should be able to provide information concerning the costs of caring for specific diseases in patients with known age and sex and disease severity characteristics. Without information of this type, it will not be possible to objectively evaluate alternative systems of financing and organizing patient care.Medical record management offers the promise of prospective use of patient disease information in the planning and scheduling of facilities. The prose content of medical record summaries, such as diagnostic statements in tissue pathology, radiology, and admission and discharge diagnoses, may be susceptible to non-coded, full prose input into computer controlled diagnostic files. Thesauri in the several medical specialties will be necessary for this achievement.There is little immediate prospect for complete hospital communication systems that can be made available as a package to any hospital without substantial local alteration. Pilot projects in teaching centers should be viewed for the time being as opportunities to define objectives, evaluate feasibility, and determine degree of risk and expense.A brief survey of applications in the United States which have been successfully implemented or which appear suitable for successful implementation is recorded.Eleven general principles which have been associated with successful implementation of computer applications within the UCLA Hospital are enumerated.

MS2/Cardio: Towards a Multi-Service Medical Software for Cardiology

1992 ◽  
Vol 31 (01) ◽  
pp. 18-28 ◽  
Author(s):  
C. Combi ◽  
G. Pozzi ◽  
R. Rossi ◽  
F. Pinciroli
Keyword(s):  
Statistical Processing ◽  
Clinical Information ◽  
Daily Practice ◽  
Management Unit ◽  
Record Management ◽  
Medical Software ◽  
Software Packages ◽  
Ambulatory Patients ◽  
Patient Database ◽  
Individual Program

Abstract:Many clinics are interested to use software packages in daily practice, but lack of integration of such packages seriously limits their scope. In practice this often entails switching between programs and interrupting the run of an individual program. A multi-task approach would not solve this problem as it would not eliminate the need to input the same data many times, as often occurs when using separate packages. The construction of a Multi-Service Medical Software package (MSx2) is described, which was also developed as an example of practical integration of some clinically relevant functions. The package runs on a personal computer in an MS-DOS environment and integrates a time-oriented medical record management unit (TOMRU) for data of ambulatory patients, and a drug information management unit (DIMU) concerning posology, content, effects, and possible interactions. Of the possible database configurations allowed by MSx2, the cardiology patient database (MSx2/C) and hypertensive patient database (MSx2/H) were developed and described here. Clinical information to be included in the configurations was obtained after discussion and consensus of clinical practitioners. MSx2/C was distributed to several hundred clinical centers during computerized courses to train future users. MSx2 can easily transfer patient data to statistical processing packages.

MedAccess: A Scalable Architecture for Blockchain-based Health Record Management

2020 ◽  
Author(s):  
Mohammed Misbhauddin ◽  
Abdulaziz AlAbdulatheam ◽  
Mohammed Aloufi ◽  
Hussien Al-Hajji ◽  
Ahmad AlGhuwainem
Keyword(s):  
Record Management ◽  
Health Record ◽  
Scalable Architecture

Pharmaceutical Data Integrity: issues, challenges and proposed solutions for manufacturers and inspectors

2020 ◽  
Vol 9 (4) ◽  
pp. 171-182
Author(s):  
Sia Chong Hock ◽  
Vernon Tay ◽  
Vimal Sachdeva ◽  
Chan Lai Wah
Keyword(s):  
Manufacturing Industry ◽  
Management Practices ◽  
Data Integrity ◽  
Database Management System ◽  
World Health ◽  
Record Management ◽  
Guidance Documents ◽  
Health Organization ◽  
Biopharmaceutical Manufacturing ◽  
The Uk

Data Integrity, which is data deemed Attributable, Legible, Contemporaneous, Original, Accurate, Complete, Consistent, Enduring, and Available (ALCOA-plus), has been the focus of the pharmaceutical industry in recent years. With the growing use of computerized systems and rising prevalence of outsourcing manufacturing processes, ensuring data integrity is becoming more challenging in an increasingly complex pharmaceutical manufacturing industry. To address this issue, multiple legislation and guidance documents such as ‘Data Integrity and Compliance with CGMP Guidance for Industry’ from the US Food and Drug Administration (FDA), ‘GxP’ Data Integrity Guidance and Definitions from the UK Medicines & Healthcare products Regulatory Agency (MHRA), and ‘Guidance on Good Data and Record Management Practices’ from the World Health Organization (WHO), have been published in recent years. However, with rising data integrity issues observed by FDA, WHO, MHRA and other pharmaceutical inspectors even after these guidance documents have been published, their overall effectiveness is yet to be determined. This paper compares and evaluates the legislation and guidance currently in existence; and discusses some of the potential challenges pharmaceutical manufacturers face in maintaining data integrity with such legislation and guidance in place. It appears that these legislation and guidance are insufficient in maintaining data integrity in the industry when used alone. Last, but not least, this paper also reviews other solutions, such as the need for a company culture of integrity, a good database management system, education and training, robust quality agreements between contract givers and acceptors, and performance of effective audits and inspections, to aid in maintaining data integrity in the manufacturing industry. These proposed solutions, if successfully implemented, can address the issues associated with data integrity, and raise the standard of pharmaceutical and biopharmaceutical manufacturing worldwide.

VeRA: Verifying RBAC and Authorization Constraints Models of Web Applications

2021 ◽  
Vol 31 (05) ◽  
pp. 655-675
Author(s):  
Thanh-Nhan Luong ◽  
Hanh-Phuc Nguyen ◽  
Ninh-Thuan Truong
Keyword(s):  
Access Control ◽  
Programming Languages ◽  
Web Application ◽  
Web Applications ◽  
Implementation Process ◽  
Record Management ◽  
Role Based Access Control ◽  
Security Issue ◽  
Control Policies ◽  
Access Control Policies

The software security issue is being paid great attention from the software development community as security violations have emerged variously. Developers often use access control techniques to restrict some security breaches to software systems’ resources. The addition of authorization constraints to the role-based access control model increases the ability to express access rules in real-world problems. However, the complexity of combining components, libraries and programming languages during the implementation stage of web systems’ access control policies may arise potential flaws that make applications’ access control policies inconsistent with their specifications. In this paper, we introduce an approach to review the implementation of these models in web applications written by Java EE according to the MVC architecture under the support of the Spring Security framework. The approach can help developers in detecting flaws in the assignment implementation process of the models. First, the approach focuses on extracting the information about users and roles from the database of the web application. We then analyze policy configuration files to establish the access analysis tree of the application. Next, algorithms are introduced to validate the correctness of the implemented user-role and role-permission assignments in the application system. Lastly, we developed a tool called VeRA, to automatically support the verification process. The tool is also experimented with a number of access violation scenarios in the medical record management system.

Functional goals and problems in large-scale patient record management and automated screening

1974 ◽  
pp. 159-164 ◽  
Author(s):  
Morris F. Collen ◽  
Lou S. Davis ◽  
Edmund E. Van Brunt ◽  
Joseph F. Terdiman
Keyword(s):  
Large Scale ◽  
Patient Record ◽  
Record Management ◽  
Automated Screening

Examining the Association Between Massage Parlors and Neighborhood Crime

2018 ◽  
Vol 65 (11) ◽  
pp. 1537-1569 ◽  
Author(s):  
Jessica Huff ◽  
Danielle Wallace ◽  
Courtney Riggs ◽  
Charles M. Katz ◽  
David Choate
Keyword(s):  
Management System ◽  
Autoregressive Models ◽  
Physical Disorder ◽  
Record Management ◽  
Social Disorder ◽  
Neighborhood Crime ◽  
Spatial Autoregressive ◽  
Spatial Autoregressive Models ◽  
The Impact ◽  
User Review

Although massage parlors have been associated with illicit activities including prostitution, less is known about their association with neighborhood crime. Employing the Computer Automated Dispatch/Record Management System (CAD/RMS), online user review, licensing, Census, and zoning data, we examine the impact of massage parlors on crime in their surrounding neighborhoods. Using spatial autoregressive models, our results indicate the total number of massage parlors was associated with increased social disorder. The presence of illicit massage parlors in adjacent neighborhoods was associated with crime and physical disorder in the focal neighborhoods. This study has consequences for how police address crime associated with massage parlors. Specifically, the use of online user review forums could be an effective way to identify illicit massage parlors. Recommendations for policing and code enforcement are discussed.

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