scholarly journals The History of the Patient Record and the Paper Record

2018 ◽  
pp. 5-12 ◽  
Author(s):  
Hercules Dalianis
Author(s):  
Nadiia Kulesha

The centenary of the Ukrainian Revolution (1917―1921s) made relevant the interest to the developments and the personalities of that time, specifically, to the personality of the President of the ZUNR, Petrushevych, Yevhen. The newspaper «Ukrayinskyi Prapor» founded in 1919 in Vienna, throughout its existence, was considered as an official print organ of the Dictator (i.e., Y. Petrushevych). The Vienna period of this publication lasted from August 1919 to mid-November 1923. From the end of November 1923 till April 1932, the paper was published in the capital of the Weimar Republic, Berlin. It was the only newspaper of the Ukrainian emigration published for the longest time in interwar Germany. It was an example of a socio-political periodical. There collaborated outstanding editors and publicists. The pages of this paper record the history of the diplomatic struggle of the West Ukrainian foreign representatives for the liberation of the Eastern Galicia from the protectorate of Poland and the restoration of Ukrainian statehood. Its materials documented the course of the occupation of the Eastern Galicia by Poland and the process of «Polonization» of the Ukrainian population of that region. The article explores the Berlin period of existence of the magazine. Specifically, it studies the changes in the ideological line of the magazine, more specifically, its pro-Soviet editorial orientation because of the illusions about the transformation of the national policy of the Soviet rule in Ukraine, especially during the period of Ukrainization. Then the traditional headings of the magazine were joined by the publications with positive coverage of the flourishing Ukrainianization in Soviet Ukraine. The newspaper also actively reacted to the SVU (Union for Liberation of Ukraine) trial in Kharkiv, justifying the position of the Soviet authorities. The paper’s editorial staff were well-known figures of Ukrainian politics, science, and culture: Yu. Bachynsky, O. Hrytsai, A. Zhuk, M. Lozynsky, R. Perfetsky, and others. They provided a high level of editorial content with high-quality, multifaceted texts. We conclude that in terms of the editorial content and formal aspects, the newspaper «Ukrayinskyi Prapor» matched the standards of the European mainstream press of that time.


2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 314-314
Author(s):  
Jack Toshimine Seki ◽  
Dominic Tsang ◽  
Diana Incekol ◽  
Ian Brandle ◽  
Emma Paisley ◽  
...  

314 Background: History of hypersensitivity reactions (HSR) must be readily accessible to ensure patient safety while receiving chemotherapy. While documentation of HSR is a routine process, gaps are found in maintaining vital information amongst various stand-alone systems (SAS). Centralized documentation (CD) by frontline nursing staff in the Electronic Patient Record is key to reduce risk. Pharmacists refer to CD for HSR information when processing chemotherapy. We developed and evaluated a technology-based workaround approach as a possible solution to a non-closed-loop system. Methods: An e-clinical point of care documentation tool was designed and built for nursing data collection of HSR details within the Electronic Patient Record. Vital parameters necessary for “complete” HSR documentation were outlined in a cue card, including time of reaction, reaction drug, volume and rate of infusion, management, vital signs and objective symptoms, re-challenge or discontinuation, and patient outcome. This cue card standardizes e-documentation. Pre- and post-system rollout survey was used to gauge effectiveness of CD by nursing and pharmacists. Results: Over a 6-month period, there were 173 HSRs in 11,754 patient visits (1.5%), with variability in collection of vital documentation in relation to roll out of the e-tool. In the pre-CD rollout phase (May 25 to September 12, 2011) 108 HSRs were identified that were documented in multiple locations including an electronic prescribing SAS (86%) and the chemotherapy nursing paper record (77%). In the post-CD phase (April 23 to June 23, 2012) 65 HSRs were identified, 46% of which were documented in CD, 72% in the electronic prescribing SAS, and 85% in paper record. Six of 7 pharmacists (85%) and 7 of 10 nurses (70%) who were surveyed indicated that the new CD documentation process was “effective” or “significantly effective”. Conclusions: As non-fully integrated systems exist in current environments, technology workarounds should be used to “close the loop”. E-Clinical documentation is an upcoming centralized technology solution, which we have used with promising initial adoption results. Formal e-documentation tools can lead to more detailed documentation than current processes.


Author(s):  
Derek R. Peterson

Since the beginning of the 21st century, archivists in Uganda have been pursuing a number of projects to make previously inaccessible archival collections available for research. All of this work of archival rehabilitation makes it hard to see the longer history of control and curatorship in the management of Uganda’s public record. Uganda’s archives have, over the course of decades, been rearranged and pruned in response to changing political and intellectual demands. In the 1950s and 1960s British and Ugandan officials sought to shield the paper record from examination. This regime of access control deprived campaigners of inspiration and evidence. During the 1970s, with the ascendancy of Idi Amin’s government, archives were rendered into a national patrimony. Civil servants hastened to ensure that the record of their accomplishments was stored in safe custody. Since the late 1980s the government of Yoweri Museveni has disinvested the state from the legacies of the past. For the Museveni government the slow decay of the public record has allowed the foreclosing of divisive debates about history. Uganda’s political history has been episodic and interrupted, and every new regime has had to struggle anew to author a narrative about national self-becoming. That is why Uganda’s governments have taken such dramatically different positions on the management of historical knowledge. Opening or withholding archival materials is a way of editing the public record. It makes some kinds of information state secrets and renders other aspects of the past into a legacy, a source of inspiration and orientation.


Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 177
Author(s):  
Alistair Gray ◽  
Clare Mackie ◽  
William Price ◽  
Emma Coupe ◽  
Susan Holgate ◽  
...  

The ethos of the pharmacy service at East Lancashire Hospitals NHS Trust (ELHT) could be described as ‘let’s make things better’. We have a history of innovation involving technology and people; one without the other does not work but together they are synergistic. The Trust currently does not have an electronic patient record (ePR) or electronic prescribing and medicines administration (ePMA), although we do have electronic prescribing for chemotherapy. However, like all Trusts, we have many electronic systems which offer interoperability, or can support making it easier for the pharmacy team to do a good job. This article describes the many fronts we have worked on over the last ten plus years. Taken individually, the elements cannot be considered as revolutionary; together, they have helped us develop and deliver the safe, personal and effective pharmacy service that we call dedicated ward pharmacy.


2006 ◽  
Vol 15 (01) ◽  
pp. 180-186
Author(s):  
Hans Peterson

SummaryThis paper presents the early history of the development of CPR in Sweden, the importance of international cooperation and standardisation and how this cooperation has been facilitated by IMIA, the European Union and the standards organisations. It ends with the lessons learned after 35 years of experience put together by the Swedish Institute for Health Services Development, SPRI, in a 5 year project initiated by the Swedish Government and with participation of most health care providers in the country.Starting with the first attempts to use punched cards to store and use patient information for clinical use the author describes his troublesome and difficult road to a Computerized Patient Record that could be used both for the work with the patient and as a tool to follow up both the diagnostic and therapeutic processes and for clinical research.The most important results of the efforts to develop a computerized patient record in Sweden are published in many reports, among them three SPRI reports published in the late 1990s, and they are: Standardized information architecture, a common terminology, rules for communication, security and safety, electronic addresses to all units and users and an agreed upon patient and user identification.The future CPR must be problem oriented, capable of only adding new information instead of repeating already-known data and be available in real time regardless of geographic location. It must be possible to present the information in the CPR as “views” where the healthcare provider has stated in advance the information needed for his patients. There can be a number of “views” for different occasions.


2002 ◽  
Vol 3 (1) ◽  
pp. 1-15 ◽  
Author(s):  
David W. Heid ◽  
Joseph Chasteen ◽  
Arden W. Forrey

Abstract This paper presents the history of the use of the computer for maintaining patient medical care information. An electronic record generated with a computer, which is non-specific for any healthcare specialty, is referred to as the electronic health record. The electronic health record was previously called the computer-based patient record. “Electronic” replaced the earlier term “computer-based” because “electronic” better describes the medium in which the patient record is managed. The electronic health record and its application to dentistry are discussed. The electronic health record is a “database” of patient information that has been entered by any healthcare provider; the electronic oral health record is an “electronic record” of oral health information that has been entered by an oral healthcare provider. The significant differences between the electronic health record and the electronic oral health record are outlined and highlighted. Included is a template describing a procedure to be used by dental personnel during the decision making process of purchasing an electronic oral health record. A brief description of a practice template is also provided. These completed templates can be shared with dental software vendors to clarify their understanding of and to clearly describe the needs of today's dental practice. The challenge of introducing information technology into educational institutions' curricula is identified. Finally, the potential benefit of using electronic technology for managing oral healthcare information is outlined. Citation Heid DW, Chasteen J, Forrey AW. The Electronic Oral Health Record. J Contemp Dent Pract 2002 Feb;(3)1: 043-054.


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