scholarly journals A Design Model for Computer-based Guideline Implementation Based on Information Management Services

1999 ◽  
Vol 6 (2) ◽  
pp. 99-103 ◽  
Author(s):  
R. N. Shiffman ◽  
C. A. Brandt ◽  
Y. Liaw ◽  
G. J. Corb
1999 ◽  
Vol 38 (03) ◽  
pp. 148-153 ◽  
Author(s):  
G.J Corb ◽  
Y. Liaw ◽  
C.A. Brandt ◽  
R.N. Shiffman

AbstractClinical practice guidelines provide a means of directing medical care towards clinically appropriate and cost-effective interventions. A direct relationship exists between the integration of a guideline into clinical workflow and the effectiveness of the guideline in influencing clinicians’ behavior. Computer-based guideline implementations, used at the point-of-care, accomplish this integration. Employing object-oriented technologies, we propose a framework of reusable components for the development of guideline implementation systems. We have identified eight information management services that are common to such systems. Our framework integrates these services and their respective reusable components into clinical workflow to promote the development of comprehensive guideline implementation systems, which should ultimately enhance guideline compliance and the overall quality of care.


Author(s):  
Omwoyo Bosire Onyancha

This paper evaluates the keywords and subject areas in records management (RM) publications, as indexed in the Scopus database, with a view to mapping RM research from 1971 to 2018 so as to determine the direction of research in the field. A total of 4 762 documents were obtained from the Scopus database using the term records management and searching within the title, abstract and keywords fields. The data was analysed using VOSviewer software. The findings reveal that interest in RM research has grown as the volume of publications has continued to increase. Whereas there was no dominant area of research in the 1980s, as far as RM research is concerned, the main focus in the 2010s was the management of electronic health records, thereby signalling a shift in RM research from being just an information management exercise to being used for the management of records in the medical and health sector. Other popular research areas in the 2010s were health care, electronic medical record/s, information management, medical computing, information systems, and electronic document exchange. A classification of the RM publications according to Scopus’s broad subject fields revealed that RM research is mainly conducted in computer science, engineering, medicine, and the social sciences. The study predicts a slow growth in the number of RM publications in the next ten years (2019-2028), greater focus on RM in the health sector, and continued dominance of computer-based systems and electronic records as topics of RM research.


1989 ◽  
Vol 26 (04) ◽  
pp. 289-302
Author(s):  
A. H. B. Duffy ◽  
K. J. MacCallum

In the early stages of ship design a considerable amount of experience and knowledge is used to build and evaluate empirical models with known design relationships. However, computer-based systems which aim to assist this stage have tended to concentrate on the analytical aspects of the process and have not been successful in integrating with this expertise and benefitting from it. This paper presents some of the results of a program of research into methods and representing knowledge of empirical numerical relationships used in these early stages of the design process. The work is based on an experimental system, DESIGNER, described in earlier papers. The DESIGNER system is used to carry out a series of evaluations of design sessions, using a warship design model. By examining the progress toward a set of design goals and the classes of interactions used, an improved understanding of the requirements of an interactive numerical design system is developed. As a consequence, methods have been developed to handle approximate values and relationships, to include design margins, and to represent explicitly in the system the definition and use of goals, or design requirements. Using a design model representing a bulk carrier, the paper then presents a worked example to illustrate the use of the new numerical knowledge techniques. It is concluded that the techniques could make a useful contribution to any interactive numerical design system which aims to provide improved use of expertise.


Author(s):  
T.R. Gopalakrishnan Nair

One of the interesting challenges in health care field is the intelligent interpretation of signals from human being duly measured by various instruments like ECG, EEG etc. Automated ECG Analysis is expected to provide a good guidance in interpreting anomalies of the human heart. Computerized ECG analysis has been found to be specially useful in primary care facilities where specialists are not available to do that very easily. At the same time, surveys indicate that use of computer based ECG interpretation has not resulted in a very significant augmentation of diagnostic accuracy of physicians yet. Study of those probable incoherence appearing in interpretations are related to various aspects of handling ECG like data acquisition, noise removal, feature extraction, logical processing and pattern recognition. There exists several opportunities to improve the automated solution in each of these areas. This paper presents the work done till now on analysis and subsequent interpretation of fiducial points. There are various types of faulty heart conditions existing, and often they get manifested through ECG. There exist various technological approaches which can enable the automated interpretation of ECG.


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