Planning for a Filmless Hospital

2010 ◽  
pp. 72-91
Author(s):  
Carrison K.S. Tong ◽  
Eric T.T. Wong
Keyword(s):  
Intensive Care ◽  
Real Time ◽  
Intensive Care Units ◽  
Emergency Departments ◽  
Cost Effective ◽  
Operating Rooms ◽  
Access To Information ◽  
X Ray ◽  
Effective Manner

Filmless hospital is transforming at an unprecedented rate. Physicians, nurses, clinicians, pharmacists, radiologists, emergency departments, local doctor’s offices, operating rooms, intensive care units, and insurance offices all must have instantaneous access to information from CT, MR, and X-ray images to treat their patients. Considering that these individuals could be on different floors of a hospital, across a campus, or scattered over several states, connecting them in real-time and in a cost-effective manner to the information they need is a monumental IT challenge. Detail planning is important in a filmless hospital project.

Lateral Hostilities Among Nurses Employed in Intensive Care Units, Emergency Departments, Operating Rooms, and Emergency Medical Services

2014 ◽  
Vol 33 (6) ◽  
pp. 347-354 ◽  
Author(s):  
Stefano Bambi ◽  
Giovanni Becattini ◽  
Gian Domenico Giusti ◽  
Andrea Mezzetti ◽  
Andrea Guazzini ◽  
...  
Keyword(s):  
Intensive Care ◽  
Emergency Medical Services ◽  
Intensive Care Units ◽  
Emergency Departments ◽  
Operating Rooms ◽  
Medical Services ◽  
Emergency Medical

scholarly journals Efficacy of chest X-ray in the diagnosis of COVID-19 pneumonia: comparison with computed tomography through a simplified scoring system designed for triage

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Akın Çinkooğlu ◽  
Selen Bayraktaroğlu ◽  
Naim Ceylan ◽  
Recep Savaş
Keyword(s):  
Computed Tomography ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Scoring System ◽  
Imaging Modality ◽  
Ground Glass Opacity ◽  
Initial Presentation ◽  
X Ray ◽  
Chest X Ray

Abstract Background There is no consensus on the imaging modality to be used in the diagnosis and management of Coronavirus disease 2019 (COVID-19) pneumonia. The purpose of this study was to make a comparison between computed tomography (CT) and chest X-ray (CXR) through a scoring system that can be beneficial to the clinicians in making the triage of patients diagnosed with COVID-19 pneumonia at their initial presentation to the hospital. Results Patients with a negative CXR (30.1%) had significantly lower computed tomography score (CTS) (p < 0.001). Among the lung zones where the only infiltration pattern was ground glass opacity (GGO) on CT images, the ratio of abnormality seen on CXRs was 21.6%. The cut-off value of X-ray score (XRS) to distinguish the patients who needed intensive care at follow-up (n = 12) was 6 (AUC = 0.933, 95% CI = 0.886–0.979, 100% sensitivity, 81% specificity). Conclusions Computed tomography is more effective in the diagnosis of COVID-19 pneumonia at the initial presentation due to the ease detection of GGOs. However, a baseline CXR taken after admission to the hospital can be valuable in predicting patients to be monitored in the intensive care units.

scholarly journals Erratum: Cost-Effective Analysis of Malaysian Neonatal Intensive Care Units

2005 ◽  
Vol 25 (4) ◽  
pp. 295-295 ◽  
Author(s):  
Irene Guat Sim Cheah ◽  
Anna Padma Soosai ◽  
Swee Lan Wong ◽  
Teck Onn Lim
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Cost Effective ◽  
Neonatal Intensive Care Units ◽  
Effective Analysis

The efficacy of a shared-care surveillance protocol for asymptomatic renal calculi

2017 ◽  
Vol 10 (4) ◽  
pp. 368-373
Author(s):  
P Ravindra ◽  
J Voss ◽  
S Hall ◽  
RJ Stanford ◽  
SD Scriven ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Cost Effective ◽  
Renal Calculi ◽  
Shared Care ◽  
X Ray ◽  
Referral Criteria ◽  
Care Protocol ◽  
Asymptomatic Patients ◽  
Effective Manner

Objective: Patients at our institution with asymptomatic calyceal stones (<11 mm) are discharged to their GPs with a request for 12- and 24-month X-ray KUBs with specific re-referral criteria. We aimed to assess the effectiveness of this shared care protocol as well as to investigate long-term outcomes. Patients and methods: All patients satisfying the above criteria discharged during October 2009–June 2011 were reviewed for protocol compliance, symptomatic events and/or surgical intervention up to July 2015. Results: A total of 134 patients were identified. Out of 115 patients eligible for their first X-ray, and 100 patients eligible for their second X-ray, 43% and 26% respectively were performed. Of these, 75% demonstrated no progression. No patients were treated surgically solely on the basis of radiographic progression. Over a mean five-year follow-up, patients had a 39% chance of experiencing a symptomatic event and a 24% chance of requiring surgical intervention (ESWL, ureteroscopy and/or PCNL). Risk factors included a previous stone history and having a total stone size >10 mm. Conclusion: There was poor adherence to this protocol. Despite this, only symptomatic patients were treated surgically, challenging the value of indefinite surveillance of asymptomatic patients. Longitudinal studies are needed to determine a cost-effective manner in which these patients can be safely followed up.

scholarly journals Intubation practices for children in emergency departments and intensive care units across Australia and New Zealand: A survey of medical staff

2020 ◽  
Vol 32 (6) ◽  
pp. 1052-1058
Author(s):  
Shane George ◽  
Elliot Long ◽  
Ben Gelbart ◽  
Stuart R Dalziel ◽  
Franz E Babl ◽  
...  
Keyword(s):  
Intensive Care ◽  
New Zealand ◽  
Intensive Care Units ◽  
Emergency Departments ◽  
Medical Staff
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