Risk management and measuring productivity with POAS--Point of Act System--a medical information system as ERP (Enterprise Resource Planning) for hospital management.

Abstract:

OBJECTIVES:The concept of our system is not only to manage material flows, but also to provide an integrated management resource, a means of correcting errors in medical treatment, and applications to EBM (evidence-based medicine) through the data mining of medical records. METHODS:Prior to the development of this system, electronic processing systems in hospitals did a poor job of accurately grasping medical practice and medical material flows. With POAS (Point of Act System), hospital managers can solve the so-called, "man, money, material, and information" issues inherent in the costs of healthcare. RESULTS:The POAS system synchronizes with each department system, from finance and accounting, to pharmacy, to imaging, and allows information exchange. We can manage Man (Business Process), Material (Medical Materials and Medicine), Money (Expenditure for purchase and Receipt), and Information (Medical Records) completely by this system. CONCLUSIONS:Our analysis has shown that this system has a remarkable investment effect - saving over four million dollars per year - through cost savings in logistics and business process efficiencies. In addition, the quality of care has been improved dramatically while error rates have been reduced - nearly to zero in some cases.

journal_name

Methods Inf Med

authors

Akiyama M

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

686-93

issue

6

eissn

0026-1270

issn

2511-705X

pii

07060686

journal_volume

46

pub_type

杂志文章
  • Technology in Rehabilitation: Evaluating the Single Leg Squat Exercise with Wearable Inertial Measurement Units.

    abstract:BACKGROUND:The single leg squat (SLS) is a common lower limb rehabilitation exercise. It is also frequently used as an evaluative exercise to screen for an increased risk of lower limb injury. To date athlete / patient SLS technique has been assessed using expensive laboratory equipment or subjective clinical judgement...

    journal_title:Methods of information in medicine

    pub_type: 临床试验,杂志文章

    doi:10.3414/ME16-02-0002

    authors: Whelan DF,O'Reilly MA,Ward TE,Delahunt E,Caulfield B

    更新日期:2017-03-23 00:00:00

  • Health informatics: handle with caution.

    abstract::The increased use of computers is a response to the considerable growth in information in all fields of activities. Related to this, in the field of medicine a new component appeared about 40 years ago: Medical Informatics. Its goals are to assist health care professionals in the choice of data to manage and in the ch...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Salamon R,Leroy V,Maurice-Tison S,Le Blanc B

    更新日期:1997-02-01 00:00:00

  • Standardized exchange of clinical documents--towards a shared care paradigm in glaucoma treatment.

    abstract:OBJECTIVES:The exchange of medical data from research and clinical routine across institutional borders is essential to establish an integrated healthcare platform. In this project we want to realize the standardized exchange of medical data between different healthcare institutions to implement an integrated and inter...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Gerdsen F,Müller S,Jablonski S,Prokosch HU

    更新日期:2006-01-01 00:00:00

  • Effective prevention of carotid artery atherosclerosis by following this motto for healthy habits: "Give up one, reduce two, and increase three".

    abstract:OBJECTIVES:Lifestyle has a major influence on the development and progression of atherosclerosis. Our motto for healthy habits is "give up one, reduce two, and increase three". The one thing that is to be given up is smoking. The two things that are to be reduced are intake of food and alcohol. The three things that ar...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Wada T,Fujishiro K,Fukumoto T,Joki M

    更新日期:2005-01-01 00:00:00

  • Software engineering education in medical informatics.

    abstract::Requirements and approaches of Software Engineering education in the field of Medical Informatics are described with respect to the impact of (1) experiences characterizing the "software misery", (2) status and tendencies in software methodology, and (3) educational status and needs in computer science education influ...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Leven FJ

    更新日期:1989-11-01 00:00:00

  • Estimating morbidity rates from electronic medical records in general practice. Evaluation of a grouping system.

    abstract:OBJECTIVES:In this study, we evaluated the internal validity of EPICON, an application for grouping ICPC-coded diagnoses from electronic medical records into episodes of care. These episodes are used to estimate morbidity rates in general practice. METHODS:Morbidity rates based on EPICON were compared to a gold standa...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Biermans MC,Verheij RA,de Bakker DH,Zielhuis GA,de Vries Robbé PF

    更新日期:2008-01-01 00:00:00

  • Health information science at UVic: the student perspective.

    abstract::The graduates and students of the School of Health Information Science (HIS) at the University of Victoria (UVic) have pioneered the Canadian sphere in health informatics since 1982. After six years of growth this co-operative education program has matured and establishment of a research base and graduate school has b...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Anglin CR

    更新日期:1989-11-01 00:00:00

  • Body surface Laplacian mapping of bioelectrical activity.

    abstract::A method is described to process and interpret multi-channel bioelectrical signals. The bioelectrical signals were recorded noninvasively over the body surface of human subjects at 120 sites. The body surface Laplacian maps were then constructed from the multi-channel bioelectrical potential measurement. The method wa...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: He B,Yu X,Wu D,Mehdi N

    更新日期:1997-12-01 00:00:00

  • Multi-class HingeBoost. Method and application to the classification of cancer types using gene expression data.

    abstract:BACKGROUND:Multi-class molecular cancer classification has great potential clinical implications. Such applications require statistical methods to accurately classify cancer types with a small subset of genes from thousands of genes in the data. OBJECTIVES:This paper presents a new functional gradient descent boosting...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME11-02-0020

    authors: Wang Z

    更新日期:2012-01-01 00:00:00

  • An epidemiological modeling and data integration framework.

    abstract:OBJECTIVES:In this work, a cellular automaton software package for simulating different infectious diseases, storing the simulation results in a data warehouse system and analyzing the obtained results to generate prediction models as well as contingency plans, is proposed. The Brisbane H3N2 flu virus, which has been s...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME09-02-0025

    authors: Pfeifer B,Wurz M,Hanser F,Seger M,Netzer M,Osl M,Modre-Osprian R,Schreier G,Baumgartner C

    更新日期:2010-01-01 00:00:00

  • Building a comprehensive clinical information system from components. The approach at Intermountain Health Care.

    abstract:OBJECTIVES:To discuss the advantages and disadvantages of an interfaced approach to clinical information systems architecture. METHODS:After many years of internally building almost all components of a hospital clinical information system (HELP) at Intermountain Health Care, we changed our architectural approach as we...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Clayton PD,Narus SP,Huff SM,Pryor TA,Haug PJ,Larkin T,Matney S,Evans RS,Rocha BH,Bowes WA 3rd,Holston FT,Gundersen ML

    更新日期:2003-01-01 00:00:00

  • Evaluating the impact of hybrid electronic-paper environments upon novice nurse information seeking.

    abstract:OBJECTIVE:The purpose of this study was to investigate the effects of hybrid environments (i.e. where part of the patient record is paper-based and part of it is electronic) upon aspects of novice nurse information seeking (i.e. amount of information accessed, choice of key information sources, type of information and ...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME9222

    authors: Borycki EM,Lemieux-Charles L,Nagle L,Eysenbach G

    更新日期:2009-01-01 00:00:00

  • Acquisition and analysis of repeating patterns in time-oriented clinical data.

    abstract:OBJECTIVES:(1) Creation of an expressive language for specification of temporal patterns in clinical domains, (2) Development of a graphical knowledge-acquisition tool allowing expert physicians to define meaningful domain-specific patterns, (3) Implementation of an interpreter capable of detecting such patterns in cli...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Chakravarty S,Shahar Y

    更新日期:2001-01-01 00:00:00

  • Testing conformance and interoperability of eHealth applications.

    abstract:OBJECTIVE:To explain the common conformance and interoperability testing requirements of eHealth applications through two case studies; one using a prominent eHealth messaging standard, namely HL7 v3 [1], and the other using Integrating the Healthcare Enterprise (IHE) [2] Profiles and to describe how these testing requ...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME09-02-0022

    authors: Namli T,Dogac A

    更新日期:2010-01-01 00:00:00

  • Pervasive healthcare: paving the way for a pervasive, user-centered and preventive healthcare model.

    abstract:OBJECTIVES:The aging of the population creates pressure on the healthcare systems in various ways. A massive increase of chronic disease conditions and age-related illness are predicted as the dominant forces driving the future health care. The objective of this paper is to present future research demands in pervasive ...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME09-02-0044

    authors: Arnrich B,Mayora O,Bardram J,Tröster G

    更新日期:2010-01-01 00:00:00

  • A non-invasive methodology for fetal monitoring during pregnancy.

    abstract:OBJECTIVES:This paper describes a methodology for the monitoring of the fetal cardiac health status during pregnancy, through the effective and non-invasive monitoring of the abdominal ECG signals (abdECG) of the mother. METHODS:For this purpose, a three-stage methodology has been developed. In the first stage, the fe...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME09-01-0041

    authors: Karvounis EC,Tsipouras MG,Papaloukas C,Tsalikakis DG,Naka KK,Fotiadis DI

    更新日期:2010-01-01 00:00:00

  • Use of logistic regression for developing risk-adjusted quality indicators in nursing.

    abstract:OBJECTIVES:A low rate of newly developed pressure ulcers is considered as an important quality indicator in nursing. However, the result of a hospital depends not only on the quality of care but on the risk profile of its patients as well. Therefore, based on multiple logistic regression models we describe a method for...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME10-01-0019

    authors: Kutschmann M,Renner D,Fischer B

    更新日期:2010-01-01 00:00:00

  • Appropriateness and necessity research on the Internet: using a "second opinion system".

    abstract::Appropriateness and necessity research of various procedures in medicine may be the most complex field of innovation in healthcare and technology assessment. Nevertheless, the appropriateness of the indication of any medical intervention is probably more important than the outcome since even ideal quality components o...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Schilling J,Faisst K,Kapetanios E,Wyss P,Norrie MC,Gutzwiller F

    更新日期:2000-08-01 00:00:00

  • Arrhythmia curve interpretation using a dynamic system model of the myocardial pacemaker.

    abstract::A problem of identifying the phase response curve of the myocardial pacemaker was investigated using a simple dynamic system model of cardiac arrhythmia. A hybrid optimization method of a genetic algorithm and a local optimization technique was employed to obtain a solution of the model fitting. The method was applied...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Ikeda N,Takayanagi K,Takeuchi A,Nara Y,Miyahara H

    更新日期:1997-12-01 00:00:00

  • PDA usage by Japanese resident physicians is low: a cross-sectional survey.

    abstract:OBJECTIVES:Personal digital assistants (PDAs) are in widespread use by resident physicians in many countries, reaching as high as 95% in some reports. Uses are varied and include clinical decision support and support of evidence-based practice. Utilization by resident doctors in Japan has not been characterized. This s...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME0607

    authors: Jacobs JL,Takahashi O,Ohde S,Tokuda Y,Omata F,Fukui T

    更新日期:2009-01-01 00:00:00

  • Design issues for socially intelligent user interfaces. A discourse analysis of a data-to-text system for summarizing clinical data.

    abstract:OBJECTIVES:This study aims to demonstrate the usability of discourse analyses as a means of evaluating medical informatics systems by examining one particular computer-based data-to-text system for delivering neonatal health care information. METHODS:Six textual summaries of clinical information, three produced by hum...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME0613

    authors: McKinlay A,McVittie C,Reiter E,Freer Y,Sykes C,Logie R

    更新日期:2010-01-01 00:00:00

  • Effects of record linkage errors on disease registration.

    abstract::Reliable record linkage is a prerequisite for high-quality population-based disease registration. Rapid developments in computer processing have made record linkage both more efficient and more reliable in recent years. At the same time, concerns about confidentiality increasingly hinder record linkage in many disease...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Brenner H,Schmidtmann I

    更新日期:1998-01-01 00:00:00

  • Health care procedures.

    abstract:BACKGROUND:ICD is used for coding medical diagnoses across the world, but there is no globally accepted coding system for health care procedures. The need for the introduction of a common international medical procedure classification has been addressed by the Australian NCCH, which proposed the International Classific...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME09-01-0007

    authors: Hanser S,Zaiss A,Schulz S

    更新日期:2009-01-01 00:00:00

  • Multi-dimensional visualisation of laboratory findings and functional test results for analysing the clinical course of disease in medicine.

    abstract::The illustration of a patient's history by a graphical primitive is discussed. Illustration technology is presented which simultaneously represents quantitative examination findings (e.g., laboratory values) and qualitative findings (e.g., from function diagnostics) by a single geometrical figure. Depending on the med...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Goldschmidt AJ,Luz CJ,Giere W,Lüdecke R,Jonas D

    更新日期:1995-06-01 00:00:00

  • Cortical potential imaging of brain electrical activity by means of parametric projection filter.

    abstract:OBJECTIVES:The objective of this study was to explore suitable spatial filters for inverse estimation of cortical potentials from the scalp electroencephalogram. The effect of incorporating noise covariance into inverse procedures was examined by computer simulations and tested in human experiment. METHODS:The paramet...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Hori J,Lian J,He B

    更新日期:2004-01-01 00:00:00

  • The Common Data Elements for cancer research: remarks on functions and structure.

    abstract:OBJECTIVES:The National Cancer Institute (NCI) has developed the Common Data Elements (CDE) to serve as a controlled vocabulary of data descriptors for cancer research, to facilitate data interchange and inter-operability between cancer research centers. We evaluated CDE's structure to see whether it could represent th...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Nadkarni PM,Brandt CA

    更新日期:2006-01-01 00:00:00

  • Combined Vision and Wearable Sensors-based System for Movement Analysis in Rehabilitation.

    abstract:BACKGROUND:Traditional rehabilitation sessions are often a slow, tedious, disempowering and non-motivational process, supported by clinical assessment tools, i.e. evaluation scales that are prone to subjective rating and imprecise interpretation of patient's performance. Poor patient motivation and insufficient accurac...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME16-02-0013

    authors: Spasojević S,Ilić TV,Milanović S,Potkonjak V,Rodić A,Santos-Victor J

    更新日期:2017-03-23 00:00:00

  • EEG deblurring techniques in a clinical context.

    abstract:OBJECTIVES:EEG scalp potential distributions recorded in humans are affected by low spatial resolution and by the dependence on the electrical reference used. High resolution EEG technologies are available to drastically increase the spatial resolution of the raw EEG. Such technologies include the computation of surfac...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Cincotti F,Babiloni C,Miniussi C,Carducci F,Moretti D,Salinari S,Pascual-Marqui R,Rossini PM,Babiloni F

    更新日期:2004-01-01 00:00:00

  • Prioritising lexical patterns to increase axiomatisation in biomedical ontologies. The role of localisation and modularity.

    abstract:INTRODUCTION:This article is part of the Focus Theme of METHODS of Information in Medicine on "Managing Interoperability and Complexity in Health Systems". OBJECTIVES:In previous work, we have defined methods for the extraction of lexical patterns from labels as an initial step towards semi-automatic ontology enrichme...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME13-02-0026

    authors: Quesada-Martínez M,Fernández-Breis JT,Stevens R,Mikroyannidi E

    更新日期:2015-01-01 00:00:00

  • Neural network for automatic analysis of motility data.

    abstract::Continuous recording of intraluminal pressures for extended periods of time is currently regarded as a valuable method for detection of esophageal motor abnormalities. A subsequent automatic analysis of the resulting motility data relies on strict mathematical criteria for recognition of pressure events. Due to great ...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Jakobsen E,Kruse-Andersen S,Kolberg J

    更新日期:1994-03-01 00:00:00