computer programs and patient care

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Pret,

between cases again, the backbone of the system is based on programs developed by Oracle. 

Tom

> ----------
> From: 	Bjorn, Pret[SMTP:pbjorn at emh.org]
> Reply To: 	Trauma & Critical Care mailing list
> Sent: 	segunda-feira, 21 de julho de 2003 11:06
> To: 	'Trauma & Critical Care mailing list'
> Subject: 	RE: computer programs and patient care
> 
> Tom,
> 
> What system does your hospital use?
> 
> Pret
> 
> -----Original Message-----
> From: Thomas Anthony Horan [mailto:203622 at sarah.br]
> Sent: Monday, July 21, 2003 9:55 AM
> To: Trauma & Critical Care mailing list
> Subject: RE: computer programs and patient care
> 
> 
> Dear Pret
> 
> our hospital has been  paperless  since 1996. it is immensely useful to have
> a system that gives access to all charting, pharmacy, digital photos and
> X-ray, all  lab including graphics of the individual findings over time, and
> our hospital library, all accessible from individual work stations
> 
>  In short every thing is digital without the exception.
> 
> every nursing station has a minimum of 4 computer terminals, each OR room
> has one, where having just finished my charting on a thoracotomy, I am
> writing this note while waiting to help the patient transfer to the bed from
> the OR table.
> 
> The power and utility and value far outweigh the cost. Savings in inventory
> and other admin has been enormous, not to mention audit, research and the
> like.
> 
> I think there is no other modern way to proceed in hospital records
> 
> BTW it is easy to learn and easy to use. Moreover the spell check on all
> docs (Portuguese) is almost indispensable for me.
> 
> Tom Horan
> 
> 
> 
> > ----------
> > From: 	Bjorn, Pret[SMTP:pbjorn at emh.org]
> > Reply To: 	Trauma & Critical Care mailing list
> > Sent: 	segunda-feira, 21 de julho de 2003 09:55
> > To: 	'Trauma & Critical Care mailing list'
> > Subject: 	RE: computer programs and patient care
> > 
> > <<File: ATT01377.txt>>
> > We're in the midst of a long, laborious and breathtakingly expensive
> conversion to a paperless patient care management and documentation system
> developed chiefly by the Cerner Corporation (PowerChart, et al).  
> >  
> > Certainly we've endured bumps and glitches, and nobody's thrilled about
> the cost or the learning curve; but then, I think with this sort of immense
> shift of practices and culture, one has to be patient and take notice of the
> small victories as they accumulate.  It's immensely helpful, for example, to
> be able to access a medical history in a few seconds on the PC, rather than
> waiting for the chart library to admit after 45 minutes that the paper
> records can't be found...
> >  
> > We look forward to the day--not far off--when we'll have a truly
> integrated system that'll automatically coordinate the patient's tests and
> treatments, crosscheck diet diet and medication orders, and be widely and
> immediately accessible to all appropriate members of the team.  The Cerner
> applications even help with our staff schedules and patient assignments.
> The potential is really quite exciting, if you have faith and imagination.
> Remember: there was a time when even an organized medical record was
> regarded as an exercise in tedium and superfluity.  The comprehensive
> History and Physical--the indispensable core of modern admission records--is
> a concept still younger than many subscribers to the Trauma List, and
> suffered no small resistance and ridicule when it was introduced as a
> standard of care.
> >  
> > Imagine, too, the utility to those of us who do data and performance
> analysis: among other things, an electronic medical record will likely be
> capable of directly populating the fields of our trauma registry, so we can
> focus on the reports rather than the tables.  And that's just the tip of the
> berg.
> >  
> > As with any empirically useful new technology, it's only marginally more
> frustrating and expensive to be at the front of the line than the back.  But> 
> above all, be sure that your vendor includes your front-line staff in the
> design and implementation of the product: form follows function, and if
> you're not able to integrate the information systems with your clinical
> practices, peril is predictable.
> >  
> > Pret Bjorn
> > Trauma Coordinator
> > EMMC Trauma Program
> > 489 State Street
> > Bangor, ME 04401
> >  
> > 207.973.7260 (office)
> > 207.973.7673 (fax)
> > 207.941.5085 (voice pager)
> >  
> >  
> >  -----Original Message-----
> > From: Leibish01 at aol.com [mailto:Leibish01 at aol.com]
> > Sent: Sunday, July 13, 2003 10:18 AM
> > To: trauma-list at trauma.org
> > Subject: computer programs and patient care
> > 
> > 
> > 
> > 	Although this question somewhat deviates from the normal group
> discussion, none the less it is pertinent to patient care.
> > 	I work in a regional trauma center. Recently our hospital started
> using a new computer system, to say the least we have been having problems.
> I wanted to find out from other members of the list what experiences they
> have had using various programs, and if anyone has any suggestions. For
> those that may be familiar we are currently using the Meditech system,
> though it is extremly "user unfriendly" and quite sloppy. Just to clarify
> for anyone confused, the program is used in the trauma resus room to enter
> patient information, order cts, xrays, labs....etc. 
> > 
> > 
> 
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