MEDICAL INFORMATICS

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MEDICAL INFORMATICS

• ASSIGNMENT II
• by
• ELEANOR CAMPBELL
• JANNATUL MADIHAH ABU BAKAR

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AUTOMATED DISCHARGE NOTE SYSTEM

• LEVEL 7
• BELFAST CITY HOSPITAL

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LINKS
ROYAL VICTORIA HOSPITAL
BELFAST CITY HOSPITAL
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AUTOMATED DISCHARGE SYSTEM
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NURSING TERMINALS MEDICAL RECORD TERMINALS

• In front of the ward.
• Right after the nurses room.
• Used by all medical staff.
• Uses old laboratory system.
• For radiology, X-ray and haematology results.

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NURSING TERMINALS MEDICAL RECORD TERMINALS

• Results are highlighted.
• Doctors transcribe results manually into
  patients record.

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NURSING TERMINALS MEDICAL RECORD TERMINALS

• No printouts as written results will be obtained
  from the respective labs.
• Access to patients test results simply by keying
  in specimen number (if available) or patients
  ID.

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NURSING TERMINALS MEDICAL RECORD TERMINALS
EXAMPLE A X-ray RESULT Patients name Mr. ZM
Date13/05/99 ID number
99-12345-00 X-ray number ZM0096 Description N
ormal chest expansion. Lung expansion within
range.
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JHO VIEWS

• Did not use discharge system - at all
• Written discharge notes much faster and easier
• Self taught, no time for formal training
• When competent in system didnt see the point of
  training

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JHO ON OTHER APPLICATIONS

• Used other systems, but also self taught used
  someone elses password
• Found radiology and lab results very useful
• Uses these results as a good guide to treatment
• Written report arrives in a few days but treat
  before this arrives

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SYSTEM ADMINISTRATOR

• Checks the running of the system
• very enthusiastic about the system
• This system developed April 1996 has 3000 codes
  for diseases

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SYSTEM ADMINISTRATOR

• old system ICD9 not very efficient
• Had 1000 outstanding coding episodes before which
  is equal to 300,000-500,000
• Professor Spence now settles his debt every day
  due to this new system!

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SECURITY

• Every member of staff has their own personal
  username password
• After two minutes automatically logs out of the
  system
• All the patients have their own patient number
  which has to be entered rather than their name

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BACKUP

• Any data entered onto the system is stored on a
  file server
• Data backed up nightly onto disk
• Printout every morning to say how backup
  proceeded
• Backup disks stored in fireproof safe in
  hospital
• At end of week backups taken away and stored off
  site

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END OF PRESENTATION