A Clinical Information System for Oncology by John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum

By John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum

A medical details approach for Oncology describes a clinical info approach designed and applied in a melanoma heart yet with large applicability to scientific perform past the melanoma heart atmosphere in either inpatient and outpatient settings. considered as ahead having a look in 1978, the procedure has the excellence of nonetheless being in construction. certainly, its performance has endured to develop and its technical implementation to adapt with the altering know-how over the past decade. The authors aspect the services supported by way of this precise approach, illustrate the way it assists within the care procedure, evaluate its improvement heritage, and evaluation its influence at the supply of care when it comes to expense, person delight, and efficacy. not like a lot info expertise, the method is an lively player in clinical selection making: it contains accomplished instruments for coping with and exhibiting scientific information; immediately produces care plans from protocols; and contours specified instruments which help the powerful use of blood items. execs in scientific informatics, medical institution directors, and physicians will locate this e-book a worthwhile addition to their specialist library.

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The critical role that OCIS plays in the Center requires that it be in operation 7 days a week, 24 hours a day. Although two PDP computers are'the minimum required for normal system operation, the system is structured to provide a form of fault tolerance. If one of the computers and/or its associated peripherals fails, all critical functions can be moved to a backup processor until appropriate repair is made. Critical users are virtually remapped through the data switch to be connected with the operational computer should one of the systems fail.

By first addressing the clinical needs, the data that exist can be applied in other contexts. Chapter 8 discusses these uses of the database. Research Functions The Oncology Center conducts both laboratory and clinical research, and participates in four multi-institutional cooperative clinical protocol groups: the Eastern Cooperative Oncology Group, the Pediatric Oncology Group, the Radiation Therapy Oncology Group, and the Gynecology Oncology Group. The OCIS database serves as a central resource to support these activities.

Therefore, the expansion of this function is a key goal in all subsequent phases of development. Outpatients Medicine is increasingly being practiced in an outpatient setting. Although many of the data items are the same, the information-processing environment is entirely different from the acute inpatient setting described above. Patient visits to the outpatient clinic are episodic, with irregular intervals of time between encounters. The physician sees many other patients in the time between outpatient visits, and it is often difficult to recall pertinent facts for any given patient and to assess accurately which laboratory results are changing and how rapidly change is occurring.

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