Health and Clinical Management – From the Pen and Paper to the Digital Era

Summary

Objectives

To present some of the recent best papers in the field of health and clinical management.

Methods

Synopsis of the best articles selected for the IMIA Yearbook 2011.

Results

Of the five selected articles, some confirm the benefits of processing standardized data, others demonstrate the value of adapting the healthcare environment with new technological devices to improve patient safety and healthcare professionals time-efficiency. Other fields are also embraced: the possibilities offered by today’s communication technology open doors largely for telemedicine and remote patient monitoring.

Conclusions

In constant evolution, the healthcare environment has multiple challenges to meet: cost containment, increase and ageing of the population, enormous quantities of data and quickly evloving knowledge, complex and multi-disciplinary approaches for healthcare, need for safer care, to mention but a few. While health IT has already helped healthcare in facing these challenges, there still is much more that could be done.

Keywords

Medical informatics - International Medical Informatics Association - yearbook - health and clinical management - patient safety - telemedicine - technology in healthcare

• References

• 1 Eugenia L. Siegler, The Evolving Medical Record. Ann Intern Med 2010; 153: 671-7.
• 2 Haux R. Medical informatics: Past, present, future. Int J Med Inform 2010; 79: 599-610.
• 3 Han YY, Carcillo JA, Venkataraman ST, Clark RS, Watson RS, Nguyen TC. et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 2005; 116 (06) 1506-12.
• 4 Luchins D. The Electronic Medical Record: Optimizing Human not Computer Capabilities. Adm Policy Ment Health 2010; 37: 375-8.
• 5 Silva J, Seybold N, Ball M. Usable health IT for physicians. Smart point-of-care and comparative effectiveness research form the true basis for meaningful use. Healthc Inform 2010; 27: 40-3.
• 6 Abraham J, Reddy MC. Challenges to inter-departmental coordination of patient transfers:a work flow perspective. Int J Med Inform 2010; 79: 112-22.
• 7 Tan E, Yung A, Jameson M, Oakley A, Rademaker M. Successful triage of patients referred to a skin lesion clinic using teledermoscopy (IMAGE IT trial). Br J Dermatol 2010; 162: 803-11.
• 8 Varma N, Epstein AE, Irimpen A, Schweikert R, Love C. Investigators. T. R. U. S. T. Efficacy and safety of automatic remote monitoring for implantable cardioverter-defibrillator follow-up: the Lumos-T Safely Reduces Routine Office Device Follow-up (TRUST) trial. Circulation 2010; 122: 325-32.
• 9 Leal J, Gregson DB, Ross T, Flemons WW. et al. Development of a novel electronic surveillance system for monitoring of bloodstream infections. Infect Control Hosp Epidemiol 2010; 31: 740-7.
• 10 Poon EG, Keohane CA, Yoon CS, Ditmore M, Bane A. et al. Effect of bar-code technology on the safety of medication administration. N Engl J Med 2010; 362: 1698-707.
• 11 Ohashi K, Ota S, Ohno-Machado L, Tanaka H. Smart medical environment at the point of care: auto-tracking clinical interventions at the bed side using RFID technology. Comput Biol Med 2010; 40: 545-54.