Fundamentals of Clinical Practice is an introductory textbook focusing on the patient physician relationship. Formerly closeted behind closed doors, this most intimate of healing relationships is coming under increasing scientific scrutiny. Physicians and other healthcare providers are beginning to understand the critical importance of this relation ship to the health of patients, as well as to larger societal relationships, systems, and values. To facilitate the reader's exploration of the patient-physician relationship, all chap ters include numerous illustrative cases and conclude with cases for discussion that allow small groups of learners to tackle these difficult issues. Our hypothesis is that through discussion a deeper understanding of the dynamics of the patient-physician relationship will allow medical students and other future healthcare providers to form more effective therapeutic relationships with their patients. Part I of this textbook, "The Patient," explores the relationship through the patient's perspective, with chapters on human health and disease and individual and family devel opment. Understanding the patient's perspective is critical to establishing a sound thera peutic relationship. The day when a physician could maintain solely a disease or techno logical perspective is fading fast under the weight of patient criticism, particularly in primary care fields. Patients judge such a disease or technological perspective as less humane and frequently vote with their feet, finding other physicians who are much better able to balance the caring aspects of medicine with the curing.

This book has been a long time in the making. The computerization activi ties described in these pages began in 1977 at the Department of Veterans Affairs (VA), but we devoted most of our focus and efforts to building and then implementing the extensive hospital information system known as the Decentralized Hospital Computer System (DHCP) throughout VA. Deliv ering the product has been our primary goal. We spent relatively little time documenting or describing our experiences or lessons learned. Except for some presentations at national meetings and a relatively few publications, almost none of which were in the standard trade journals read by Chief Information Officers (CIOs) and equivalent top managers in the private and nonprofit sectors, VA's accomplishments remained a well-kept secret. In 1988, Helly Orthner encouraged VA staff to consider writing a book, but the press of day-to-day activities always seemed to take precedence, and the book languished on the back burner."

This volume is for students and practitioners interested in improving their understanding and skills in the area of needs assessment. The text follows the typical sequence of an actual needs assessment process. Case studies are used to illustrate conceptualization of the task through the application of needs-based data to effective public health solutions. Examples are drawn from myriad public health efforts, recognizing that not all public health sector agencies bear direct responsibility for all activities that could be considered part of public health.

Information technology constantly changes and quickly becomes obsolete. The methodology of planning and implementing a health care information system, however, is more constant. Through practical, step-by-step guidelines, the author demonstrates how to establish the strategy and architecture against which vendor and system decisions must be made. Both management and technical perspectives are discussed. Thus, regardless of the technology used, the health care administrator and systems manager learn to implement information systems successfully and to link those systems with business strategy to achieve higher quality and more cost-effective patient care.

Introduction to Clinical Informatics fills a void in the Computer in Health Care series. With this volume, Patrice Degoulet and Marius Fieschi provide a comprehensive view of medical informatics and carry that concept forward into the realm of clinical informatics. The authors draw upon their experi ences as medical school faculty members in France, where informatics has long been integrated into the curriculum and where the French version of this very book has been used, tested, and revised. In intent and content, this volume stands as the companion volume to Introduction to Nursing Informatics, one of the series' best selling titles. For practitioners and students of medicine, pharmacy, and other health profes sions, Introduction to Clinical Informatics offers an essential understanding how computing can support patient care, clarifying practical uses and critical issues. Today medical schools in the United States are making informatics a part of their curriculum, with required medical informatics blocks at the onset of training serving as the base for problem-based learning throughout the course of study. In an increasingly networked and computerized environ ment, health-care providers are having to alter how they practice. Whether in the office, the clinic, or the hospital, health-care professionals have access to a growing array of capabilities and tools as they deliver care. Learning to use these becomes a top priority, and this volume becomes a valuable resource.

With the growth of information and focus on Healthcare Informatics, there remains an interest in case studies. In the current field of Health Informatics there is no text that uses case studies to explain the difficulties that occur. . Edited by specialists in the field of Health Informatics, the third edition of Transforming Healthcare Through Information: Case Studies builds upon the specific examples of case studies to exemplify the various phases of introducing technological advancements into healthcare institutions. The new edition includes a section on how to implement Link2care, a system that will allow caregivers of ill patients, to seek reliable and informative online information and support. In addition the cases will be framed under new sections with discussion on new topics in the area of healthcare technology such as quality data management and knowledge management. The case studies described in the third edition will benefit not only the practicing professional but also the instructor and student studying in the field of health informatics.

Cancer Informatics chronicles the development of the National Cancer Institute's new Cancer Informatics Infrastructure (CII) - an information management system infrastructure designed to faciliate clinical trials, provide for reliable, secure information exchange, and improve patient care. The book details the challenges involved in creating and managing such a knowledge base, including technologies, standards, and current, state-of-the-art applications. The ultimate goal of CII is to function as an enabler of clinical trials, expediting the clinical trials lifecycle, faciliating faster and safer drug development and more appropriate treatment choices for cancer patients. Contributors address the role the CII must play in converting the growing knowledge of genes, proteins, and pathways into appropriate preventative, diagnostic, and therapeutic measures. Presented in four sections, the first provides an overview of the processes involved in moving the infrastructure for cancer from theory into practice. Sections two through four offer the latest work done in the areas of technology, cancer-specific and national standards, and applications to faciliate clinical trials.

This publication is sponsored by the American Association for Medical Systems and Informatics. The Board of AAMSI and the Board of the Society for Computer Medicine, one of AAMSI's predecessors, agreed that a book on application of medical systems and informatics for the practitioner would help promote high quality health care and they charged the Committee on Standards of the Society for Computer Medicine to write such a text. It is intended as a guide for the field of medical systems and informatics with emphasis on standards, terminology, and coding systems. The text, a result of three years of research and effort, has been reviewed by the Board of Directors of AAMSI and approved by the Publications Committee. We believe that you will find it valuable and hope to revise it from time to time to meet current needs. On behalf of the members of the Association, we congratulate the authors and thank them for their efforts. WILLIAM A. BAUMAN, M.D. President American Association for Medical Systems and Informatics Preface This book has been written by the members of the Committee on Standards of the Society for Computer Medicine. We have drawn upon the Society's expertise to prepare an easy-to-read and understandable How-to Do-It text for use by those physicians who are considering computerization of their office in one manner or another."

This volume presents the contributions of the third International Conference on Advancements of Medicine and Health Care through Technology (Meditech 2011), held in in Cluj-Napoca, Romania.
The papers of this Proceedings volume present new developments in
- Health Care Technology,
- Medical Devices, Measurement and Instrumentation,
- Medical Imaging, Image and Signal Processing,
- Modeling and Simulation,
- Molecular Bioengineering,
- Biomechanics.

As the Internet's presence in health care grows more pervasive, an increasing number of health care providers have begun to implement eHealth innovations in their practice. This book explores the development of a model to predict and explain the degree of success it is possible to achieve in implementing e-health systems. This model allows an institution to benchmark its progress towards IHCS implementation and advises administrators where to invest resources to increase the chance of successful implementation. A set of case studies highlights key features of the model, with each case study fully analysed for strengths and weaknesses.

A Clinical Information System for Oncology describes a medical information system designed and implemented in a cancer center but with broad applicability to medical practice beyond the cancer center environment in both inpatient and outpatient settings. Regarded as forward looking in 1978, the system has the distinction of still being in production. Indeed, its functionality has continued to grow and its technical implementation to evolve with the changing technology over the last decade. The authors detail the functions supported by this unique system, illustrate how it assists in the care process, review its development history, and evaluate its impact on the delivery of care in terms of cost, user satisfaction, and efficacy. Unlike much information technology, the system is an active participant in medical decision making: it includes comprehensive tools for managing and displaying clinical data; automatically produces care plans from protocols; and features unique tools which support the effective use of blood products. Professionals in medical informatics, hospital administrators, and physicians will find this book a valuable addition to their professional library.

Divided into three sections for easy use, including examples from person-centered systems already in place in the US

Editors have brought together contributors from varied health care sectors in the United States and elsewhere public and private, not-for-profit and for-profit

Strategic Information Management In Hospitals: An Introduction To Hospital Information Systems is a definitive volume written by four authoritative voices in medical informatics. Illustrating the importance of hospital information management in delivering high quality health care at the lowest possible cost, this book provides the essential resources needed by the medical informatics specialist to understand and successfully manage the complex nature of hospital information systems. Author of the book's Foreword, Reed M. Gardner, PhD, Professor and Chair, Department of Medical Informatics, University of Utah and LDS Hospital, Salt Lake City, Utah, applauds the text's focus on the underlying administrative systems that are in place in hospitals throughout the world. He writes, "These administrative systems are fundamental to the development and implementation of the even more challenging systems that acquire, process, and manage the patient's clinical information. Hospital information systems provide a major part of the information needed by those paying for health care." Chapter highlights include: significance of information processing in hospitals; information systems and their components; health information systems; architectures of hospital information systems; and organizational structures for information management.

As adoption of Electronic Health Record Systems (EHR-Ss) shifts from early adopters to mainstream, an increasingly large group of decision makers must assess what they want from EHR-Ss and how to go about making their choices. The purpose of this book is to inform that decision. This book explains typical needs of a variety of stakeholders, describes current and imminent technologies, and assesses the available evidence regarding issues in implementing and using EHR-Ss.

Divided into four important sections--Needs, Current State, Technology, and Going Forward--the book provides the background and general notions regarding the EHRS and lays out the framework; delves into the historical review; presents a high-level view of EHR systems, focused on the needs of different stakeholders in the health care and the health enterprise; offers practical views of existing systems and current (and short-term future) issues in specifying a EHR system and deciding how to approach the institution of such a system; deals with technology issues, from front- to back-end; and describes where we are and where we should be going with EHR systems.

Designed for use by chief information officers, chief medical informatics officers, medical liaisons to hospital systems, private practitioners, and business managers at academic and non-academic hospitals, care management organizations, and practices. The book could be used in any medical or health informatics course, at any level (undergrad, fellowship, MBA).

The Oxford American Handbook of Clinical Examination and Practical Skills is a comprehensive pocket guide for medical, physician assistant, and nurse practitioner students. It is designed to help students transition from classroom to clinical internships, preceptorships, and clerkships. Providing clear and user-friendly guidance on all aspects of history taking, physical examination, common practical procedures, data interpretation and communication skills, it gives realistic advice on coping with and mastering common situations.
Each systems chapter follows a structured format covering applied anatomy, history, examination, and the presentation of common and important disorders. The procedures section includes approximately forty practical procedures that the final year medical student and senior nurse are expected to perform. The section on data interpretation covers the basics of chest x-rays, abdominal x-rays, ECGs, lung function tests and several other areas that the student is expected to carry out in their early years of training.

The successful implementation of health information systems in complex health care organizations ultimately hinges on the receptivity and preparedness of the user. Although the Information Age is well underway, user resistance to information systems is still a valid concern facing the informatics community. This book provides effective management strategies to health care administrators for the productive integration and maintainence of such information systems. The Second Edition covers three main areas: technical skills, project management skills, and organizational and people skills, including the practical implementation strategies necessary to make the system an operational success. The audience for this book consists of health care administrators, CEOs, clinicians, IT developers, librarians, and professors.

Innovative 2nd edition, heavily updated and revised from the 1st edition

Introduction to various survey and evaluation methods involving IT systems in the healthcare setting

Critical overview of current research in health and social sciences

Emphasizes multi-method approach to system evaluation

Includes instruments suitable for research and evaluation

Discusses computer programs for data analysis and evaluation resources

Essential reference for anyone involved in planning, developing, implementing, utilizing, evaluating, or studying computer-based health care systems

Cancer Informatics in Post-Genomic Era provides both the necessary methodology and practical information tools for analyzing data in the field of medical information science. This, of course, requires analytic tools. Those tools are garnered by developing and assessing methods and systems for the acquisition, processing, and interpretation of patient data, aided by scientific discovery. Key challenges in this field include integrating research and clinical care, sharing data, and establishing partnerships within and across sectors of patient diagnosis and treatment.

Healthcare practitioners and managers increasingly find themselves in clinical situations where they have to think fast and process myriad diagnostic test results, medications and past treatment responses in order to make decisions. Effective problem solving in the clinical environment or classroom simulated lab depends on a healthcare professional's immediate access to fresh information. Unable to consult a library for information, the healthcare practitioner must learn to effectively manage knowledge while thinking on their toes.

Knowledge Management (KM) holds the key to this dilemma in the healthcare environment. KM places value on the tacit knowledge that individuals hold within an institution and often makes use of IT to free up the collective wisdom of individuals within an organization. Healthcare Knowledge Management: Issues, Advances and Successes will explore the nature of KM within contemporary healthcare institutions and associated organizations. It will provide readers with an understanding of approaches to the critical nature and use of knowledge by investigating healthcare-based KM systems. Designed to demystify the KM process and demonstrate its applicability in healthcare, this text offers contemporary and clinically-relevant lessons for future organizational implementations.

The editors of this book have assembled a group of international contributors that reflects the diversity of KM applications in the healthcare sector. While many KM texts suffer from pitching theoretical issues at too technical a level, Healthcare Knowledge Management approaches the topic from the more versatile "twin" perspectives of both academia and commerce. This unique text is integrative in nature a practical guide to managing and developing KM that is underpinned by theory and research.

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Comprehensively presents the foundations and leading application research in medical informatics/biomedicine.

The concepts and techniques are illustrated with detailed case studies.

Authors are widely recognized professors and researchers in Schools of Medicine and Information Systems from the University of Arizona, University of Washington, Columbia University, and Oregon Health & Science University.

Related Springer title, Shortliffe: Medical Informatics, has sold over 8000 copies

The title will be positioned at the upper division and graduate level Medical Informatics course and a reference work for practitioners in the field.

According to the Pew Foundation 's "Internet in American Life Study," over 60 million Americans per year use the Internet to search for health information. All those concerned with healthcare and how to obtain personally relevant medical information form a large additional target group

Many Medical Informatics programs both in the United States and abroad include a course in Consumer Health Informatics as part of their curriculum. This book, designed for use in a classroom, will be the first textbook dedicated solely to the specific concerns of consumer health informatics

Consumer Health Informatics is an interactive text; filled with case studies and discussion questions

With international authorship and edited by five leaders in the field, Consumer Health Informatics has tapped some of the best resources in informatics today

Let us not go over the old ground, let us rather prepare for what is to come. -Marcus Tullius Cicero Improvements in the health status of communities depend on effective public health and healthcare infrastructures. These infrastructures are increasingly electronic and tied to the Internet. Incorporating emerging technologies into the service of the community has become a required task for every public health leader. The revolution in information technology challenges every sector of the health enterprise. Individuals, care providers, and public health agencies can all benefit as we reshape public health through the adoption of new infor- tion systems, use of electronic methods for disease surveillance, and refor- tion of outmoded processes. However, realizing the benefits will be neither easy nor inexpensive. Technological innovation brings the promise of new ways of improving health. Individuals have become more involved in knowing about, and managing and improving, their own health through Internet access. Similarly, healthcare p- viders are transforming the ways in which they assess, treat, and document - tient care through their use of new technologies. For example, point-of-care and palm-type devices will soon be capable of uniquely identifying patients, s- porting patient care, and documenting treatment simply and efficiently.

Advances in medicine have brought us the stethoscope, artificial kidneys, and computerized health records. They have also changed the doctor-patient relationship. This book explores how the technologies of medicine are created and how we respond to the problems and successes of their use. Stanley Joel Reiser, MD, walks us through the ways medical innovations exert their influence by discussing a number of selected technologies, including the X-ray, ultrasound, and respirator. Reiser creates a new understanding of thinking about how health care is practiced in the United States and thereby suggests new methods to effectively meet the challenges of living with technological medicine. As healthcare reform continues to be an intensely debated topic in America, Technological Medicine shows us the pros and cons of applying technological solutions health and illness.

Procedure and Techniques The aortic valve in these patients is most often The dilation can be approached from either a myxomatous and bicuspid with a single, fused retrograde or antegrade direction. Remember commissure and an eccentrically placed orifice, that critical AS is a case of millimeters-so you or unicuspid (dome-shaped). The valve annulus need to be meticulous. may be small for age, but there is evidence that following dilation even quite small annuli may grow to a normal or near normal dimension (1). Retrograde Approach Myxomatous valves may mature, as Myxo- tous pulmonary valves. Because there is a spec- This is the more common approach at Children's trum to left-sided obstructive lesions, often the Hospital Boston since the production of l- first decision in many of these patients is whether profile balloons. Often the umbilical artery and they should have a valvotomy or a staged o- vein already have been cannulated, and may be ventricle repair.

The Most Comprehensive and Cutting-Edge Guide to Statistical Applications in Biomedical Research

With the increasing use of biotechnology in medical research and the sophisticated advances in computing, it has become essential for practitioners in the biomedical sciences to be fully educated on the role statistics plays in ensuring the accurate analysis of research findings. Statistical Advances in the Biomedical Sciences explores the growing value of statistical knowledge in the management and comprehension of medical research and, more specifically, provides an accessible introduction to the contemporary methodologies used to understand complex problems in the four major areas of modern-day biomedical science: clinical trials, epidemiology, survival analysis, and bioinformatics.

Composed of contributions from eminent researchers in the field, this volume discusses the application of statistical techniques to various aspects of modern medical research and illustrates how these methods ultimately prove to be an indispensable part of proper data collection and analysis. A structural uniformity is maintained across all chapters, each beginning with an introduction that discusses general concepts and the biomedical problem under focus and is followed by specific details on the associated methods, algorithms, and applications. In addition, each chapter provides a summary of the main ideas and offers a concluding remarks section that presents novel ideas, approaches, and challenges for future research.

Complete with detailed references and insight on the future directions of biomedical research, Statistical Advances in the Biomedical Sciences provides vital statistical guidance to practitioners in the biomedical sciences while also introducing statisticians to new, multidisciplinary frontiers of application. This text is an excellent reference for graduate- and PhD-level courses in various areas of biostatistics and the medical sciences and also serves as a valuable tool for medical researchers, statisticians, public health professionals, and biostatisticians.